{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T22:24:11Z","timestamp":1785450251758,"version":"3.56.0"},"reference-count":12,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Facial Plastic Surgery & Aesthetic Medicine"],"published-print":{"date-parts":[[2026,3,1]]},"abstract":"\n Introduction:<\/jats:title>\n Infection, improper dissection, trauma, or excessive tension on the columellar closure can result in necrosis of the columella. Maneuvers such as advancing the base of the columella anteriorly or using a Silastic healing chamber can help prevent columellar necrosis.<\/jats:p>\n <\/jats:sec>\n \n Objective:<\/jats:title>\n Reconstruction of columellar defects is complex and may involve the recruitment of upper lip tissue, composite grafting, or the use of local or regional flaps. Structural grafting using autologous cartilage provides the necessary structural support to achieve a long-term esthetic and functional outcome.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n Chart review and data analysis.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n All cases resulted in successful reconstruction. Two complications were noted in 34 cases.<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Avoiding tension on the columellar closure can help to prevent necrosis. Columellar reconstruction may require Silastic healing chamber, grafts or flaps. In the author's experience, nanofat and hyperbaric oxygen are frequently used to maximize outcomes in prevention and management of columellar necrosis.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/26893614251390879","type":"journal-article","created":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T19:51:48Z","timestamp":1782157908000},"page":"166-218","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Prevention and Management of Columellar Necrosis in Rhinoplasty"],"prefix":"10.1177","volume":"28","author":[{"given":"Dean M.","family":"Toriumi","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Rush University Medical School, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,29]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1996.01890130020003"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-67314-1"},{"key":"e_1_3_3_4_2","volume-title":"Structure Rhinoplasty: Lessons Learned in 30 Years","author":"Toriumi DM","year":"2019","unstructured":"Toriumi DM. Structure Rhinoplasty: Lessons Learned in 30 Years. Chicago: DMT Solutions, 2019."},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-022-03175-0"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000128426.51592.EE"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000007029"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-022-02920-9"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1089\/fpsam.2022.0183"},{"key":"e_1_3_3_10_2","volume-title":"Aesthetic Reconstruction of the Nose","author":"Burget GC","year":"1994","unstructured":"Burget GC, , Menick FJ. Aesthetic Reconstruction of the Nose. Mosby: St.Louis; 1994."},{"key":"e_1_3_3_11_2","volume-title":"Nasal Reconstruction: Art and Practice","author":"Menick FJ","year":"2008","unstructured":"Menick FJ. Nasal Reconstruction: Art and Practice. 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J Clin Diagn Res. 2016;10(7):PD05\u2013PD06.","DOI":"10.7860\/JCDR\/2016\/19864.8111"}],"container-title":["Facial Plastic Surgery & Aesthetic Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26893614251390879","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/26893614251390879","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26893614251390879","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T19:51:58Z","timestamp":1782157918000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/26893614251390879"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,1]]},"references-count":12,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,3,1]]}},"alternative-id":["10.1177\/26893614251390879"],"URL":"https:\/\/doi.org\/10.1177\/26893614251390879","relation":{},"ISSN":["2689-3614","2689-3622"],"issn-type":[{"value":"2689-3614","type":"print"},{"value":"2689-3622","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,1]]}}}