{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T06:58:59Z","timestamp":1768546739437,"version":"3.49.0"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,12,14]],"date-time":"2022-12-14T00:00:00Z","timestamp":1670976000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,12,14]],"date-time":"2022-12-14T00:00:00Z","timestamp":1670976000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Maxillofac Plast Reconstr Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Bilateral cleft lip repair is one of the most difficult surgeries, and many techniques have been modified and developed to improve surgical outcomes. The current trend is toward preserving tissue as much as possible. When the reconstruction is based on the shape of the patient\u2019s own tissue, the most natural appearance is produced, and the relaxed remaining tissue can be benefitted from reducing tension and minimizing scarring.<\/jats:p>\n                <jats:p>Case presentation.<\/jats:p>\n                <jats:p>In the conventional surgical method, the rest of the prolabium is sacrificed, except for the tissue used to make the philtrum. We used all tissues for surgery and did not discard any. The tubercle of the median vermilion was used in its original form.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>It is fundamental to restore function in cleft lip surgery. Both patients and surgeons have a desire for esthetic outcomes that go beyond function. In addition, the measure of the success of the surgery is the postoperative resemblance to normal midfacial features. Unlike the conventional method of making tubercles by collecting lateral vermilion flaps, we preserved the tissue of the prolabium. Rather than using an artificial tubercle, we were able to create a more natural shape of the upper lip using the patient\u2019s own anatomical structure. In addition, the remaining tissues of the discarded prolabium were used to make the oral mucosa, which may help to reduce tension compared to the conventional method. The modified repair method is expected to gradually become the mainstream method owing to its superior esthetic outcome and less surgical difficulty compared with traditional methods.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40902-022-00367-1","type":"journal-article","created":{"date-parts":[[2022,12,14]],"date-time":"2022-12-14T04:33:54Z","timestamp":1670992434000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Bilateral cleft lip repair by new trending method: a case report"],"prefix":"10.1186","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9564-4946","authenticated-orcid":false,"given":"Ji-Yeon","family":"Kang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,12,14]]},"reference":[{"key":"367_CR1","doi-asserted-by":"publisher","first-page":"751","DOI":"10.1097\/PRS.0b013e3182402f50","volume":"129","author":"M Bezuhly","year":"2012","unstructured":"Bezuhly M, Fisher DM (2012) Single-stage repair of asymmetrical bilateral cleft lip with contralateral lesser form defects. Plast Reconstr Surg 129:751\u2013757","journal-title":"Plast Reconstr Surg"},{"key":"367_CR2","doi-asserted-by":"publisher","first-page":"1494","DOI":"10.1097\/PRS.0b013e318189169b","volume":"122","author":"S Yuzuriha","year":"2008","unstructured":"Yuzuriha S, Oh AK, Mulliken JB (2008) Asymmetrical bilateral cleft lip: complete or incomplete and contralateral lesser defect (minor-form, microform, or mini-microform). Plast Reconstr Surg 122:1494\u20131504","journal-title":"Plast Reconstr Surg"},{"key":"367_CR3","doi-asserted-by":"publisher","first-page":"477","DOI":"10.1097\/00006534-198504000-00003","volume":"75","author":"JB Mulliken","year":"1985","unstructured":"Mulliken JB (1985) Principles and techniques of bilateral complete cleft lip repair. 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Plast Reconstr Surg 129:491\u2013498","journal-title":"Plast Reconstr Surg"},{"key":"367_CR6","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1016\/S0094-1298(03)00130-5","volume":"31","author":"JB Mulliken","year":"2004","unstructured":"Mulliken JB (2004) Bilateral cleft lip. Clin Plast Surg 31:209\u2013220","journal-title":"Clin Plast Surg"},{"key":"367_CR7","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1055\/s-2002-33065","volume":"18","author":"M Farmand","year":"2002","unstructured":"Farmand M (2002) Secondary lip correction in unilateral clefts. Facial Plast Surg 18:187\u2013195","journal-title":"Facial Plast Surg"},{"key":"367_CR8","doi-asserted-by":"publisher","first-page":"540","DOI":"10.1597\/1545-1569_1992_029_0540_cpclnd_2.3.co_2","volume":"29","author":"JB Mulliken","year":"1992","unstructured":"Mulliken JB (1992) Correction of the bilateral cleft lip nasal deformity: evolution of a surgical concept. 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Little Brown p, Boston, p 15"}],"container-title":["Maxillofacial Plastic and Reconstructive Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40902-022-00367-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40902-022-00367-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40902-022-00367-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,14]],"date-time":"2022-12-14T04:36:06Z","timestamp":1670992566000},"score":1,"resource":{"primary":{"URL":"https:\/\/jkamprs.springeropen.com\/articles\/10.1186\/s40902-022-00367-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,14]]},"references-count":17,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022,12]]}},"alternative-id":["367"],"URL":"https:\/\/doi.org\/10.1186\/s40902-022-00367-1","relation":{},"ISSN":["2288-8586"],"issn-type":[{"value":"2288-8586","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,14]]},"assertion":[{"value":"14 November 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 December 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 December 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Photographs of patients were approved for use and publication for academic purposes.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Images are entirely unidentifiable, and there are no details on individuals reported within the manuscript.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The author declares that there are no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"38"}}