{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T23:45:17Z","timestamp":1775519117529,"version":"3.50.1"},"reference-count":67,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facial Plast Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Congenital craniofacial anomalies present complex reconstructive challenges impacting nasal function, facial symmetry, and psychosocial well-being. Effective restoration requires a multidisciplinary, patient-centered approach that integrates advances in imaging, surgical planning, and reconstructive techniques.<\/jats:p>\n                  <jats:p>This narrative review summarizes contemporary surgical strategies for nasal reconstruction in patients with cleft lip\/palate and syndromic craniosynostosis.<\/jats:p>\n                  <jats:p>Relevant literature was reviewed alongside our own institutional experience. Focus was placed on preoperative assessment, multidisciplinary collaboration, operative timing, and technical innovations.<\/jats:p>\n                  <jats:p>Long-term outcomes demonstrate sustained improvements in nasal function, facial symmetry, and emotional well-being when care is provided by experienced multidisciplinary teams in dedicated units. Early psychological assessment and ongoing support are pivotal for optimizing patient outcomes.<\/jats:p>\n                  <jats:p>Multidisciplinary, long-term care integrating advances in imaging, reconstructive techniques, and psychosocial support improves functional, aesthetic, and emotional outcomes in nasal reconstruction in this complex group of patients.<\/jats:p>","DOI":"10.1055\/a-2843-8837","type":"journal-article","created":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T22:47:38Z","timestamp":1775515658000},"source":"Crossref","is-referenced-by-count":0,"title":["Septorhinoplasty in Congenital Craniofacial Anomalies: A Narrative Review of Contemporary Surgical Approaches"],"prefix":"10.1055","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0705-607X","authenticated-orcid":false,"given":"Guled M.","family":"Jama","sequence":"additional","affiliation":[{"name":"Department of Rhinology and Facial Plastic Surgery, Royal National ENT and Eastman Dental Hospitals, University College London Hospitals NHS Foundation Trust, London, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vikas","family":"Acharya","sequence":"additional","affiliation":[{"name":"Department of Rhinology and Facial Plastic Surgery, Royal National ENT and Eastman Dental Hospitals, University College London Hospitals NHS Foundation Trust, London, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annakan","family":"Navaratnam","sequence":"additional","affiliation":[{"name":"Department of Rhinology and Facial Plastic Surgery, Royal National ENT and Eastman Dental Hospitals, University College London Hospitals NHS Foundation Trust, London, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy W.","family":"Lloyd","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Royal National ENT and Eastman Dental Hospitals, University College London Hospitals NHS Foundation Trust, London, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Premjit S.","family":"Randhawa","sequence":"additional","affiliation":[{"name":"Department of Rhinology and Facial Plastic Surgery, Royal National ENT and Eastman Dental Hospitals, University College London Hospitals NHS Foundation Trust, London, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter J.","family":"Andrews","sequence":"additional","affiliation":[{"name":"Department of Rhinology and Facial Plastic Surgery, Royal National ENT and Eastman Dental Hospitals, University College London Hospitals NHS Foundation Trust, London, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2026,4,6]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"192","DOI":"10.3340\/jkns.2016.59.3.192","article-title":"Development and growth of the normal cranial vault: an embryologic review","volume":"59","author":"S W Jin","year":"2016","journal-title":"J Korean Neurosurg Soc"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"128e","DOI":"10.1097\/PRS.0000000000000308","article-title":"Craniofacial syndromes","volume":"134","author":"E P Buchanan","year":"2014","journal-title":"Plast Reconstr Surg"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1038\/ejhg.2010.235","article-title":"Craniosynostosis","volume":"19","author":"D Johnson","year":"2011","journal-title":"Eur J Hum Genet"},{"issue":"03","key":"ref4","doi-asserted-by":"crossref","first-page":"187","DOI":"10.3340\/jkns.2016.59.3.187","article-title":"Genetic syndromes associated with craniosynostosis","volume":"59","author":"J M Ko","year":"2016","journal-title":"J Korean Neurosurg Soc"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/j.cps.2018.11.005","article-title":"Treacher Collins syndrome","volume":"46","author":"A Aljerian","year":"2019","journal-title":"Clin Plast Surg"},{"issue":"04","key":"ref6","doi-asserted-by":"crossref","first-page":"1483","DOI":"10.1097\/SCS.0000000000007408","article-title":"Hemifacial microsomia: clinical features and associated anomalies","volume":"32","author":"K A Allam","year":"2021","journal-title":"J Craniofac Surg"},{"issue":"03","key":"ref7","first-page":"322","article-title":"The global occurrences of cleft lip and palate in pediatric patients and their association with demographic factors: a narrative review","volume":"11","author":"F A Putri","year":"2024","journal-title":"Children (Basel)"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1007\/s00381-023-06076-y","article-title":"Frequency and predictors of concurrent complications in multi-suture release for syndromic craniosynostosis","volume":"40","author":"S Rajkumar","year":"2024","journal-title":"Childs Nerv Syst"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.smrv.2015.05.010","article-title":"Craniofacial syndromes and sleep-related breathing disorders","volume":"27","author":"H L Tan","year":"2016","journal-title":"Sleep Med Rev"},{"issue":"03","key":"ref10","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1177\/10556656211059966","article-title":"Psychological and physical health outcomes in adults with craniosynostosis","volume":"60","author":"N M Stock","year":"2023","journal-title":"Cleft Palate Craniofac J"},{"issue":"07","key":"ref11","doi-asserted-by":"crossref","first-page":"1056","DOI":"10.1007\/s00247-014-3239-y","article-title":"CT and MRI of congenital nasal lesions in syndromic conditions","volume":"45","author":"D T Ginat","year":"2015","journal-title":"Pediatr Radiol"},{"issue":"04","key":"ref12","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1016\/j.siny.2016.03.001","article-title":"Craniofacial disorders associated with airway obstruction in the neonate","volume":"21","author":"C M Cielo","year":"2016","journal-title":"Semin Fetal Neonatal Med"},{"issue":"01","key":"ref13","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/j.jcms.2023.11.006","article-title":"Automated three-dimensional analysis of facial asymmetry in patients with syndromic coronal synostosis: a retrospective study","volume":"52","author":"T M Choi","year":"2024","journal-title":"J Craniomaxillofac Surg"},{"issue":"02","key":"ref14","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1016\/j.otc.2024.07.017","article-title":"Rhinoplasty for patients with cleft lip-palate: functional and aesthetic concerns","volume":"58","author":"T Y Hsieh","year":"2025","journal-title":"Otolaryngol Clin North Am"},{"issue":"05","key":"ref15","doi-asserted-by":"crossref","first-page":"1306","DOI":"10.1111\/odi.14174","article-title":"Revisiting the embryogenesis of lip and palate development","volume":"28","author":"N L Hammond","year":"2022","journal-title":"Oral Dis"},{"issue":"05","key":"ref16","doi-asserted-by":"crossref","first-page":"1276","DOI":"10.1097\/PRS.0000000000000096","article-title":"Evidence-based medicine: The cleft lip nasal deformity","volume":"133","author":"C Henry","year":"2014","journal-title":"Plast Reconstr Surg"},{"issue":"04","key":"ref17","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1016\/j.bjps.2012.12.001","article-title":"Nasal asymmetry in unilateral cleft lip and palate","volume":"66","author":"A K Freeman","year":"2013","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"02","key":"ref18","doi-asserted-by":"crossref","first-page":"235","DOI":"10.4103\/0970-0358.59289","article-title":"Bilateral cleft lip nasal deformity","volume":"42","author":"A K Singh","year":"2009","journal-title":"Indian J Plast Surg"},{"issue":"04","key":"ref19","doi-asserted-by":"crossref","first-page":"dmm049390","DOI":"10.1242\/dmm.049390","article-title":"The clinical manifestations, molecular mechanisms and treatment of craniosynostosis","volume":"15","author":"E Stanton","year":"2022","journal-title":"Dis Model Mech"},{"issue":"03","key":"ref20","first-page":"189","article-title":"Obstructive sleep apnoea in children with craniofacial syndromes","volume":"16","author":"C M Cielo","year":"2015","journal-title":"Paediatr Respir Rev"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"29","DOI":"10.2147\/EB.S234075","article-title":"Neuro-ophthalmological manifestations of craniosynostosis: current perspectives","volume":"13","author":"M Duan","year":"2021","journal-title":"Eye Brain"},{"issue":"04","key":"ref22","doi-asserted-by":"crossref","first-page":"1441","DOI":"10.1007\/s10006-024-01276-5","article-title":"Hemifacial microsomia: a scoping review on progressive facial asymmetry due to mandibular deformity","volume":"28","author":"P M Atiba","year":"2024","journal-title":"Oral Maxillofac Surg"},{"issue":"06","key":"ref23","doi-asserted-by":"crossref","first-page":"2410","DOI":"10.3390\/clinpract14060188","article-title":"Multidisciplinary treatment of hemifacial microsomia: several clinical cases","volume":"14","author":"M Cano-Ros\u00e1s","year":"2024","journal-title":"Clin Pract"},{"issue":"07","key":"ref24","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1177\/1055665619899518","article-title":"One multidisciplinary cleft and craniofacial team's experience in shifting to family-centered care","volume":"57","author":"K D Pfeifauf","year":"2020","journal-title":"Cleft Palate Craniofac J"},{"issue":"05","key":"ref25","doi-asserted-by":"crossref","first-page":"1412","DOI":"10.1111\/odi.14213","article-title":"An ideal multidisciplinary cleft lip and cleft palate care team","volume":"28","author":"R Frederick","year":"2022","journal-title":"Oral Dis"},{"issue":"02","key":"ref26","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1111\/ocr.12355","article-title":"Range and timing of surgery, and surgical sequences used, in primary repair of complete unilateral cleft lip and palate: the Cleft Care UK study","volume":"23","author":"R Slator","year":"2020","journal-title":"Orthod Craniofac Res"},{"issue":"04","key":"ref27","doi-asserted-by":"crossref","first-page":"1077","DOI":"10.1097\/PRS.0000000000001058","article-title":"The importance of timing in optimizing cranial vault remodeling in syndromic craniosynostosis","volume":"135","author":"A F Utria","year":"2015","journal-title":"Plast Reconstr Surg"},{"issue":"04","key":"ref28","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1177\/10556656241309810","article-title":"Primary rhinoplasty for unilateral cleft lip: a long-term cohort assessment of aesthetic and anthropometric outcomes","volume":"63","author":"J J Ng","year":"2026","journal-title":"Cleft Palate Craniofac J"},{"issue":"03","key":"ref29","doi-asserted-by":"crossref","first-page":"826","DOI":"10.1097\/SCS.0000000000010526","article-title":"Long-term results and efficacy of intermediate rhinoplasty in patients with unilateral cleft lip: a single surgeon's experience","volume":"36","author":"Y C Bae","year":"2025","journal-title":"J Craniofac Surg"},{"issue":"11","key":"ref30","first-page":"e4644","article-title":"Secondary cleft rhinoplasty: a national survey of surgical practice by accredited cleft palate teams","volume":"10","author":"N D Shah","year":"2022","journal-title":"Plast Reconstr Surg Glob Open"},{"issue":"03","key":"ref31","doi-asserted-by":"crossref","first-page":"204","DOI":"10.3340\/jkns.2016.59.3.204","article-title":"Physiological changes and clinical implications of syndromic craniosynostosis","volume":"59","author":"H Sakamoto","year":"2016","journal-title":"J Korean Neurosurg Soc"},{"issue":"03","key":"ref32","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1016\/j.cps.2021.03.004","article-title":"Monobloc distraction and facial bipartition distraction with external devices","volume":"48","author":"D J Dunaway","year":"2021","journal-title":"Clin Plast Surg"},{"key":"ref33","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1159\/000495739","article-title":"Syndromic craniosynostosis: complexities of clinical care","volume":"10","author":"J O'Hara","year":"2019","journal-title":"Mol Syndromol"},{"issue":"06","key":"ref34","doi-asserted-by":"crossref","first-page":"1735","DOI":"10.1097\/SCS.0000000000002016","article-title":"Guideline for care of patients with the diagnoses of craniosynostosis: working group on craniosynostosis","volume":"26","author":"I M Mathijssen","year":"2015","journal-title":"J Craniofac Surg"},{"issue":"11","key":"ref35","doi-asserted-by":"crossref","first-page":"2739","DOI":"10.1007\/s00405-018-5142-x","article-title":"The internal nasal valve: a validated grading system and operative guide","volume":"275","author":"B Patel","year":"2018","journal-title":"Eur Arch Otorhinolaryngol"},{"issue":"02","key":"ref36","doi-asserted-by":"crossref","first-page":"127","DOI":"10.4193\/Rhino13.051","article-title":"External nasal valve collapse: validation of novel outcome measurement tool","volume":"52","author":"A L Poirrier","year":"2014","journal-title":"Rhinology"},{"key":"ref37","volume-title":"IMI National Guidelines: A Guide to Good Practice Rhinoplasty and Septorhinoplasty","author":"Institute of Medical Illustrators","year":"2019"},{"issue":"05","key":"ref38","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1097\/SAP.0000000000002837","article-title":"Three-dimensional computed tomography reconstruction and measurement of nasal end deformity in complete unilateral cleft lip and palate","volume":"87","author":"B Wang","year":"2021","journal-title":"Ann Plast Surg"},{"issue":"04","key":"ref39","doi-asserted-by":"crossref","first-page":"818","DOI":"10.1002\/lary.30378","article-title":"Body dysmorphic disorder in adult patients with an orofacial cleft: an unseen psychological burden","volume":"133","author":"W H Stepp","year":"2023","journal-title":"Laryngoscope"},{"issue":"12","key":"ref40","doi-asserted-by":"crossref","first-page":"887","DOI":"10.1038\/s41415-023-5952-0","article-title":"The role of the clinical psychologist within a cleft service","volume":"234","author":"M Hotton","year":"2023","journal-title":"Br Dent J"},{"issue":"06","key":"ref41","doi-asserted-by":"crossref","first-page":"e1340","DOI":"10.1097\/GOX.0000000000001340","article-title":"Early cleft lip repair revisited: a safe and effective approach utilizing a multidisciplinary protocol","volume":"5","author":"J A Hammoudeh","year":"2017","journal-title":"Plast Reconstr Surg Glob Open"},{"issue":"03","key":"ref42","doi-asserted-by":"crossref","first-page":"91","DOI":"10.7181\/acfs.2023.00268","article-title":"A comprehensive review of surgical techniques in unilateral cleft lip repair","volume":"24","author":"T S Oh","year":"2023","journal-title":"Arch Craniofac Surg"},{"issue":"04","key":"ref43","first-page":"184","article-title":"Cleft nasal deformity and rhinoplasty","volume":"26","author":"Y Kaufman","year":"2012","journal-title":"Semin Plast Surg"},{"key":"ref44","doi-asserted-by":"crossref","first-page":"1156275","DOI":"10.3389\/fped.2023.1156275","article-title":"Correction of narrow nostril deformity secondary to cleft lip: indications for different surgical methods and a retrospective study","volume":"11","author":"H Wei","year":"2023","journal-title":"Front Pediatr"},{"issue":"02","key":"ref45","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1097\/PRS.0b013e318200a97a","article-title":"Primary septoplasty in the repair of unilateral complete cleft lip and palate","volume":"127","author":"S Gosla-Reddy","year":"2011","journal-title":"Plast Reconstr Surg"},{"issue":"03","key":"ref46","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1177\/10556656221127539","article-title":"Primary correction of the cleft nasal septum: a systematic review","volume":"61","author":"G P Bins","year":"2024","journal-title":"Cleft Palate Craniofac J"},{"issue":"07","key":"ref47","doi-asserted-by":"crossref","first-page":"1985","DOI":"10.1097\/SCS.0000000000010454","article-title":"Septoplasty during primary cleft lip reconstruction: a historical perspective and scoping review","volume":"35","author":"T Lam","year":"2024","journal-title":"J Craniofac Surg"},{"issue":"06","key":"ref48","doi-asserted-by":"crossref","first-page":"1565","DOI":"10.1007\/s00405-020-05919-7","article-title":"Does pediatric septoplasty compromise midfacial growth? A systematic review","volume":"277","author":"C Calvo-Henr\u00edquez","year":"2020","journal-title":"Eur Arch Otorhinolaryngol"},{"issue":"03","key":"ref49","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1055\/a-2219-9266","article-title":"Should pediatric septal surgery and septorhinoplasty be performed for nasal obstruction? - A systematic review of the literature","volume":"40","author":"T Howard","year":"2024","journal-title":"Facial Plast Surg"},{"issue":"01","key":"ref50","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1055\/s-0040-1701477","article-title":"Controversies in cleft rhinoplasty","volume":"36","author":"S G Hoshal","year":"2020","journal-title":"Facial Plast Surg"},{"issue":"08","key":"ref51","doi-asserted-by":"crossref","first-page":"974","DOI":"10.1177\/1055665620980228","article-title":"Cartilage grafting outcomes in intermediate and definitive cleft rhinoplasty","volume":"58","author":"A D Pagan","year":"2021","journal-title":"Cleft Palate Craniofac J"},{"issue":"06","key":"ref52","doi-asserted-by":"crossref","first-page":"845","DOI":"10.1055\/a-2510-6740","article-title":"Irradiated homologous costal cartilage grafts in complex functional septorhinoplasty","volume":"41","author":"G M Jama","year":"2025","journal-title":"Facial Plast Surg"},{"issue":"04","key":"ref53","doi-asserted-by":"crossref","first-page":"945","DOI":"10.1097\/PRS.0b013e31829f4aa7","article-title":"Soft-tissue profile changes following early Le Fort III distraction in growing children with syndromic craniosynostosis","volume":"132","author":"P R Shetye","year":"2013","journal-title":"Plast Reconstr Surg"},{"issue":"01","key":"ref54","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1097\/SCS.0000000000006997","article-title":"Midface morphology and growth in syndromic craniosynostosis patients following frontofacial monobloc distraction","volume":"32","author":"C Tonello","year":"2021","journal-title":"J Craniofac Surg"},{"issue":"04","key":"ref55","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1055\/s-0043-1776298","article-title":"Craniofacial distraction osteogenesis","volume":"37","author":"H R Burns","year":"2023","journal-title":"Semin Plast Surg"},{"issue":"06","key":"ref56","doi-asserted-by":"crossref","first-page":"1789","DOI":"10.1097\/01.PRS.0000055467.06355.0E","article-title":"Rotation advancement of the midface by distraction osteogenesis","volume":"111","author":"A D Denny","year":"2003","journal-title":"Plast Reconstr Surg"},{"key":"ref57","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1097\/01.GOX.0000991848.28111.90","article-title":"Costal cartilage grafts in dorsal augmentation rhinoplasty: a systematic review and meta-analysis","volume":"11","author":"A Al Qurashi","year":"2023","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"ref58","doi-asserted-by":"crossref","first-page":"ojae122","DOI":"10.1093\/asjof\/ojae122","article-title":"A systematic review and meta-analysis of autologous vs irradiated homologous costal cartilage grafts for dorsal augmentation rhinoplasty","volume":"7","author":"D Liyanage","year":"2024","journal-title":"Aesthet Surg J Open Forum"},{"key":"ref59","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/j.ijporl.2018.06.003","article-title":"Functional septorhinoplasty in the pediatric and adolescent patient","volume":"111","author":"J C Fuller","year":"2018","journal-title":"Int J Pediatr Otorhinolaryngol"},{"issue":"08","key":"ref60","doi-asserted-by":"crossref","first-page":"802","DOI":"10.1001\/archotol.1997.01900080034002","article-title":"Use of alar batten grafts for correction of nasal valve collapse","volume":"123","author":"D M Toriumi","year":"1997","journal-title":"Arch Otolaryngol Head Neck Surg"},{"issue":"03","key":"ref61","doi-asserted-by":"crossref","first-page":"1127","DOI":"10.1007\/s00266-020-02075-5","article-title":"Surgical management of the internal nasal valve: a review of surgical approaches","volume":"45","author":"M A Sinkler","year":"2021","journal-title":"Aesthetic Plast Surg"},{"issue":"02","key":"ref62","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1097\/SCS.0000000000008937","article-title":"Use of submental intubation in the full-face makeover (orthognathic surgery, facial prosthesis combined with rhinoplasty)","volume":"34","author":"V Vellone","year":"2023","journal-title":"J Craniofac Surg"},{"issue":"06","key":"ref63","doi-asserted-by":"crossref","first-page":"973e","DOI":"10.1097\/PRS.0000000000002760","article-title":"Postoperative edema resolution following rhinoplasty: a three-dimensional morphometric assessment","volume":"138","author":"S Pavri","year":"2016","journal-title":"Plast Reconstr Surg"},{"issue":"03","key":"ref64","first-page":"190","article-title":"Rib grafts in septorhinoplasty","volume":"33","author":"A Moretti","year":"2013","journal-title":"Acta Otorhinolaryngol Ital"},{"issue":"03","key":"ref65","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1001\/jamafacial.2015.2194","article-title":"Revision rates and risk factors of 175 842 patients undergoing septorhinoplasty","volume":"18","author":"E Spataro","year":"2016","journal-title":"JAMA Facial Plast Surg"},{"issue":"02","key":"ref66","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1597\/11-127","article-title":"Psychological and social factors in undergoing reconstructive surgery among individuals with craniofacial conditions: an exploratory study","volume":"50","author":"H Bemmels","year":"2013","journal-title":"Cleft Palate Craniofac J"},{"issue":"08","key":"ref67","doi-asserted-by":"crossref","first-page":"1008","DOI":"10.1177\/1055665620926083","article-title":"Appearance and speech satisfaction and their associations with psychosocial difficulties among young people with cleft lip and\/or palate","volume":"57","author":"S N Kelly","year":"2020","journal-title":"Cleft Palate Craniofac J"}],"container-title":["Facial Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2843-8837.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T22:47:51Z","timestamp":1775515671000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2843-8837"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,6]]},"references-count":67,"URL":"https:\/\/doi.org\/10.1055\/a-2843-8837","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0736-6825","1098-8793"],"issn-type":[{"value":"0736-6825","type":"print"},{"value":"1098-8793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,6]]}}}