{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T23:05:10Z","timestamp":1791327910101,"version":"4.3.1"},"reference-count":22,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2024,5,30]],"date-time":"2024-05-30T00:00:00Z","timestamp":1717027200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2024,5,30]],"date-time":"2024-05-30T00:00:00Z","timestamp":1717027200000},"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":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine a baseline of anticipated change in nasolabial appearance following primary repair of unilateral cleft lip\/palate and evaluate the degree to which revision surgery improves nasolabial appearance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective chart review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Patients treated at the Lancaster Cleft Palate Clinic interdisciplinary clinic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients<\/jats:title>\n                    <jats:p>Twenty-three patients with complete unilateral cleft lip and palate who underwent primary surgical repair and 19 additional patients who underwent subsequent revision surgery were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>Patients in the non-revision group underwent a Tennison-Randall triangular flap lip repair at 3mo. Patients in the revision group underwent a modification of the Nakajima straight-line repair after primary Tennison-Randall triangular flap lip repair at an average age of 141mo.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>A modification of the Asher-McDade Aesthetic Index was utilized to evaluate Nasolabial Frontal (NLF), Nasolabial Profile (NLP), Vermillion Border (VB), and total change in appearance. Scores for patients in the revision group were evaluated before and after revision while appearance for patients without revision was evaluated at 3 distinct ages. Scores were averaged across time-points and inter-rater reliability was assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nasolabial appearance in the non-revision sample did not change significantly over time, except for nasal profile. Scores improved after revision surgery \u2013 NLP: 3.48 to 2.97, (p\u2009=\u20090.001); NLF: 3.50 to 2.95 (p\u2009=\u20090.001); and Total Nasolabial Score: 3.29 to 3.01 (p\u2009=\u20090.004), with no significant change in VB.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Decisions regarding need for nasolabial revision surgery may be made as early as 5yo with successful outcomes following secondary surgery improving appearance except for vermillion border appearance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656241256706","type":"journal-article","created":{"date-parts":[[2024,5,30]],"date-time":"2024-05-30T05:27:13Z","timestamp":1717046833000},"page":"1376-1384","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["A Longitudinal Investigation of Nasolabial Changes With and Without Revision Surgery in Patients with Non-Syndromic Unilateral Cleft Lip and Palate"],"prefix":"10.1177","volume":"62","author":[{"given":"Wasna","family":"Dabbagh","sequence":"first","affiliation":[{"name":"Lancaster Cleft Palate Clinic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4294-9639","authenticated-orcid":false,"given":"Destin","family":"Groff","sequence":"additional","affiliation":[{"name":"Pennsylvania State University College of Medicine, Hershey, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lexi","family":"Stauffer","sequence":"additional","affiliation":[{"name":"Lancaster Cleft Palate Clinic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Newland","sequence":"additional","affiliation":[{"name":"Pennsylvania State University College of Medicine, Hershey, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexis","family":"Lo","sequence":"additional","affiliation":[{"name":"Division of Plastics and Reconstructive Surgery, Pennsylvania State Hershey Medical Center, Hershey, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Hiller","sequence":"additional","affiliation":[{"name":"Division of Plastics and Reconstructive Surgery, Pennsylvania State Hershey Medical Center, Hershey, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr.","given":"Ross E","family":"Long","sequence":"additional","affiliation":[{"name":"Lancaster Cleft Palate Clinic"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,5,30]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"111","article-title":"Cleft lip and\/or palate: Review","volume":"63","author":"Farronato G","year":"2014","unstructured":"Farronato G, Cannalire P, Martinelli G, et al. Cleft lip and\/or palate: Review. Minerva Stomatol. 2014;63(4):111-1126.","journal-title":"Minerva Stomatol"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182268e1b"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0891-5245(00)70039-3"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1597\/04-010.1"},{"key":"e_1_3_3_6_2","volume-title":"Principles of surgery","author":"Wood RJ","year":"1999","unstructured":"Wood RJ, Jurkiewicz MJ, Schwartz SI. Principles of surgery. 7th ed. McGraw-Hill; 1999:2091\u20132043.","edition":"7"},{"key":"e_1_3_3_7_2","first-page":"1211","article-title":"Cleft lip and cleft palate","volume":"46","author":"Yetter 3rd JF","year":"1992","unstructured":"Yetter 3rd JF. Cleft lip and cleft palate. Am Fam Physician. 1992;46:1211-1221.","journal-title":"Am Fam Physician"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.4314\/gmj.v48i1.3"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_1991_028_0385_doamfr_2.3.co_2"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1597\/09-186.1"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000003787"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1597\/14-017"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.11613\/BM.2012.031"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000004102"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000000415"},{"key":"e_1_3_3_16_2","first-page":"211","article-title":"Preparation of feeding obturators for infants with cleft lip and palate","volume":"19","author":"Osuji O","year":"1995","unstructured":"Osuji O. Preparation of feeding obturators for infants with cleft lip and palate. J Clin Pediatr Dent. 1995;19:211-214.","journal-title":"J Clin Pediatr Dent."},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199905000-00009"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_1992_029_0409_asciso_2.3.co_2"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_2003_040_0241_absaom_2.0.co_2"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0094-1298(20)31266-9"},{"key":"e_1_3_3_21_2","volume-title":"Global Strategies Towards Reducing the Health Care Burden of Craniofacial Anomalies","author":"WHO","year":"2002","unstructured":"WHO. Reports, Human Genetics Programme: Management of Noncommunicable Diseases: International Collaborative Research on Craniofacial Anomalies. In: Mossey PA, Munger R, Murray JC, Shaw WC, eds. 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