{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T22:14:33Z","timestamp":1774476873087,"version":"3.50.1"},"reference-count":5,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2018,5,4]],"date-time":"2018-05-04T00:00:00Z","timestamp":1525392000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:sec><jats:label\/><jats:p>We present a novel method for columellar reconstruction using a hidden donor site and review the challenges and limitations of columellar reconstruction in children with Fitzpatrick VI skin type. A staged reconstruction was conceived in which a full\u2010thickness skin graft was transferred to the superior gingivolabial sulcus in the area of the maxillary frenulum. Six months later, the prelaminated soft tissue flap was delivered through a horizontal incision at the subnasale, and the donor site closed primarily. We report satisfactory results following a novel approach to composite soft tissue reconstruction of the columellar subunit in a 9\u2010year\u2010old child.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4<jats:italic>Laryngoscope<\/jats:italic>, 128:2718\u20132720, 2018<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.27229","type":"journal-article","created":{"date-parts":[[2018,5,5]],"date-time":"2018-05-05T06:00:02Z","timestamp":1525500002000},"page":"2718-2720","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["A novel approach to columellar reconstruction in a child"],"prefix":"10.1002","volume":"128","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0856-3396","authenticated-orcid":false,"given":"Andrew R.","family":"Scott","sequence":"first","affiliation":[{"name":"Department of Pediatric Otolaryngology and Facial Plastic Surgery, Department of Otolaryngology and Pediatrics Tufts University School of Medicine Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kofi D.","family":"Boahene","sequence":"additional","affiliation":[{"name":"Johns Hopkins Center for Facial Plastic and Reconstructive Surgery, Department of Otolaryngology\u2013Head and Neck Surgery Johns Hopkins School of Medicine Baltimore Maryland U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,5,4]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archfaci.4.1.42"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijps.IJPS_163_16"},{"key":"e_1_2_5_4_1","doi-asserted-by":"crossref","first-page":"89","DOI":"10.4103\/ams.ams_130_16","article-title":"Conservative surgical approach to restore necrotic columella in patients undergoing neonatal usage of nasogastric tube","volume":"7","author":"Inchingolo F","year":"2017","journal-title":"Ann Maxillofac Surg"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940611500313"},{"key":"e_1_2_5_6_1","first-page":"PD05","article-title":"An innovative technique for columellar reconstruction using \u2018flip\u2010over\u2019 buccal mucosa flap","volume":"10","author":"Agrawal KS","year":"2016","journal-title":"J Clin Diagn Res"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.27229","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.27229","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,6]],"date-time":"2024-07-06T14:45:28Z","timestamp":1720277128000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.27229"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,5,4]]},"references-count":5,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2018,12]]}},"alternative-id":["10.1002\/lary.27229"],"URL":"https:\/\/doi.org\/10.1002\/lary.27229","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,5,4]]},"assertion":[{"value":"2018-02-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-03-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-05-04","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}