{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T01:48:30Z","timestamp":1777427310277,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2020,6,24]],"date-time":"2020-06-24T00:00:00Z","timestamp":1592956800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Reconstruction of full thickness nasal defects usually requires different donor sites for the external skin envelope, structural elements, and internal nasal lining. In this paper we present a novel single site method for dual inner lining and skeleton repair for full thickness nasal defects with a composite nasoseptal flap and extended pedicle dissection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A 72-year-old male presented with a T4b melanoma involving the nasal dorsum and left upper lateral cartilage. Following full thickness resection, reconstruction was performed with a nasoseptal flap (NSF) with attached septal cartilage and vomer in conjunction with a paramedian forehead flap. Extended pedicle dissection into the pterygopalatine fossa allowed the NSF to fully cover the defect.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The nasal defect was fully corrected. There was no evidence of flap compromise or nasal valve stenosis at 1\u2009month, 2\u2009month, and 1\u2009year follow-up visits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>We present here the first successful application of a composite cartilage-osseous-mucosal NSF for multilayered nasal reconstruction. In appropriate patients, this technique may obviate the need for flaps or grafts from extranasal sources, limiting donor site morbidity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0003489420935481","type":"journal-article","created":{"date-parts":[[2020,6,24]],"date-time":"2020-06-24T06:28:07Z","timestamp":1592980087000},"page":"98-103","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Composite Cartilage-osseous-mucosal Nasoseptal Flap for Reconstruction after Near Total Rhinectomy"],"prefix":"10.1177","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5018-0685","authenticated-orcid":false,"given":"Karthik S.","family":"Shastri","sequence":"first","affiliation":[{"name":"Division of Otolaryngology \/ Head and Neck Surgery, Department of Surgery, Albany Medical Center, Albany, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yufan","family":"Lin","sequence":"additional","affiliation":[{"name":"Albany Medical College, Albany, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Scordino","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology \/ Head and Neck Surgery, Department of Surgery, Albany Medical Center, Albany, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos D.","family":"Pinheiro-Neto","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology \/ Head and Neck Surgery, Department of Surgery, Albany Medical Center, Albany, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,6,24]]},"reference":[{"key":"bibr1-0003489420935481","doi-asserted-by":"publisher","DOI":"10.1016\/j.cps.2009.02.004"},{"key":"bibr2-0003489420935481","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0000000000000295"},{"key":"bibr3-0003489420935481","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000254362.53706.91"},{"key":"bibr4-0003489420935481","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181fed686"},{"key":"bibr5-0003489420935481","doi-asserted-by":"publisher","DOI":"10.1001\/archfaci.1.2.97"},{"key":"bibr6-0003489420935481","doi-asserted-by":"publisher","DOI":"10.1055\/s-0036-1593747"},{"key":"bibr7-0003489420935481","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/346873"},{"key":"bibr8-0003489420935481","first-page":"42","volume":"74","author":"Pinheiro-Neto CD","year":"2013","journal-title":"Adv Otorhinolaryngol"},{"issue":"43","key":"bibr9-0003489420935481","first-page":"741","volume":"105","author":"Fischer H","year":"2008","journal-title":"Dtsch Arztebl Int"},{"key":"bibr10-0003489420935481","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27984"},{"key":"bibr11-0003489420935481","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1064337"},{"key":"bibr12-0003489420935481","doi-asserted-by":"publisher","DOI":"10.1002\/jso.20488"},{"key":"bibr13-0003489420935481","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000000694"},{"key":"bibr14-0003489420935481","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000234933.37779.e4"},{"key":"bibr15-0003489420935481","doi-asserted-by":"publisher","DOI":"10.2500\/ar.2013.4.0072"},{"issue":"1","key":"bibr16-0003489420935481","doi-asserted-by":"crossref","DOI":"10.1227\/01.neu.0000279945.20527.16","volume":"63","author":"Kassam AB","year":"2008","journal-title":"Neurosurgery"},{"key":"bibr17-0003489420935481","doi-asserted-by":"publisher","DOI":"10.1055\/s-0033-1347368"},{"issue":"2","key":"bibr18-0003489420935481","first-page":"37","volume":"53","author":"Abuzayed B","year":"2009","journal-title":"J Neurosurg Sci"}],"container-title":["Annals of Otology, Rhinology &amp; 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