{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T10:59:33Z","timestamp":1781261973726,"version":"3.54.1"},"reference-count":22,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T00:00:00Z","timestamp":1750032000000},"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":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study evaluates nasal symmetry outcomes in patients with unilateral cleft lip (UCL) who underwent delayed rhinoplasty during iliac bone grafting (IBG), allowing concurrent bone grafting and cartilage harvesting to reduce donor sites.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Tertiary care pediatric hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients<\/jats:title>\n                    <jats:p>Those with UCL who underwent IBG and primary rhinoplasty during the same operation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>Primary rhinoplasty at the time of IBG.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>Cephalometric analyses of pre- and postoperative basilar view nasal images assessed nostril height, nostril width, nasal circumference, and angle of columellar deviation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The final cohort included 52 patients with a mean age of 7.61 years (range 5.51-13.7) at the time of concurrent IBG and delayed rhinoplasty, with a mean follow-up of 4.6 years (range 1.02-15.1). Cephalometric measurements were evaluated by the ratio of the shorter or smaller side to the longer or larger side. Average preoperative nostril height was 0.70 (range 0.23-0.95) which increased postoperatively to 1.0 (range 0.60-8.35) (P\u2009=\u20090.047). Average preoperative circumference was 1.27 (range 0.67-2.01) which decreased to 1.12 (range 0.70-1.68) postoperatively (P\u2009=\u20090.011). The angle of columellar deviation averaged 8.0 degrees (range 1.57-18.7) preoperatively which decreased to 6.0 degrees (range 0.22-18.4) postoperatively (P\u2009=\u20090.010).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Delaying primary rhinoplasty until the time of IBG yields satisfactory outcomes, with iliac crest cartilage providing favorable, longlasting results in patients with UCL. This approach reduces the need for an additional donor site and may reduce the need for subsequent definitive rhinoplasty.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656251349339","type":"journal-article","created":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T05:38:59Z","timestamp":1750052339000},"page":"1866-1872","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["From Hip to Tip: Harvesting Iliac Crest Cartilage for Delayed Cleft Rhinoplasty"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-5574-078X","authenticated-orcid":false,"given":"Savannah C","family":"Braud","sequence":"first","affiliation":[{"name":"Children's Hospital of Philadelphia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zachary D","family":"Zapatero","sequence":"additional","affiliation":[{"name":"Perelman School of Medicine at the University of Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuliia","family":"Kovach","sequence":"additional","affiliation":[{"name":"Children's Hospital of Philadelphia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mangalam","family":"Karuppiah","sequence":"additional","affiliation":[{"name":"Children's Hospital of Philadelphia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milind","family":"Sangani","sequence":"additional","affiliation":[{"name":"Children's Hospital of Philadelphia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7995-7256","authenticated-orcid":false,"given":"David W","family":"Low","sequence":"additional","affiliation":[{"name":"Children's Hospital of Philadelphia"},{"name":"Perelman School of Medicine at the University of Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,6,16]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0099-6963(32)80076-1"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cps.2014.01.002"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000000096"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fsc.2016.06.017"},{"issue":"4","key":"e_1_3_2_6_2","first-page":"184","article-title":"Cleft nasal deformity and rhinoplasty","volume":"26","author":"Kaufman Y","year":"2012","unstructured":"Kaufman Y, Buchanan EP, Wolfswinkel EM, Weathers WM, Stal S. 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Semin Plast Surg. 2012;26(4):184. doi:https:\/\/doi.org\/10.1055\/s-0033-1333886","journal-title":"Semin Plast Surg"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2016.07.011"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199912000-00009"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12663-023-02039-7"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000009924"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-024-04154-3"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1597\/15-125"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656231168769"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200004050-00002"},{"issue":"3","key":"e_1_3_2_15_2","article-title":"Number of surgical procedures for patients with cleft lip and palate from birth to 21 years old at a single children\u2019s hospital","volume":"76","author":"McIntyre JK","year":"2016","unstructured":"McIntyre JK, Sethi H, Sch\u00f6nbrunner A, Proudfoot J, Jones M, Gosman A. Number of surgical procedures for patients with cleft lip and palate from birth to 21 years old at a single children\u2019s hospital. Ann Plast Surg. 2016;76(Suppl 3):S205\u2010S208. doi:https:\/\/doi.org\/10.1097\/SAP.0000000000000765","journal-title":"Ann Plast Surg"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000009851"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/1055665620980228"},{"issue":"11","key":"e_1_3_2_18_2","article-title":"Secondary cleft rhinoplasty: A national survey of surgical practice by accredited cleft palate teams","volume":"10","author":"Shah ND","year":"2022","unstructured":"Shah ND, Reddy NK, Weissman JP, Stoehr JR, Applebaum SA, Gosain AK. Secondary cleft rhinoplasty: A national survey of surgical practice by accredited cleft palate teams. 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