{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:32:01Z","timestamp":1777523521893,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2020,12,3]],"date-time":"2020-12-03T00:00:00Z","timestamp":1606953600000},"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":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2021,9]]},"abstract":"\n Objective:<\/jats:title>\n To evaluate evolving practice patterns in secondary cleft rhinoplasty.<\/jats:p>\n <\/jats:sec>\n \n Design:<\/jats:title>\n Retrospective review of data submitted during Maintenance of Certification (MOC).<\/jats:p>\n <\/jats:sec>\n \n Setting:<\/jats:title>\n Evaluation of MOC data from the American Board of Plastic Surgery.<\/jats:p>\n <\/jats:sec>\n \n Participants:<\/jats:title>\n Tracer data for secondary cleft rhinoplasty were reviewed from August 2006 through March 2020, and the data subdivided from 20062012 and 20132020 to evaluate changes in practice patterns.<\/jats:p>\n <\/jats:sec>\n \n Interventions:<\/jats:title>\n Practice patterns in tracer data were compared to those from evidence-based medicine (EBM) literature over this time period.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measures:<\/jats:title>\n Practice patterns were compared to EBM trends during the study period.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n A total of 90 cases of secondary cleft rhinoplasty were identified. The average age at operation was 13 years (range 4-77). Cumulative data demonstrated 61% to present with nasal airway obstruction and 21% to have undergone primary nasal correction at the time of cleft lip repair; 72% of patients experienced no complications, with the most common complications being asymmetry (10%) and vertical asymmetry of alar dome position (6%). Cartilage graft was used in 68% of cases, with 32% employing septal cartilage. Change in practice patterns between 2006 to 2012 and 2013 to 2020 demonstrated increase in dorsal nasal surgery (26% vs 43%, P = .034), use of osteotomies (14% vs 38%, P = .010), septal resection and\/or straightening (26% vs 48%, P = .034), and turbinate reduction (8% vs 30%, P = .007).<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n These tracer data provide long-term data by which to evaluate evolving practice patterns for secondary cleft rhinoplasty. When evaluated relative to EBM literature, future research to further improve outcomes can be better directed.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/1055665620977367","type":"journal-article","created":{"date-parts":[[2020,12,3]],"date-time":"2020-12-03T04:10:06Z","timestamp":1606968606000},"page":"1110-1120","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Clinical Practice Patterns and Evidence-Based Medicine in Secondary Cleft Rhinoplasty: A 14-Year Review of Maintenance of Certification Tracer Data From the American Board of Plastic Surgery"],"prefix":"10.1177","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8224-2123","authenticated-orcid":false,"given":"Alex M.","family":"Rokni","sequence":"first","affiliation":[{"name":"Division of Plastic Surgery, Ann & Robert H. Lurie Children\u2019s Hospital, Chicago and Northwestern University Feinberg School of Medicine, Chicago, IL, USA"},{"name":"The George Washington School of Medicine and Health Sciences, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron M.","family":"Kearney","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Ann & Robert H. Lurie Children\u2019s Hospital, Chicago and Northwestern University Feinberg School of Medicine, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keith E.","family":"Brandt","sequence":"additional","affiliation":[{"name":"American Board of Plastic Surgery, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7342-0917","authenticated-orcid":false,"given":"Arun K.","family":"Gosain","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Ann & Robert H. Lurie Children\u2019s Hospital, Chicago and Northwestern University Feinberg School of Medicine, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,12,3]]},"reference":[{"key":"bibr1-1055665620977367","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000003475"},{"key":"bibr2-1055665620977367","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000000282"},{"key":"bibr3-1055665620977367","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000279497.95331.1e"},{"issue":"4","key":"bibr4-1055665620977367","first-page":"105566561987983","volume":"54","author":"Chouairi F","year":"2019","journal-title":"Cleft Palate Craniofac J"},{"key":"bibr5-1055665620977367","doi-asserted-by":"publisher","DOI":"10.1097\/00001665-200307000-00033"},{"key":"bibr6-1055665620977367","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199308000-00014"},{"key":"bibr7-1055665620977367","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31820a64d7"},{"key":"bibr8-1055665620977367","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000004560"},{"key":"bibr9-1055665620977367","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e3181b5d4c0"},{"key":"bibr10-1055665620977367","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182402e8e"},{"key":"bibr11-1055665620977367","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2019.07.029"},{"key":"bibr12-1055665620977367","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000000096"},{"key":"bibr13-1055665620977367","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000138592.37419.FD"},{"key":"bibr14-1055665620977367","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e318168db1c"},{"key":"bibr15-1055665620977367","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000001972"},{"key":"bibr16-1055665620977367","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31829f4b81"},{"key":"bibr17-1055665620977367","doi-asserted-by":"publisher","DOI":"10.1016\/S0094-1298(20)32383-X"},{"key":"bibr18-1055665620977367","doi-asserted-by":"publisher","DOI":"10.1016\/j.cps.2012.11.005"},{"key":"bibr19-1055665620977367","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31820463be"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1055665620977367","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1055665620977367","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1055665620977367","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:21:12Z","timestamp":1777393272000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1055665620977367"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,3]]},"references-count":19,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1177\/1055665620977367"],"URL":"https:\/\/doi.org\/10.1177\/1055665620977367","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,3]]}}}