{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T18:30:48Z","timestamp":1793730648829,"version":"4.6.1"},"reference-count":23,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"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":[[2026,12]]},"abstract":"<jats:p>Cleft palate (CP) is a congenital malformation that may be associated with cervical vertebral anomalies (CVA), potentially complicating surgical management due to limited neck mobility and consequent reduction in oral cavity exposure and surgical accessibility. We report an exoscope-assisted palatoplasty in a patient with Klippel\u2013Feil syndrome. The patient presented with C4\u2013C6 vertebral fusion and cervical hyperostosis which precluded cervical hyperextension. The use of a three-dimensional (3D) exoscope enabled optimal visualization of the surgical field despite maintenance of a neutral head position. Palatoplasty was completed uneventfully in 80\u2005min, with satisfactory healing and no palatal fistula at 10-month follow-up.<\/jats:p>","DOI":"10.1177\/10556656261454601","type":"journal-article","created":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T13:50:16Z","timestamp":1789134616000},"page":"4424-4427","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Exoscope-Assisted Palatoplasty in Klippel\u2013Feil Syndrome: A Case Report"],"prefix":"10.1177","volume":"63","author":[{"given":"Martina","family":"Califano","sequence":"first","affiliation":[{"name":"Fondazione IRCCS Ca\u2019 Granda Ospedale Maggiore Policlinico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9001-7556","authenticated-orcid":false,"given":"Eleonora","family":"Segna","sequence":"additional","affiliation":[{"name":"Fondazione IRCCS Ca\u2019 Granda Ospedale Maggiore Policlinico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giada Anna","family":"Beltramini","sequence":"additional","affiliation":[{"name":"Fondazione IRCCS Ca\u2019 Granda Ospedale Maggiore Policlinico"},{"name":"Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Autelitano","sequence":"additional","affiliation":[{"name":"Maxillofacial Surgery Unit, ASST Santi Paolo e Carlo"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,11]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41415-023-6000-9"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000011035"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60695-4"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_2001_038_0498_tpoaot_2.0.co_2"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000003961"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12206528"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000007291"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656221139340"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656211036608"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2017.2917"},{"issue":"1","key":"e_1_3_2_12_2","first-page":"65","article-title":"Craniofacial and extracranial malformations in the Klippel-Feil syndrome","volume":"17","author":"Helmi C","unstructured":"Helmi C, Pruzansky S. 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Cleft Palate J. 1986 Jul;23(3):206-214.","journal-title":"Cleft Palate J"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/PSN.0000000000000052"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.2319\/110409-620.1"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.17796\/jcpd.35.2.y803m42274301u65"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.2344\/0003-3006-61.3.103"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1515\/jom-2024-0136"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656241305229"},{"issue":"6","key":"e_1_3_2_23_2","article-title":"The role of 3D exoscope systems in neurosurgery: An optical innovation","volume":"13","author":"Fiani B","unstructured":"Fiani B, Jarrah R, Griepp DW, Adukuzhiyil J. The role of 3D exoscope systems in neurosurgery: An optical innovation. 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