{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T21:53:16Z","timestamp":1773697996107,"version":"3.50.1"},"reference-count":8,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2008,5,1]],"date-time":"2008-05-01T00:00:00Z","timestamp":1209600000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Facial Plast Surg"],"published-print":{"date-parts":[[2008,5,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine whether differences of angles between the alar rim and the long axis of the secondary defect in a Zitelli bilobed flap affect alar displacement in a fresh cadaver model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In fresh cadaver heads, identical, unilateral 1-cm circular defects were created at the superior alar margin. Three different laterally based bilobed flap templates for reconstruction were used. One template, used on 3 cadavers, had an angle of 60\u00b0 between the alar rim and the long axis of the secondary defect. Another template, used on 3 cadavers, had an angle of 90\u00b0. The last template had an angle of 135\u00b0 and was used on 2 cadavers. Photographs were taken before the repair and after with the camera and cadaver heads in the same spatial relationship to each other.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In the 3 cadavers that had repair using an angle of 60\u00b0, all cadavers experienced alar retraction, with a mean displacement of 1.3 mm. This was not a statistically significant change (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u00a0=\u00a0.07). In the defects that had repair using an angle of 90\u00b0, there was also no significant alar displacement (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u00a0=\u00a0.72). In the 2 cadavers that underwent repair using an angle of 135\u00b0, both ala underwent depression by 1.0 mm. When the differences achieved between the different angles were compared, there was a significant difference in measured distortion between the cadavers that had 90\u00b0 and 60\u00b0 vector placement (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u00a0=\u00a0.02). There were no measurable changes to the contralateral maximal nostril distance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Vector alignment can have an impact on nostril displacement. In bilobed flaps, the axis of the secondary defect may play an important role. This study suggests that secondary defects aligned perpendicular to the nostril have the least amount of alar distortion.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1001\/archfaci.10.3.181","type":"journal-article","created":{"date-parts":[[2008,5,19]],"date-time":"2008-05-19T16:13:13Z","timestamp":1211213593000},"page":"181-185","source":"Crossref","is-referenced-by-count":18,"title":["Analysis of Vector Alignment With the Zitelli Bilobed Flap for Nasal Defect Repair"],"prefix":"10.1177","volume":"10","author":[{"given":"Richard Abraham","family":"Zoumalan","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Division of Facial Plastic Surgery (Drs Zoumalan and Shah), and Department of Dermatology (Drs Hazan and Levine), New York University School of Medicine, New York."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carole","family":"Hazan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Division of Facial Plastic Surgery (Drs Zoumalan and Shah), and Department of Dermatology (Drs Hazan and Levine), New York University School of Medicine, New York."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vicki J.","family":"Levine","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Division of Facial Plastic Surgery (Drs Zoumalan and Shah), and Department of Dermatology (Drs Hazan and Levine), New York University School of Medicine, New York."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anil R.","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Division of Facial Plastic Surgery (Drs Zoumalan and Shah), and Department of Dermatology (Drs Hazan and Levine), New York University School of Medicine, New York."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2008,5,1]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1007\/BF02793149","article-title":"Gestielte lokale Nasenplastik mit Zweizipfligem lappen, Deckung des Sekundaren Defektes vom ersten Zipfel durch den Zweiten.","volume":"143","author":"Esser JFS","year":"1918","unstructured":"Esser JFS. Gestielte lokale Nasenplastik mit Zweizipfligem lappen, Deckung des Sekundaren Defektes vom ersten Zipfel durch den Zweiten.. Dtsh Z Chir. 1918; 143:385\u2013390","journal-title":"Dtsh Z Chir"},{"issue":"7","key":"e_1_3_2_3_1","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1001\/archderm.1989.01670190091012","article-title":"The bilobed flap for nasal reconstruction.","volume":"125","author":"Zitelli JA","year":"1989","unstructured":"Zitelli JA. The bilobed flap for nasal reconstruction.. Arch Dermatol. 1989; 125(7):957\u2013959 2742390","journal-title":"Arch Dermatol"},{"issue":"6","key":"e_1_3_2_4_1","doi-asserted-by":"crossref","first-page":"1405","DOI":"10.1097\/01.PRS.0000138596.57393.05","article-title":"Nasal reconstruction: beyond aesthetic subunits: a 15-year review of 1334 cases.","volume":"114","author":"Rohrich RJ","year":"2004","unstructured":"Rohrich RJ, , Griffin JR, , Ansari M, , Beran SJ, , Potter JK. Nasal reconstruction: beyond aesthetic subunits: a 15-year review of 1334 cases.. Plast Reconstr Surg. 2004; 114(6):1405\u20131416 15509926","journal-title":"Plast Reconstr Surg"},{"issue":"9","key":"e_1_3_2_5_1","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1111\/j.1365-4362.1994.tb02932.x","article-title":"Reconstruction of the nose utilizing a bilobed flap.","volume":"33","author":"Moy RL","year":"1994","unstructured":"Moy RL, , Grossfeld JS, , Baum M, , Rivlin D, , Eremia S. Reconstruction of the nose utilizing a bilobed flap.. Int J Dermatol. 1994; 33(9):657\u2013660 8002169","journal-title":"Int J Dermatol"},{"issue":"6","key":"e_1_3_2_6_1","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1001\/archfaci.8.6.404","article-title":"Modification of the Zitelli bilobed flap: a comparison of flap dynamics in human cadavers.","volume":"8","author":"Cho M","year":"2006","unstructured":"Cho M, , Kim DW. Modification of the Zitelli bilobed flap: a comparison of flap dynamics in human cadavers.. Arch Facial Plast Surg. 2006; 8(6):404\u2013409 17116788","journal-title":"Arch Facial Plast Surg"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archfaci.8.6.410"},{"issue":"4","key":"e_1_3_2_8_1","first-page":"468","article-title":"Definitive treatment of decubitus ulcers in paraplegic patients by coverage with transposition bilobed flap grafts.","volume":"100","author":"Crowley RT","year":"1955","unstructured":"Crowley RT, , Nickel WO. Definitive treatment of decubitus ulcers in paraplegic patients by coverage with transposition bilobed flap grafts.. Surg Gynecol Obstet. 1955; 100(4):468\u2013472 14373341","journal-title":"Surg Gynecol Obstet"},{"issue":"3","key":"e_1_3_2_9_1","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1067\/mjd.2000.106508","article-title":"Primary closure for midline defects of the nose: a simple approach for reconstruction.","volume":"43","author":"Cook J","year":"2000","unstructured":"Cook J, , Zitelli JA. Primary closure for midline defects of the nose: a simple approach for reconstruction.. J Am Acad Dermatol. 2000; 43(3):508\u2013510 10954664","journal-title":"J Am Acad Dermatol"}],"container-title":["Archives of Facial Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1001\/archfaci.10.3.181","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1001\/archfaci.10.3.181","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1001\/archfaci.10.3.181","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T09:56:30Z","timestamp":1773654990000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1001\/archfaci.10.3.181"}},"subtitle":["A Comparison of Flap Dynamics in Human Cadavers"],"short-title":[],"issued":{"date-parts":[[2008,5,1]]},"references-count":8,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2008,5,1]]}},"alternative-id":["10.1001\/archfaci.10.3.181"],"URL":"https:\/\/doi.org\/10.1001\/archfaci.10.3.181","relation":{},"ISSN":["1521-2491","1538-3660"],"issn-type":[{"value":"1521-2491","type":"print"},{"value":"1538-3660","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,5,1]]}}}