{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T17:02:24Z","timestamp":1780419744702,"version":"3.54.1"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Outcomes after primary unilateral cleft lip repair remain variable despite advances in surgical technique. Beyond operative design, long-term results appear influenced by growth, deformity severity, and surgical decision-making, factors that have received comparatively less attention in the literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A deformity-based decision approach to primary unilateral cleft lip repair is described and illustrated through a retrospective review of a consecutive single-surgeon cohort. Clinical records and standardized photographs were reviewed descriptively to examine how deformity characteristics informed operative planning, postoperative management, and early clinical outcomes during available follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Restoration of continuity across lip and nasal components produced generally balanced early lip\u2013nasal relationships, supported by objective subset-level photogrammetric measurements demonstrating near-symmetric lip height and preserved nasal base alignment. Early postoperative symmetry did not reliably predict subsequent growth-related change. Primary nasal correction focused on alignment and structural support rather than cartilage reshaping, allowing early symmetry while preserving flexibility for later revision. Secondary procedures occurred more often in more severe clefts, suggesting revision patterns were primarily related to deformity severity rather than operative technique. Postoperative scar care and selective nasal conformer use supported scar maturation and contour stability but were not essential for achieving balanced primary repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Primary unilateral cleft lip repair may be best viewed as deformity-guided longitudinal planning rather than the pursuit of immediate aesthetic perfection. A component-based approach links preoperative assessment with expected growth and supports structured, reproducible surgical decision-making.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/scs.0000000000013003","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T16:02:19Z","timestamp":1780416139000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Primary Unilateral Cleft Lip Repair: A Deformity-Based Approach"],"prefix":"10.1097","author":[{"given":"Karam","family":"Allam","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mostafa Mamdoh","family":"Haredy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sherif","family":"Bakri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,6,2]]},"reference":[{"key":"R1-20260602","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1097\/00006534-198506000-00003","article-title":"Primary correction of unilateral cleft lip nasal deformity: a 10-year review","volume":"75","author":"McComb","year":"1985","journal-title":"Plast Reconstr Surg"},{"key":"R2-20260602","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1597\/1545-1569_1996_033_0023_protuc_2.3.co_2","article-title":"Primary repair of the unilateral cleft lip nose: completion of a longitudinal study","volume":"33","author":"McComb","year":"1996","journal-title":"Cleft Palate Craniofac J"},{"key":"R3-20260602","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1097\/01.PRS.0000169693.87591.9B","article-title":"Unilateral cleft lip repair: an anatomical subunit approximation technique","volume":"116","author":"Fisher","year":"2005","journal-title":"Plast Reconstr Surg"},{"key":"R4-20260602","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1597\/1545-1569_2001_038_0193_pnomip_2.0.co_2","article-title":"Presurgical nasoalveolar orthopedic molding in primary correction of the nose, lip, and alveolus of infants born with unilateral and bilateral clefts","volume":"38","author":"Grayson","year":"2001","journal-title":"Cleft Palate Craniofac J"},{"key":"R5-20260602","doi-asserted-by":"crossref","first-page":"740","DOI":"10.1097\/PRS.0b013e3182402e8e","article-title":"Long-term effect of primary cleft rhinoplasty on secondary cleft rhinoplasty in patients with unilateral cleft lip-cleft palate","volume":"129","author":"Haddock","year":"2012","journal-title":"Plast Reconstr Surg"},{"issue":"suppl 42","key":"R6-20260602","doi-asserted-by":"crossref","first-page":"S62","DOI":"10.4103\/0970-0358.57189","article-title":"Primary unilateral cleft lip repair","author":"Adenwalla","year":"2009","journal-title":"Indian J Plast Surg"},{"key":"R7-20260602","first-page":"184","article-title":"Cleft nasal deformity and rhinoplasty","volume":"26","author":"Kaufman","year":"2012","journal-title":"Semin Plast Surg"},{"key":"R8-20260602","doi-asserted-by":"crossref","first-page":"452e","DOI":"10.1097\/PRS.0000000000009924","article-title":"Primary cleft rhinoplasty: a systematic review of results, growth restriction, and avoiding secondary rhinoplasty","volume":"151","author":"Zelko","year":"2023","journal-title":"Plast Reconstr Surg"},{"key":"R9-20260602","doi-asserted-by":"crossref","first-page":"4895","DOI":"10.1007\/s00266-024-04154-3","article-title":"Current treatment progress of unilateral cleft lip nasal deformities","volume":"48","author":"Ye","year":"2024","journal-title":"Aesthetic Plast Surg"},{"key":"R10-20260602","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1097\/00006534-200208000-00031","article-title":"International Advisory Panel on Scar Management. International clinical recommendations on scar management","volume":"110","author":"Mustoe","year":"2002","journal-title":"Plast Reconstr Surg"},{"key":"R11-20260602","doi-asserted-by":"crossref","first-page":"765","DOI":"10.1111\/iwj.13337","article-title":"Efficacy of topical silicone gel in scar management: a systematic review and meta-analysis of randomised controlled trials","volume":"17","author":"Wang","year":"2020","journal-title":"Int Wound J"},{"key":"R12-20260602","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.1177\/1055665620910046","article-title":"A surgical and educational video of the inferior turbinate mucosal flap for the nasal floor and intraoral reconstruction in unilateral complete cleft lip repair","volume":"57","author":"Denadai","year":"2020","journal-title":"Cleft Palate Craniofac J"},{"key":"R13-20260602","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1002\/lary.31780","article-title":"Is postoperative nasal stenting necessary after primary cleft lip and nose repair?","volume":"135","author":"Marston","year":"2025","journal-title":"Laryngoscope"},{"key":"R14-20260602","first-page":"5","article-title":"Treatment variables affecting facial growth in complete unilateral cleft lip and palate","volume":"24","author":"Ross","year":"1987","journal-title":"Cleft Palate J"},{"key":"R15-20260602","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1597\/1545-1569_1991_028_0001_asofgi_2.3.co_2","article-title":"A study of facial growth in patients with unilateral cleft lip and palate treated by the Oslo CLP Team","volume":"28","author":"Semb","year":"1991","journal-title":"Cleft Palate Craniofac J"},{"key":"R16-20260602","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1080\/000163598428293","article-title":"Growth sites and growth mechanisms at risk in cleft lip and palate","volume":"56","author":"Friede","year":"1998","journal-title":"Acta Odontol Scand"}],"container-title":["Journal of Craniofacial Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/SCS.0000000000013003","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T16:02:22Z","timestamp":1780416142000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/SCS.0000000000013003"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,2]]},"references-count":16,"URL":"https:\/\/doi.org\/10.1097\/scs.0000000000013003","relation":{},"ISSN":["1049-2275","1536-3732"],"issn-type":[{"value":"1049-2275","type":"print"},{"value":"1536-3732","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,2]]},"assertion":[{"value":"2026-04-16","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-06","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}