{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:35:24Z","timestamp":1792787724689,"version":"4.5.0"},"reference-count":13,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T00:00:00Z","timestamp":1761782400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"J&J Medical Research Grant","award":["AS2022A000016039"],"award-info":[{"award-number":["AS2022A000016039"]}],"id":[{"id":"https:\/\/ror.org\/01s98j802","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2026,9]]},"abstract":"\n Objective<\/jats:title>\n To characterize the presurgical anthropometric features of Japanese patients with unilateral cleft lip and identify factors associated with lip-height and -width discrepancies.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Retrospective analysis of operative records.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Single-university hospital in Japan.<\/jats:p>\n <\/jats:sec>\n \n Patients<\/jats:title>\n One hundred and seventy-four Japanese patients with unilateral cleft lip who underwent primary cheiloplasty between July 2007 and September 2016.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measures<\/jats:title>\n \n Vertical lip-height (\n n<\/jats:italic>\n \u2009=\u2009174) and horizontal lip-width (\n n<\/jats:italic>\n \u2009=\u200973) measurements on cleft and noncleft sides.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Mean medial lip height was 10.5\u2005mm on the noncleft side versus 5.5\u2005mm on the cleft side (average discrepancy, 5.0\u2005mm). Mean lateral lip width was 18.9\u2005mm on the noncleft side versus 16.4\u2005mm on the cleft side (average discrepancy, 2.5\u2005mm). Cleft-side lip height was shorter in all cases, and the width was narrower in 81% of cases. Complete alveolar cleft (\n P<\/jats:italic>\n \u2009=\u2009.0156) and male sex (\n P<\/jats:italic>\n \u2009=\u2009.0357) were significantly associated with greater lip-height discrepancy, whereas cleft palate alone was not independently significant. Only laterality was significantly associated with lip-width discrepancy; right-sided clefts showed larger discrepancies than left-sided clefts (\n P<\/jats:italic>\n \u2009=\u2009.0010).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Patients with unilateral cleft lip demonstrated substantial lip-height discrepancies, considerably larger than those reported in other populations. Complete alveolar cleft and male sex were independently associated with greater lip-height discrepancy, whereas right-sided clefts showed greater lip-width discrepancy. These findings provide valuable reference data for surgical planning in Japanese patients. It is important to consider these factors when selecting cheiloplasty techniques.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/10556656251391689","type":"journal-article","created":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T17:20:16Z","timestamp":1761844816000},"page":"3020-3026","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Characteristics of Japanese Patients With Cleft Lip: A Presurgical Anthropometric Analysis of 174 Cases"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5360-958X","authenticated-orcid":false,"given":"Yoshimichi","family":"Imai","sequence":"first","affiliation":[{"name":"Tohoku University Graduate School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chieko","family":"Miura","sequence":"additional","affiliation":[{"name":"Tohoku University Graduate School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nariaki","family":"Takamura","sequence":"additional","affiliation":[{"name":"Tohoku University Graduate School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akimitsu","family":"Sato","sequence":"additional","affiliation":[{"name":"Tohoku University Graduate School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,30]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"139","volume-title":"Comprehensive cleft care","author":"Mitchell LE","year":"2016","unstructured":"Mitchell LE, Lupo PJ. Epidemiology of cleft lip and palate. In: Losee JE, Kirschner RE, eds. Comprehensive cleft care. 2nd ed. CRC Press; 2016:139-153.","edition":"2"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/prs.0000000000008769"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e318200aa2e"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_2000_037_0191_aesooc_2.3.co_2"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199112000-00002"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000169693.87591.9B"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198401000-00011"},{"key":"e_1_3_3_9_2","volume-title":"The surgical technique for the unilateral cleft lip-nasal deformity","author":"Noordhoff MS","year":"1997","unstructured":"Noordhoff MS. The surgical technique for the unilateral cleft lip-nasal deformity. Noordhoff Craniofacial Foundation; 1997."},{"issue":"2","key":"e_1_3_3_10_2","first-page":"55","article-title":"A study of the figures of Japanese philtrum by measurement\u2014Using gauged photograph of the face in rest position","volume":"13","author":"Uemura T.","year":"1993","unstructured":"Uemura T. [A study of the figures of Japanese philtrum by measurement\u2014Using gauged photograph of the face in rest position] (in Japanese). J Jpn PRS. 1993;13(2):55-67.","journal-title":"J Jpn PRS"},{"issue":"8","key":"e_1_3_3_11_2","first-page":"465","article-title":"Three-dimensional-coordinate cleft lip and palate representation system","volume":"13","author":"Kamiya N","year":"1993","unstructured":"Kamiya N. Three-dimensional-coordinate cleft lip and palate representation system. Jpn J Plast Surg. 1993;13(8):465-472.","journal-title":"Jpn J Plast Surg"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1179\/bjo.21.4.387"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1093\/ortho\/26.2.121"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/1055665619843409"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656251391689","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10556656251391689","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656251391689","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T13:12:40Z","timestamp":1790773960000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10556656251391689"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,30]]},"references-count":13,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1177\/10556656251391689"],"URL":"https:\/\/doi.org\/10.1177\/10556656251391689","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,30]]}}}