{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T12:22:59Z","timestamp":1774441379055,"version":"3.50.1"},"reference-count":8,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2006,11,1]],"date-time":"2006-11-01T00:00:00Z","timestamp":1162339200000},"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":[[2006,11,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To investigate the effects on overall flap dynamics of altering the length of the primary flap in the Zitelli bilobed flap procedure, because the standard Zitelli design can result in distortion of the alar margin after repair of cutaneous nasal alar defects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Identical 1.5-cm circular cutaneous defects were made on the nasal alae and cheeks of 6 fresh human cadavers. A rectangle was inked around each cheek defect in a standardized fashion. A standard-design Zitelli bilobed flap was used to close the nasal and cheek defects on 1 side of each specimen (n\u00a0=\u00a06). The contralateral defect was closed with a modified design in which the primary flap was either 10% longer (n\u00a0=\u00a03) or 10% shorter (n\u00a0=\u00a03) than the standard primary flap as measured from the pivot point. Alar margin retraction and cheek defect distortion were measured from standardized photographs obtained before and after the repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The long-flap design resulted in alar retraction that was 1.33 mm less in the nasal reconstructions (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u00a0=\u00a0.02) and distal defect distortion that was 2.17 mm less in the cheek reconstructions (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u00a0=\u00a0.01) compared with the standard Zitelli bilobed flap. The short-flap design caused more distortion than did the standard design for both types of defect.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Lengthening the primary flap in the Zitelli bilobed flap design may reduce distal wound distortion and alar retraction in the closure of certain cutaneous defects.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1001\/archfaci.8.6.404","type":"journal-article","created":{"date-parts":[[2006,11,20]],"date-time":"2006-11-20T16:07:44Z","timestamp":1164038864000},"page":"404-409","source":"Crossref","is-referenced-by-count":32,"title":["Modification of the Zitelli Bilobed Flap"],"prefix":"10.1177","volume":"8","author":[{"given":"Michael","family":"Cho","sequence":"first","affiliation":[{"name":"Division of Facial Plastic Surgery, Department of Otolaryngology\u2013Head and Neck Surgery, University of California, San Francisco."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David W.","family":"Kim","sequence":"additional","affiliation":[{"name":"Division of Facial Plastic Surgery, Department of Otolaryngology\u2013Head and Neck Surgery, University of California, San Francisco."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2006,11,1]]},"reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1046\/j.1524-4725.2000.99160.x","article-title":"A review of the bilobed flap's design with particular emphasis on the minimization of alar displacement","volume":"26","author":"Cook JL","year":"2000","unstructured":"Cook JL. A review of the bilobed flap's design with particular emphasis on the minimization of alar displacement. Dermatol Surg. 2000; 26:354-362. 10759825","journal-title":"Dermatol Surg"},{"key":"e_1_3_1_3_2","first-page":"134","author":"Burget GC","year":"1994","unstructured":"Burget GC, , Menick FJ. Aesthetic Reconstruction of the Nose. St Louis, Mo: Mosby\u2013Year Book Inc; 1994:134-151","journal-title":"Aesthetic Reconstruction of the Nose"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.1989.01670190091012"},{"key":"e_1_3_1_5_2","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/S0007-1226(81)80094-X","article-title":"A critical assessment of the bilobed flap","volume":"34","author":"McGregor JC","year":"1981","unstructured":"McGregor JC, , Soutar DS. A critical assessment of the bilobed flap. Br J Plast Surg. 1981; 34:197-205. 7236981","journal-title":"Br J Plast Surg"},{"key":"e_1_3_1_6_2","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; 33:657-660. 8002169","journal-title":"Int J Dermatol"},{"key":"e_1_3_1_7_2","doi-asserted-by":"crossref","first-page":"1348","DOI":"10.1111\/j.1524-4725.1987.tb03581.x","article-title":"The dynamics of flap movement: effect of pivotal restraint on flap rotation and transposition","volume":"13","author":"Dzubow LM","year":"1987","unstructured":"Dzubow LM. The dynamics of flap movement: effect of pivotal restraint on flap rotation and transposition. J Dermatol Surg Oncol. 1987; 13:1348-1353. 3680750","journal-title":"J Dermatol Surg Oncol"},{"key":"e_1_3_1_8_2","first-page":"171","article-title":"Facial reconstruction using local skin flaps","volume":"7","author":"Gunter JP","year":"1978","unstructured":"Gunter JP. Facial reconstruction using local skin flaps. J Otolaryngol. 1978; 7:171-182. 349172","journal-title":"J Otolaryngol"},{"key":"e_1_3_1_9_2","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1016\/S1043-1810(10)80112-5","article-title":"Bilobed flap variations","volume":"4","author":"Murakami CS","year":"1993","unstructured":"Murakami CS, , Odland PP. Bilobed flap variations. Oper Tech Otolaryngol Head Neck Surg. 1993; 4:76-79","journal-title":"Oper Tech Otolaryngol Head Neck Surg"}],"container-title":["Archives of Facial Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1001\/archfaci.8.6.404","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1001\/archfaci.8.6.404","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1001\/archfaci.8.6.404","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T09:26:02Z","timestamp":1774430762000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1001\/archfaci.8.6.404"}},"subtitle":["A Comparison of Flap Dynamics in Human Cadavers"],"short-title":[],"issued":{"date-parts":[[2006,11,1]]},"references-count":8,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2006,11,1]]}},"alternative-id":["10.1001\/archfaci.8.6.404"],"URL":"https:\/\/doi.org\/10.1001\/archfaci.8.6.404","relation":{},"ISSN":["1521-2491","1538-3660"],"issn-type":[{"value":"1521-2491","type":"print"},{"value":"1538-3660","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,11,1]]}}}