{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:31:54Z","timestamp":1777523514064,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2020,12,28]],"date-time":"2020-12-28T00:00:00Z","timestamp":1609113600000},"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":[[2021,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To compare cartilage grafting outcomes in intermediate versus definitive cleft rhinoplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>\n                      A retrospective chart review was conducted. The \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      and Fisher exact tests were used for statistical analyses. Results were considered statistically significant at P &lt; .05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>All subjects who underwent revision cleft rhinoplasties between July 2011 and June 2019 were included. Subjects with syndromic conditions were excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 46 subjects with a cleft nose deformity underwent 65 rhinoplasty procedures. The ages averaged 17 years (range 5-50) with 34 (73.9%) males and 12 (26.1%) females. In the intermediate group, 6 (28.6%) subjects required cartilage grafting as part of 6 cleft rhinoplasties, whereas 15 (71.4%) subjects underwent a total of 26 cleft rhinoplasties that did not require grafting. In the definitive group, 18 (76%) subjects required cartilage grafting over 21 cleft rhinoplasties, whereas 7 (24%) subjects underwent a total of 9 cleft rhinoplasties where cartilage grafting was not required. The difference between the number of subjects requiring cartilage grafting in the intermediate versus the definitive group was statistically significant ( P = .007). Ear concha and nose were the most frequently used cartilage donor sites, with no observed complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Cartilage grafting was significantly more common in the definitive rhinoplasty group. Intermediate cleft rhinoplasty during the 5- to 13-year age period was effective, with a low-risk profile. In our experience, ear concha and nose were the preferred cartilage donor sites, with effective results and an excellent safety profile.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1055665620980228","type":"journal-article","created":{"date-parts":[[2020,12,28]],"date-time":"2020-12-28T04:40:48Z","timestamp":1609130448000},"page":"974-983","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Cartilage Grafting Outcomes in Intermediate and Definitive Cleft Rhinoplasty"],"prefix":"10.1177","volume":"58","author":[{"given":"Angel D.","family":"Pagan","sequence":"first","affiliation":[{"name":"School of Medicine, Ponce Health Sciences University, Ponce, PR, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David A.","family":"Sterling","sequence":"additional","affiliation":[{"name":"Department of Plastic & Reconstructive Surgery, University of Kansas Medical Center, Kansas City, KS, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3994-6808","authenticated-orcid":false,"given":"Brian T.","family":"Andrews","sequence":"additional","affiliation":[{"name":"Department of Plastic & Reconstructive Surgery, University of Kansas Medical Center, Kansas City, KS, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,12,28]]},"reference":[{"key":"bibr1-1055665620980228","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e31826467e5"},{"key":"bibr2-1055665620980228","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1319838"},{"key":"bibr3-1055665620980228","doi-asserted-by":"publisher","DOI":"10.1055\/s-0033-1333886"},{"issue":"3","key":"bibr4-1055665620980228","first-page":"183","volume":"33","author":"Bussi M","year":"2017","journal-title":"Acta Otorhinolaryngol 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