{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:40:37Z","timestamp":1787841637185,"version":"build-2784847793"},"reference-count":89,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T00:00:00Z","timestamp":1784592000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T00:00:00Z","timestamp":1784592000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Alar reconstruction is common, yet high\u2010quality outcomes data are limited. This review synthesizes the available literature to guide evidence\u2010informed reconstructive choices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic review identified 35 eligible studies reporting defect characteristics, techniques, and aesthetic, functional, and graft\/flap outcomes. Single\u2010patient case reports, purely technical papers, and studies without outcome data were excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Full\u2010thickness skin grafts (FTSG), FTSG with cartilage, and composite grafts have been used with acceptable aesthetic outcomes for small defects. Local flaps are most common for small to intermediate defects, while regional flaps, particularly melolabial (MLF) and paramedian forehead flaps (PMFF), are the primary options for larger defects. PMFFs have higher reported cosmetic satisfaction but may require more secondary procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Standard data and evidence reporting for alar subunit reconstruction is very limited, with a predominance of retrospective and technique\u2010driven studies and gestalt\u2010based outcomes. Standardized reporting of defect size, functional outcomes, and validated patient\u2010reported measures is needed. Until higher\u2010quality data is available, reconstructive decisions should be individualized.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lio2.70494","type":"journal-article","created":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T02:03:52Z","timestamp":1784685832000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Nasal Alar Subunit Reconstruction: A Review of Data"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2596-2719","authenticated-orcid":false,"given":"Deanna C.","family":"Menapace","sequence":"first","affiliation":[{"name":"Division of Facial Plastic &amp; Reconstructive Surgery Mayo Clinic Florida  Jacksonville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William W.","family":"Shockley","sequence":"additional","affiliation":[{"name":"Division of Facial Plastic &amp; Reconstructive Surgery University of North Carolina Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Miller","sequence":"additional","affiliation":[{"name":"Division of Facial Plastic &amp; Reconstructive Surgery University of North Carolina Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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