{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T14:47:12Z","timestamp":1780498032704,"version":"3.54.1"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,11,4]],"date-time":"2024-11-04T00:00:00Z","timestamp":1730678400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,11,4]],"date-time":"2024-11-04T00:00:00Z","timestamp":1730678400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100002352","name":"Ain Shams University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100002352","id-type":"DOI","asserted-by":"crossref"}]}],"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>Controversy exists regarding the timing of rhinoplasty for patients with cleft lip as some surgeons shy away from primary correction for fear of causing harm to the growth of the nose and the maxilla.<\/jats:p>\n                <jats:p>We present our favorable experience with primary rhinoplasty with repair of unilateral cleft lip in Ain Shams University plastic surgery department, providing insights into the specific management of patients of middle eastern descent.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Prospective study of 32 patients, ages 3\u00a0months- 1\u00a0year with unilateral CL presenting to Ain Shams University hospitals between January 2019 and July 2022. Primary rhinoplasty was performed at the time of lip repair. Lip repair was done by Tennison-Randall technique. Evaluation of results was done by expert analysis of photographs, anthropometric measurements, and parents\u2019 satisfaction.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Over-all concordance rate was 93% and inter-observer concordance was 89%. Non-significant differences were found between cleft and noncleft sides regarding nostril dome height, columellar length, and alar width 6\u00a0months post-operatively. 81.25% of the parents were very satisfied with the results.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Our study targeted a cohort of Egyptian patients with unilateral cleft lip, who underwent primary rhinoplasty and the time of lip repair, showing favorable results, supporting the literature advocating for this timing, but limited by relatively short follow up period. To the best of the authors\u2019 knowledge, this is the first study in Egypt to highlight the outcomes and direct experience for primary rhinoplasty with cleft lip repair in an Egyptian population.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40902-024-00448-3","type":"journal-article","created":{"date-parts":[[2024,11,4]],"date-time":"2024-11-04T04:28:00Z","timestamp":1730694480000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Egyptian patients with cleft lip: our experience with primary rhinoplasty"],"prefix":"10.1186","volume":"46","author":[{"given":"Adel","family":"Mabrouk","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed Samir","family":"Badawy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0999-3040","authenticated-orcid":false,"given":"Mai Raafat","family":"Hammad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amr","family":"Mabrouk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,11,4]]},"reference":[{"issue":"1","key":"448_CR1","doi-asserted-by":"publisher","first-page":"102","DOI":"10.1055\/s-0040-1701477","volume":"36","author":"SG Hoshal","year":"2020","unstructured":"Hoshal SG, Solis RN, Tollefson TT (2020) Controversies in cleft rhinoplasty. Facial Plast Surg. 36(1):102\u2013111","journal-title":"Facial Plast Surg."},{"issue":"5","key":"448_CR2","doi-asserted-by":"publisher","first-page":"467","DOI":"10.3109\/00016486709128781","volume":"63","author":"BG Sarnat","year":"1967","unstructured":"Sarnat BG, Wexler MR (1967) Rabbit snout growth after resection of central linear segments of nasal septal cartilage. Acta Otolaryngol. 63(5):467\u201378","journal-title":"Acta Otolaryngol."},{"issue":"3","key":"448_CR3","doi-asserted-by":"publisher","first-page":"755","DOI":"10.1002\/aja.1001180306","volume":"118","author":"BG Sarnat","year":"1966","unstructured":"Sarnat BG, Wexler MR (1966) Growth of the face and jaws after resection of the septal cartilage in the rabbit. Am J Anat. 118(3):755\u201367","journal-title":"Am J Anat."},{"issue":"3","key":"448_CR4","doi-asserted-by":"publisher","first-page":"959","DOI":"10.1097\/01.prs.0000299942.84302.16","volume":"121","author":"H Anderl","year":"2008","unstructured":"Anderl H, Hussl H, Ninkovic M (2008) Primary simultaneous lip and nose repair in the unilateral cleft lip and palate. Plast Reconstr Surg. 121(3):959\u2013970","journal-title":"Plast Reconstr Surg."},{"issue":"4","key":"448_CR5","doi-asserted-by":"publisher","first-page":"558","DOI":"10.1097\/00006534-198604000-00006","volume":"77","author":"KE Salyer","year":"1986","unstructured":"Salyer KE (1986) Primary correction of the unilateral cleft lip nose: a 15-year experience. Plast Reconstr Surg. 77(4):558\u201368","journal-title":"Plast Reconstr Surg."},{"issue":"1","key":"448_CR6","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1597\/1545-1569_1996_033_0023_protuc_2.3.co_2","volume":"33","author":"HK McComb","year":"1996","unstructured":"McComb HK, Coghlan BA (1996) Primary repair of the unilateral cleft lip nose: completion of a longitudinal study. Cleft Palate Craniofac J. 33(1):23\u201330 discussion 30-1","journal-title":"Cleft Palate Craniofac J."},{"issue":"6","key":"448_CR7","doi-asserted-by":"publisher","first-page":"791","DOI":"10.1097\/00006534-198506000-00003","volume":"75","author":"H McComb","year":"1985","unstructured":"McComb H (1985) Primary correction of unilateral cleft lip nasal deformity: a 10-year review. Plast Reconstr Surg. 75(6):791\u20139","journal-title":"Plast Reconstr Surg."},{"issue":"2","key":"448_CR8","doi-asserted-by":"publisher","first-page":"231","DOI":"10.1597\/1545-1569_1993_030_0231_pcotuc_2.3.co_2","volume":"30","author":"T Sugihara","year":"1993","unstructured":"Sugihara T, Yoshida T, Igawa HH, Homma K (1993) Primary correction of the unilateral cleft lip nose. Cleft Palate Craniofac J. 30(2):231\u20136","journal-title":"Cleft Palate Craniofac J."},{"issue":"4","key":"448_CR9","first-page":"184","volume":"26","author":"Y Kaufman","year":"2012","unstructured":"Kaufman Y, Buchanan EP, Wolfswinkel EM, Weathers WM, Stal S (2012) Cleft nasal deformity and rhinoplasty. Semin Plast Surg. 26(4):184\u201390","journal-title":"Semin Plast Surg."},{"issue":"10","key":"448_CR10","doi-asserted-by":"publisher","first-page":"914","DOI":"10.1016\/j.jcms.2021.06.004","volume":"49","author":"C Dissaux","year":"2021","unstructured":"Dissaux C, Diop V, Wagner D, Talmant JC, Morand B, Bruant-Rodier C, Ruffenach L, Grollemund B (2021) Aesthetic and psychosocial impact of dentofacial appearance after primary rhinoplasty for cleft lip and palate. J Craniomaxillofac Surg. 49(10):914\u2013922","journal-title":"J Craniomaxillofac Surg."},{"issue":"03","key":"448_CR11","doi-asserted-by":"publisher","first-page":"740","DOI":"10.1097\/PRS.0b013e3182402e8e","volume":"129","author":"NT Haddock","year":"2012","unstructured":"Haddock NT, McRae MH, Cutting CB (2012) Long-term effect of primary cleft rhinoplasty on secondary cleft rhinoplasty in patients with unilateral cleft lip-cleft palate. Plast Reconstr Surg 129(03):740\u2013748","journal-title":"Plast Reconstr Surg"},{"issue":"3","key":"448_CR12","doi-asserted-by":"publisher","first-page":"332","DOI":"10.1007\/s12663-020-01412-0","volume":"19","author":"K Bonanthaya","year":"2020","unstructured":"Bonanthaya K, Jalil J (2020) Management of the nasal deformity in the unilateral cleft of the lip and nose. J Maxillofac Oral Surg. 19(3):332\u2013341","journal-title":"J Maxillofac Oral Surg."},{"key":"448_CR13","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1097\/00006534-195202000-00005","volume":"9","author":"CW Tennison","year":"1946","unstructured":"Tennison CW (1946) The repair of the unilateral cleft lip by the stencil method. 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Plast Reconstr Surg Glob Open. 8(8):e3044","journal-title":"Plast Reconstr Surg Glob Open."},{"issue":"6","key":"448_CR16","doi-asserted-by":"publisher","first-page":"1373","DOI":"10.1097\/01.PRS.0000138592.37419.FD","volume":"114","author":"SK Kim","year":"2004","unstructured":"Kim SK, Cha BH, Lee KC, Park JM (2004) Primary correction of unilateral cleft lip nasal deformity in Asian patients: anthropometric evaluation. Plast Reconstr Surg. 114(6):1373\u201381","journal-title":"Plast Reconstr Surg."},{"issue":"04","key":"448_CR17","doi-asserted-by":"publisher","first-page":"776","DOI":"10.1097\/PRS.0000000000003687","volume":"140","author":"EJ Volpicelli","year":"2017","unstructured":"Volpicelli EJ, Pfaff MJ, Hakimi K, Bradley JP, Solem RC, Lee JC (2017) Age related differences in psychosocial function of children with craniofacial anomalies. Plast Reconstr Surg 140(04):776\u2013784","journal-title":"Plast Reconstr Surg"},{"issue":"2","key":"448_CR18","doi-asserted-by":"publisher","first-page":"189","DOI":"10.1016\/j.coms.2015.12.002","volume":"28","author":"A Cuzalina","year":"2016","unstructured":"Cuzalina A, Jung C (2016) Rhinoplasty for the cleft lip and palate patient. Oral Maxillofac Surg Clin North Am. 28(2):189\u2013202","journal-title":"Oral Maxillofac Surg Clin North Am."},{"issue":"8","key":"448_CR19","doi-asserted-by":"publisher","first-page":"1079","DOI":"10.1177\/10556656211032196","volume":"59","author":"HE Jazayeri","year":"2022","unstructured":"Jazayeri HE, Lopez J, Pourtaheri N et al (2022) Clinical practice trends and postoperative outcomes in primary cleft rhinoplasty. 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Cleft Palate Craniofac J. 36(04):361\u2013366 29","journal-title":"Cleft Palate Craniofac J."}],"container-title":["Maxillofacial Plastic and Reconstructive Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40902-024-00448-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40902-024-00448-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40902-024-00448-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T20:07:05Z","timestamp":1730837225000},"score":1,"resource":{"primary":{"URL":"https:\/\/jkamprs.springeropen.com\/articles\/10.1186\/s40902-024-00448-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,4]]},"references-count":21,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["448"],"URL":"https:\/\/doi.org\/10.1186\/s40902-024-00448-3","relation":{},"ISSN":["2288-8586"],"issn-type":[{"value":"2288-8586","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,4]]},"assertion":[{"value":"7 August 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 October 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 November 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study was approved by the Ethical Committee of Ain Shams University in January 2019 (FMASU R 41\/2019).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Informed consent was obtained from the patients\u2019 parents regarding publication of pictures and biometric data.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"36"}}