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Through staged reconstruction, including oral floor muscle release, bilateral commissuroplasty, palatoplasty, pharyngeal flap surgery, tracheostomy, and later tracheostomy closure, he ultimately achieved full oral intake, phonation, and social adaptation in adulthood. This case highlights the importance of growth-adapted, multidisciplinary, long-term management for patients with severe bilateral Tessier no. 7 clefts.<\/jats:p>","DOI":"10.1177\/10556656261489890","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T13:29:03Z","timestamp":1789997343000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Long-Term Functional and Aesthetic Outcomes of Bilateral Tessier No. 7 Cleft With Associated Anomalies: A Case Report With 20-Year Follow-up"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-2017-6986","authenticated-orcid":false,"given":"Munechika","family":"Ichikawa","sequence":"first","affiliation":[{"name":"Kurume University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukiko","family":"Rikimaru-Nishi","sequence":"additional","affiliation":[{"name":"Kurume University School of Medicine"},{"name":"Kurume University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisashi","family":"Migita","sequence":"additional","affiliation":[{"name":"Kurume University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kou","family":"Ino","sequence":"additional","affiliation":[{"name":"Kurume University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keigo","family":"Morinaga","sequence":"additional","affiliation":[{"name":"Kurume University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kensuke","family":"Kiyokawa","sequence":"additional","affiliation":[{"name":"Kurume University School of Medicine"},{"name":"Department of Plastic and Reconstructive Surgery, Munakata Suikokai Hospital, Fukutsu, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideaki","family":"Rikimaru","sequence":"additional","affiliation":[{"name":"Kurume University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,21]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpra.2019.07.004"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.7181\/acfs.2018.02082"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656251395572"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2015.02.014"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000007273"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2023.07.008"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656251380547"},{"issue":"2","key":"e_1_3_3_9_2","first-page":"241","article-title":"Evaluation of facial nerve function by Yanagihara\u2019s 40 points grading system and House and Brackmann\u2019s facial nerve grading system: analysis in postoperative patients of acoustic neuroma","volume":"3","author":"Satoh Y","year":"1993","unstructured":"Satoh Y, O-Uchi T, Yoshihara S, Inoue Y, Ogata A, Mashino H, Kanzaki J, . 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