{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T04:31:56Z","timestamp":1782275516137,"version":"3.54.5"},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T00:00:00Z","timestamp":1700611200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002767","name":"Hunan Provincial Science and Technology Department","doi-asserted-by":"publisher","award":["2020SK53417"],"award-info":[{"award-number":["2020SK53417"]}],"id":[{"id":"10.13039\/501100002767","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100017695","name":"Health Commission of Hunan Province","doi-asserted-by":"publisher","award":["20200048"],"award-info":[{"award-number":["20200048"]}],"id":[{"id":"10.13039\/100017695","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Following primary surgery for unilateral cleft lip palate (UCLP), cleft lip nasal deformities (CLNDs) (nasal asymmetry, collapsed nasal alae, and a widened alar base) are generally inevitable and often require secondary rhinoplasty. However, reconstructing a cleft nose with an alar tissue deficiency remains challenging for rhinoplasty surgeons.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The manifestations of common deformities are described herein, and a secondary rhinoplasty technique for unilateral CLNDs using a nasolabial flap (NLF) has been proposed for patients with alar tissue deficiency. Secondary rhinoplasties were performed in 12 patients with unilateral CLNDs between 2020 and 2021 using a NLF. Photogrammetric measurements were performed preoperatively and postoperatively. A total of 12 flaps were successfully transferred. Ten patients were followed up for &gt;1\u2009year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Significant postoperative decreases in nasal alar width were measured in both the base view (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.050) and the frontal view (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.050). Despite the additional facial scars that occurred in some cases, all patients were satisfied with the aesthetic effects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The NLF achieved satisfactory results in secondary rhinoplasty of unilateral CLND for patients with nasal tissue deficiencies in whom the surgeon weighed the potential benefits over postoperative scarring.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4 <jats:italic>Laryngoscope<\/jats:italic>, 134:1648\u20131655, 2024<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.31167","type":"journal-article","created":{"date-parts":[[2023,11,24]],"date-time":"2023-11-24T00:22:50Z","timestamp":1700785370000},"page":"1648-1655","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["A New Algorithm for Secondary Repair of Unilateral Cleft Lip Nasal Deformity"],"prefix":"10.1002","volume":"134","author":[{"given":"Yunzhu","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Plastic and Aesthetic (Burn) Surgery The Second Xiangya Hospital, Central South University  Changsha PR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiancheng","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Plastic and Aesthetic (Burn) Surgery The Second Xiangya Hospital, Central South University  Changsha PR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingjing","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Plastic and Aesthetic (Burn) Surgery The Second Xiangya Hospital, Central South University  Changsha PR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weiliang","family":"Zeng","sequence":"additional","affiliation":[{"name":"Department of Plastic and Aesthetic (Burn) Surgery The Second Xiangya Hospital, Central South University  Changsha PR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Plastic and Aesthetic (Burn) Surgery The Second Xiangya Hospital, Central South University  Changsha PR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Plastic and Aesthetic (Burn) Surgery The Second Xiangya Hospital, Central South University  Changsha PR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiang","family":"Xiong","sequence":"additional","affiliation":[{"name":"Department of Plastic and Aesthetic (Burn) Surgery The Second Xiangya Hospital, Central South University  Changsha PR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xianxi","family":"Meng","sequence":"additional","affiliation":[{"name":"Department of Plastic and Aesthetic (Burn) Surgery The Second Xiangya Hospital, Central South University  Changsha PR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenbo","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Plastic and Aesthetic (Burn) Surgery The Second Xiangya Hospital, Central South University  Changsha PR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhongjie","family":"Yi","sequence":"additional","affiliation":[{"name":"Department of Plastic and Aesthetic (Burn) Surgery The Second Xiangya Hospital, Central South University  Changsha PR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bairong","family":"Fang","sequence":"additional","affiliation":[{"name":"Department of Plastic and Aesthetic (Burn) Surgery The Second Xiangya Hospital, Central South University  Changsha PR China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,11,22]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12663-020-01412-0"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0041-1728673"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000001093"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197707000-00008"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000008124"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199810000-00004"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000003475"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-194612000-00011"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-195902000-00003"},{"issue":"14","key":"e_1_2_9_11_1","first-page":"305","article-title":"Repair of congenital short columella; a preliminary report","volume":"1954","author":"Pegram M","year":"1946","journal-title":"Plast Reconstr Surg"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0007-1226(78)90087-5"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-198502000-00010"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-200202000-00003"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1597\/11-021"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.4103\/2231-0746.147121"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/1090820X13488133"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/asj\/sjx197"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-019-01560-w"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/1090820X13488134"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2022.02.033"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181bcf100"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000006744"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000003279"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2017.01.024"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2017.01.022"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-019-03150-1"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-015-0546-0"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.31167","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,2]],"date-time":"2024-07-02T13:04:57Z","timestamp":1719925497000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.31167"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,22]]},"references-count":27,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1002\/lary.31167"],"URL":"https:\/\/doi.org\/10.1002\/lary.31167","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,22]]},"assertion":[{"value":"2023-01-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-25","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-22","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}