{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,5]],"date-time":"2026-04-05T11:52:44Z","timestamp":1775389964273,"version":"3.50.1"},"reference-count":17,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T00:00:00Z","timestamp":1761177600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.fr","clinicalkey.jp","jprasopen.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["JPRAS Open"],"published-print":{"date-parts":[[2026,3]]},"DOI":"10.1016\/j.jpra.2025.10.031","type":"journal-article","created":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T08:57:15Z","timestamp":1761469035000},"page":"373-385","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Innovative septum suspension technique with a cantilever graft for effective keystone region reconstruction"],"prefix":"10.1016","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1340-2733","authenticated-orcid":false,"given":"Saori","family":"Yamazumi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoko","family":"Takeuchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"So","family":"Moriyama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuyoshi","family":"Otori","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeshi","family":"Miyawaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.jpra.2025.10.031_bib0001","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1097\/PRS.0000000000006895","article-title":"The keystone, scroll complex, and interdomal area of the nose: histologic and anatomical observations","volume":"146","author":"Irmak","year":"2020","journal-title":"Plast Reconstr Surg."},{"key":"10.1016\/j.jpra.2025.10.031_bib0002","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1055\/s-0038-1660824","article-title":"Refinements in saddle nose reconstruction","volume":"34","author":"Chen","year":"2018","journal-title":"Facial Plast Surg."},{"key":"10.1016\/j.jpra.2025.10.031_bib0003","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1097\/PRS.0000000000002412","article-title":"New suturing techniques to reconstruct the keystone area in extracorporeal septoplasty","volume":"138","author":"Rezaeian","year":"2016","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.jpra.2025.10.031_bib0004","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1097\/00006534-195208000-00008","article-title":"The correction of the internally and externally deviated nose","volume":"10","author":"King","year":"1952","journal-title":"Plast Reconstr Surg (1946)"},{"key":"10.1016\/j.jpra.2025.10.031_bib0005","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1055\/a-1803-6341","article-title":"Correction of the saddle nose deformity using the \u201cpush up\u201d technique","volume":"38","author":"Toriumi","year":"2022","journal-title":"Facial Plast Surg"},{"key":"10.1016\/j.jpra.2025.10.031_bib0006","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/j.fsc.2022.08.006","article-title":"Subdorsal cantilever graft: indications and technique","volume":"31","author":"Toriumi","year":"2023","journal-title":"Facial Plast Surg Clin North Am"},{"issue":"3","key":"10.1016\/j.jpra.2025.10.031_bib0007","doi-asserted-by":"crossref","first-page":"1029","DOI":"10.1097\/01.prs.0000252503.30804.5e","article-title":"Rhinoplasty: septal saddle nose deformity and composite reconstruction","volume":"119","author":"Daniel","year":"2007","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.jpra.2025.10.031_bib0008","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1001\/jamafacial.2014.387","article-title":"Treatment outcomes of extracorporeal septoplasty compared with in situ septal correction in rhinoplasty","volume":"16","author":"Lee","year":"2014","journal-title":"JAMA Facial Plast Surg"},{"key":"10.1016\/j.jpra.2025.10.031_bib0009","first-page":"519","article-title":"Jikahansetsurokkotsu niyoru bikeiseijutu 80rei no keiken kara","volume":"29\u20139","author":"Shoji","year":"2009","journal-title":"J Japan Soc Plast Reconstr Surg."},{"issue":"3","key":"10.1016\/j.jpra.2025.10.031_bib0010","first-page":"284","article-title":"Fixation of autogenous bone graft with self-drilling screw in augmentation rhinoplasty","volume":"26","author":"Miyawaki","year":"2010","journal-title":"J Japan Soc Craniomaxillofac Surg."},{"key":"10.1016\/j.jpra.2025.10.031_bib0011","doi-asserted-by":"crossref","first-page":"637","DOI":"10.7248\/jjrhi.57.637","article-title":"Plastic surgery principles in septorhinoplasty\u2014importance of the caudal septum in the treatment of caudal septal deviation","volume":"57","author":"Miyawaki","year":"2018","journal-title":"Nihon Bika Gakkai Kaishi (Japanese J Rhinol)"},{"key":"10.1016\/j.jpra.2025.10.031_bib0012","series-title":"Rhinoplasty and Septoplasty","author":"Jang","year":"2014"},{"key":"10.1016\/j.jpra.2025.10.031_bib0013","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1007\/s00266-021-02741-2","article-title":"Effects of functional rhinoplasty on nasal obstruction: a meta-analysis","volume":"46","author":"Zhao","year":"2022","journal-title":"Aesth Plast Surg."},{"key":"10.1016\/j.jpra.2025.10.031_bib0014","doi-asserted-by":"crossref","first-page":"1285","DOI":"10.1017\/S0022215123000993","article-title":"Clinically important estimates of improvement after septoplasty","volume":"137","author":"Haye","year":"2023","journal-title":"J Laryngol Otol"},{"key":"10.1016\/j.jpra.2025.10.031_bib0015","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1007\/s00405-022-07504-6","article-title":"Discrepancy of the subjective perception of the nasal appearance between independent individuals and patients undergoing functional rhinoplasty (fRPL)","volume":"280","author":"Heiming","year":"2023","journal-title":"Turk Arch Otorhinolaryngol"},{"issue":"1","key":"10.1016\/j.jpra.2025.10.031_bib0016","doi-asserted-by":"crossref","first-page":"36","DOI":"10.4274\/tao.2022.2021-12-10","article-title":"Impact of functional and aesthetic factors on patient satisfaction in septorhinoplasty","volume":"60","author":"Kemal","year":"2021","journal-title":"Turk Arch Otorhinolaryngol"},{"key":"10.1016\/j.jpra.2025.10.031_bib0017","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1016\/j.bjps.2024.01.013","article-title":"Translation, cultural adaptation, and validation of the Standardized Cosmesis and Health Nasal Outcomes Survey in Japanese (J-SCHNOS)","volume":"90","author":"Takeuchi","year":"2024","journal-title":"J Plast Reconstr Aesthet Surg"}],"container-title":["JPRAS Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2352587825002414?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2352587825002414?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,4,5]],"date-time":"2026-04-05T10:57:16Z","timestamp":1775386636000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2352587825002414"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":17,"alternative-id":["S2352587825002414"],"URL":"https:\/\/doi.org\/10.1016\/j.jpra.2025.10.031","relation":{},"ISSN":["2352-5878"],"issn-type":[{"value":"2352-5878","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Innovative septum suspension technique with a cantilever graft for effective keystone region reconstruction","name":"articletitle","label":"Article Title"},{"value":"JPRAS Open","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jpra.2025.10.031","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons.","name":"copyright","label":"Copyright"}]}}