{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T01:01:56Z","timestamp":1778029316110,"version":"3.51.4"},"reference-count":15,"publisher":"Georg Thieme Verlag KG","issue":"05","license":[{"start":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T00:00:00Z","timestamp":1717372800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Many failures in total or subtotal nasal reconstruction result from an underestimation of the amount of skin required for an adequate result, especially for sufficient lining. Such planning errors usually lead to poor results, with exposure of structural grafts, infection, scar retraction, airway obstruction, and finally loss of projection and shape of the reconstructed nose. Reconstruction options for cases in which previous attempts have failed are always limited, as well as in cases of trauma or burns affecting the soft tissues of the forehead and face. In such complex situations, one may employ free flaps or tissue expansion, but such resources may not be always available. We describe a technique indicated for salvage surgeries in patients whose previous nasal reconstructions have failed, allowing a generous amount of tissue transfer for the nasal region. The technique combines the use of supraclavicular and submental flaps, with simple execution, not requiring microsurgical skills or devices such as tissue expanders. Done in three stages, the described technique provides enough skin for a total nasal reconstruction. The final result is obtained after subsequent refinements, and the total number of procedures is equivalent to when more sophisticated techniques are employed, such as tissue expansion or microsurgery.<\/jats:p>","DOI":"10.1055\/a-2337-2131","type":"journal-article","created":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T23:21:30Z","timestamp":1717456890000},"page":"480-486","source":"Crossref","is-referenced-by-count":2,"title":["A Lifeboat for Failed Nasal Reconstructions: The Supraclavicular\u2013Submental Sandwich Flap"],"prefix":"10.1055","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8499-2016","authenticated-orcid":false,"given":"Michel L.H.T.","family":"Vaena","sequence":"additional","affiliation":[{"name":"Faculdade de Ci\u00eancias M\u00e9dicas (FCM), Rio de Janeiro State University (UERJ), Rio de Janeiro, RJ, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1826-7410","authenticated-orcid":false,"given":"Kevin","family":"Sicalo","sequence":"additional","affiliation":[{"name":"Hospital Universitario Pedro Ernesto, UERJ, Rio de Janeiro, RJ, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8343-6114","authenticated-orcid":false,"given":"Caterina Goulart","family":"Alessio","sequence":"additional","affiliation":[{"name":"Hospital Universitario Pedro Ernesto, UERJ, Rio de Janeiro, RJ, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8128-4849","authenticated-orcid":false,"given":"Eduardo Pantoja","family":"Bastos","sequence":"additional","affiliation":[{"name":"Hospital Universitario Pedro Ernesto, UERJ, Rio de Janeiro, RJ, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,8,9]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1097\/01.prs.0000264445.76315.6d","article-title":"The birth of plastic surgery: the story of nasal reconstruction from the Edwin Smith Papyrus to the twenty-first century","volume":"120","author":"I S Whitaker","year":"2007","journal-title":"Plast Reconstr Surg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1007\/s00238-017-1289-8","article-title":"The tubed pedicle flap centennial: its concept, origin, rise and fall","volume":"40","author":"K W Marck","year":"2017","journal-title":"Eur J Plast Surg"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1016\/S0007-1226(79)90033-X","article-title":"The supra-clavicular axial patterned flap","volume":"32","author":"B GH Lamberty","year":"1979","journal-title":"Br J Plast Surg"},{"issue":"03","key":"ref4","doi-asserted-by":"crossref","first-page":"842","DOI":"10.1097\/00006534-200003000-00003","article-title":"The tunneled supraclavicular island flap: an optimized technique for head and neck reconstruction","volume":"105","author":"N Pallua","year":"2000","journal-title":"Plast Reconstr Surg"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1097\/01.mlg.0000246519.77156.a4","article-title":"The submental flap: a modified technique for resident training","volume":"117","author":"U A Patel","year":"2007","journal-title":"Laryngoscope"},{"issue":"05","key":"ref6","doi-asserted-by":"crossref","first-page":"867","DOI":"10.1097\/00006534-199392050-00013","article-title":"The submental island flap: a new donor site. Anatomy and clinical applications as a free or pedicled flap","volume":"92","author":"D Martin","year":"1993","journal-title":"Plast Reconstr Surg"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/S0007-1226(64)80013-8","article-title":"Reconstruction of subtotal defects of the nose by abdominal tube flap","volume":"17","author":"M Krauss","year":"1964","journal-title":"Br J Plast Surg"},{"issue":"07","key":"ref8","doi-asserted-by":"crossref","first-page":"e3003","DOI":"10.1097\/GOX.0000000000003003","article-title":"Microvascular reconstruction of complex nasal defects: case reports and review of the literature","volume":"8","author":"K Gasteratos","year":"2020","journal-title":"Plast Reconstr Surg Glob Open"},{"issue":"06","key":"ref9","first-page":"1002e","article-title":"Outcomes, concepts, technical refinements, and challenges in the microvascular repair of full-thickness nasal defects","volume":"151","author":"F J Menick","year":"2023","journal-title":"Plast Reconstr Surg"},{"issue":"07","key":"ref10","doi-asserted-by":"crossref","first-page":"e804","DOI":"10.1097\/GOX.0000000000000801","article-title":"Nasal reconstruction: extending the limits","volume":"4","author":"F Rezaeian","year":"2016","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"ref11","first-page":"249","volume-title":"Rhinoplasty and Facial Plastic Surgery: With a Supplement on Mammaplasty and Other Operations in the Field of Plastic Surgery of the Body: An Atlas and Textbook","author":"J Joseph","year":"1987"},{"key":"ref12","first-page":"96","volume-title":"La Rhinoplastie","author":"C Nelaton","year":"1904"},{"key":"ref13","first-page":"152","volume-title":"The Principles and Art of Plastic Surgery","author":"H Gillies","year":"1957"},{"issue":"08","key":"ref14","doi-asserted-by":"crossref","first-page":"2376","DOI":"10.1097\/SCS.0000000000006764","article-title":"Repairing nasal defect and lower eyelid defect with a tube flap","volume":"31","author":"Y Xu","year":"2020","journal-title":"J Craniofac Surg"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1007\/BF00210574","article-title":"Immobilisation for a Tagliacozzi nasal reconstruction using an ASIF external craniofacial fixation apparatus","volume":"16","author":"R de Roche","year":"1993","journal-title":"Eur J Plast Surg"}],"container-title":["Archives of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2337-2131.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,20]],"date-time":"2024-11-20T00:28:47Z","timestamp":1732062527000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2337-2131"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,3]]},"references-count":15,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2024,9,27]]},"published-print":{"date-parts":[[2024,9]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2337-2131","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2234-6163","2234-6171"],"issn-type":[{"value":"2234-6163","type":"print"},{"value":"2234-6171","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,6,3]]},"published":{"date-parts":[[2024,6,3]]}}}