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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">The trapdoor effect is a common medium- to long-term postoperative complication after closure of some facial skin defects with local flaps&#46; Transposition flaps are particularly susceptible to this complication&#46; Compared with geometric Limberg or Dufourmentel flaps&#44; the risk of such complications is accentuated with the lobed flaps with rounded borders used on the nasal pyramid&#46; Treatment of the trapdoor defect is not easy and the technique proposed by Correa et al&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> provides a satisfactory outcome&#46; It may be that the effectiveness of the approach&#44; with reduction of the step without scarring or hypertrophy&#44; is due to the depth of the shaving&#44; which in turn depends on the degree of bulging&#46; The nasal skin has abundant sebaceous glands and so superficial shaving that does not go beyond the glandular epithelium granulates and epithelizes more quickly&#44; without the risk of a hypertrophic scar associated with procedures that extend beyond this level to reach subcutaneous tissue free of adnexal structures&#46; We bear this in mind when we surgically profile the nose of a patient with rhinophyma through curettage and electrocauterization&#46; We know from experience that hypertrophic scarring may occur if we reach too deep and&#44; by analogy&#44; this may also be the case with supershaving&#46; To prevent hypertrophic scarring&#44; it would be necessary to agree with the patient to perform a more superficial curettage&#44; with the option of repetition if the first procedure was not sufficient&#44; before performing an initial deeper one with possible side effects&#46; The same applies when curettage of an intradermal nevus is performed for aesthetic reasons&#46; It is preferable not to aim for excessive depth and leave a small bulge that can be corrected in a second procedure rather than leave a depressed scar that is much harder to correct at a later date&#46;</p></span>"
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Case and Research Letters
Correction of Trapdoor Effect Following Nasal Pyramid Reconstruction With a Transposition Flap
Corrección de la deformidad en trampilla secundaria a colgajos de trasposición en pirámide nasal
P. Redondo
Departamento de Dermatología, Clínica Universidad de Navarra, Pamplona, Navarra, España
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Información del artículo
ISSN: 15782190
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