{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,21]],"date-time":"2026-06-21T21:48:16Z","timestamp":1782078496580,"version":"3.54.5"},"reference-count":7,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"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"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To describe a layered reconstructive technique for full-thickness alar deficiency in unilateral Tessier 1 nasal clefts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Technical note illustrated by a 2-case series with medium-term follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Single tertiary academic plastic and craniofacial surgery center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients, Participants<\/jats:title>\n                    <jats:p>Two pediatric patients aged 2 and 4 years with unilateral Tessier 1 alar clefts demonstrating full-thickness deficiency of lining, structural support, and external cover.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>Layered reconstruction using a hinged cutaneous lining flap, auricular cartilage graft support, and dorsal nasal transposition flap for external cover.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure(s)<\/jats:title>\n                    <jats:p>Clinical contour stability, nostril patency, scar quality, need for revision, and caregiver-reported satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>At 3 and 3.5 years follow-up, both patients demonstrated stable alar contour, maintained nostril patency, no collapse or notching, and no secondary revisions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The described layered technique provides a feasible reconstructive option for selected Tessier 1 alar clefts with full-thickness deficiency and demonstrated encouraging medium-term stability.<\/jats:p>\n                  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