{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T04:53:20Z","timestamp":1667278400093},"reference-count":11,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T00:00:00Z","timestamp":1667174400000},"content-version":"vor","delay-in-days":152,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian J Plast Surg"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Abnormalities of fingernail growth and appearance are among the most common deformities encountered after burn injury to the hand. Various techniques used for resurfacing defects include incision of the scarred eponychium and advancement of the distal segment, flap reconstruction-distally, and proximally based transposition\/advancement flaps, composite graft techniques, microvascular transfer. In the present study, we used an onion flap to release scarred eponychium and nail fold reconstruction in a single stage without using soft tissue from another area.<\/jats:p><jats:p>\n          Materials and methods\u2003Forty-four burnt fingers were operated using Yang's onion flap technique. Patients were assessed for flap necrosis, hematoma and infection in the early postoperative period and for donor site scar, nail appearance, and symptomatic relief in a follow-up for at least 4 months.<\/jats:p><jats:p>\n          Results\u2003The flap was successfully performed on all fingers. Only two fingers had flap necrosis. There was no incidence of hematoma or infection. The donor site scar and nail plate appearance improved and was acceptable to most patients after surgery. There was also significant relief in daily activities in 19 out of 28 symptomatic patients.<\/jats:p><jats:p>\n          Conclusion\u2003Yang's flap to correct nail deformities in burn patients is feasible in Indian scenario. It is associated with a low complication rate and improved nail appearance. There is also significant symptomatic relief in performing daily activities after surgery.<\/jats:p>","DOI":"10.1055\/s-0042-1756125","type":"journal-article","created":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T23:30:07Z","timestamp":1667259007000},"page":"282-286","source":"Crossref","is-referenced-by-count":0,"title":["Study of Yang's Onion Flap Technique for Release of Scarred Eponychium and Nail Fold Reconstruction in Burn Patients"],"prefix":"10.1055","volume":"55","author":[{"given":"Vaishali","family":"Srivastava","sequence":"additional","affiliation":[{"name":"Department of Plastic and Maxillofacial Surgery, Maulana Azad Medical College and Lok Nayak Hospital, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Upendra","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Plastic and Maxillofacial Surgery, VMMC and Safdarjung Hospital, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepak","family":"Rathore","sequence":"additional","affiliation":[{"name":"Department of Plastic and Maxillofacial Surgery, Max Hospital, Patparganj, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,10,31]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1097\/BCR.0b013e3182223cc7","article-title":"Reconstruction of the burnt perionychium: literature review and treatment algorithm","volume":"32","author":"I Goutos","year":"2011","journal-title":"J Burn Care Res"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"1424","DOI":"10.1097\/TA.0b013e3182478c5e","article-title":"\u201cOnion\u201d flap: a novel technique for reconstruction of burn nail deformities","volume":"72","author":"J Y Yang","year":"2012","journal-title":"J Trauma Acute Care Surg"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1097\/01.prs.0000232378.88776.b0","article-title":"Visual analogue scale scoring and ranking: a suitable and sensitive method for assessing scar quality?","volume":"118","author":"J AL Duncan","year":"2006","journal-title":"Plast Reconstr Surg"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/0072-968X(72)90020-4","article-title":"Reconstruction of the nail fold","volume":"4","author":"B Barfod","year":"1972","journal-title":"Hand"},{"issue":"02","key":"ref5","first-page":"110","article-title":"Surgical relocation of retracted eponychion","volume":"33","author":"B F Alsbj\u00f6rn","year":"1991","journal-title":"Acta Chir Plast"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1016\/0266-7681_86_90163-4","article-title":"Postburn nailfold retraction: a reconstructive technique","volume":"11","author":"R C Ngim","year":"1986","journal-title":"J Hand Surg [Br]"},{"issue":"07","key":"ref7","doi-asserted-by":"crossref","first-page":"2303","DOI":"10.1097\/01.prs.0000218709.03848.a5","article-title":"Nailfold reconstruction for correction of burn fingernail deformity","volume":"117","author":"M B Donelan","year":"2006","journal-title":"Plast Reconstr Surg"},{"issue":"05","key":"ref8","doi-asserted-by":"crossref","first-page":"927","DOI":"10.1016\/0363-5023(92)90472-2","article-title":"Vascular anatomy of the finger dorsum and a new idea for coverage of the finger pulp defect that restores sensation","volume":"17","author":"T Endo","year":"1992","journal-title":"J Hand Surg Am"},{"issue":"02","key":"ref9","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1001\/archfaci.10.2.103","article-title":"Hematoma rates in drainless deep-plane face-lift surgery with and without the use of fibrin glue","volume":"10","author":"R Zoumalan","year":"2008","journal-title":"Arch Facial Plast Surg"},{"issue":"06","key":"ref10","doi-asserted-by":"crossref","first-page":"937","DOI":"10.1097\/00006534-199006000-00016","article-title":"One-stage reconstruction of the postburn nailfold contracture","volume":"85","author":"B M Achauer","year":"1990","journal-title":"Plast Reconstr Surg"},{"issue":"03","key":"ref11","first-page":"253","article-title":"Management of fingernail deformities after thermal injury","volume":"21","author":"P H Spauwen","year":"1987","journal-title":"Scand J Plast Reconstr Surg Hand Surg"}],"container-title":["Indian Journal of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0042-1756125.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T23:32:16Z","timestamp":1667259136000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0042-1756125"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6]]},"references-count":11,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2022,10,31]]},"published-print":{"date-parts":[[2022,6]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0042-1756125","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0970-0358","1998-376X"],"issn-type":[{"value":"0970-0358","type":"print"},{"value":"1998-376X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6]]}}}