{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T12:32:46Z","timestamp":1792413166552,"version":"4.4.0"},"reference-count":13,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2022,4,20]],"date-time":"2022-04-20T00:00:00Z","timestamp":1650412800000},"content-version":"vor","delay-in-days":1631,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2017,10,26]],"date-time":"2017-10-26T00:00:00Z","timestamp":1508976000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["www.e-aps.org"],"crossmark-restriction":true},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:p>\nBackground  Cleft lip and palate repair requires a deep and small surgical field and is usually performed by surgeons wearing surgical loupes. Surgeons with loupes can obtain a wider surgical view, although headlights are required for the deepest procedures. Surgical microscopes offer comfort and a clear and magnification-adjustable surgical site that can be shared with the whole team, including observers, and easily recorded to further the education of junior surgeons. Magnification adjustments are convenient for precise procedures such as muscle dissection of the soft palate.<\/jats:p><jats:p>\nMethods  We performed a comparative investigation of 18 cleft operations that utilized either surgical loupes or microscopy. Paper-based questionnaires were completed by staff nurses to evaluate what went well and what could be improved in each procedure. The operating time, complication rate, and scores of the questionnaire responses were statistically analyzed.<\/jats:p><jats:p>\nResults  The operating time when microscopy was used was not significantly longer than when surgical loupes were utilized. The surgical field was clearly shared with surgical assistants, nurses, anesthesiologists, and students via microscope-linked monitors. Passing surgical equipment was easier when sharing the surgical view, and preoperative microscope preparation did not interfere with the duties of the staff nurses.<\/jats:p><jats:p>\nConclusions  Surgical microscopy was demonstrated to be useful during cleft operations.<\/jats:p>","DOI":"10.5999\/aps.2017.01060","type":"journal-article","created":{"date-parts":[[2017,10,26]],"date-time":"2017-10-26T04:55:05Z","timestamp":1508993705000},"page":"490-495","update-policy":"https:\/\/doi.org\/10.5999\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Cleft Lip and Palate Repair Using a Surgical Microscope"],"prefix":"10.1055","volume":"44","author":[{"given":"Motoi","family":"Kato","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Saitama Children\u2019s Medical Center, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azusa","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Saitama Children\u2019s Medical Center, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shoji","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Saitama Children\u2019s Medical Center, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroki","family":"Utsunomiya","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Saitama Children\u2019s Medical Center, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takayuki","family":"Yokoyama","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Saitama Children\u2019s Medical Center, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinya","family":"Ogishima","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, The University of Tokyo, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,4,20]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1540","DOI":"10.1097\/01.PRS.0000085598.26409.E3","article-title":"The use of the operating microscope for cleft palate repair and pharyngoplasty","volume":"112","author":"BC Sommerlad","year":"2003","journal-title":"Plast Reconstr Surg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"516","DOI":"10.1097\/00000637-198006000-00012","article-title":"A new method for the primary repair of unilateral cleft lip","volume":"4","author":"T Onizuka","year":"1980","journal-title":"Ann Plast Surg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1097\/00006534-198678060-00002","article-title":"Cleft palate repair by double opposing Z-plasty","volume":"78","author":"LT Furlow Jr","year":"1986","journal-title":"Plast Reconstr Surg"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"1542","DOI":"10.1097\/01.PRS.0000085599.84458.D2","article-title":"A technique for cleft palate repair","volume":"112","author":"BC Sommerlad","year":"2003","journal-title":"Plast Reconstr Surg"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"516375","DOI":"10.1155\/2015\/516375","article-title":"Flap necrosis after palatoplasty in patients with cleft palate","volume":"2015","author":"P Rossell-Perry","year":"2015","journal-title":"BioMed Res Int"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"S37","DOI":"10.1016\/S0140-6736(15)60832-7","article-title":"Palatal fistula risk after primary palatoplasty: a retrospective comparison of humanitarian operations and tertiary hospitals","volume":"385 Suppl 2","author":"KM Daniels","year":"2015","journal-title":"Lancet"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1597\/14-158","article-title":"Early surgical complications after primary cleft lip repair: a report of 3108 consecutive cases","volume":"52","author":"B Schonmeyr","year":"2015","journal-title":"Cleft Palate Craniofac J"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1597\/14-251","article-title":"An assessment of 30-day complications in primary cleft lip repair: a review of the 2012 ACS NSQIP Pediatric","volume":"53","author":"KM Paine","year":"2016","journal-title":"Cleft Palate Craniofac J"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"1868","DOI":"10.1016\/j.jcms.2015.08.021","article-title":"Surgical learning curve in performing palatoplasty: a retrospective study in 200 patients","volume":"43","author":"B Smarius","year":"2015","journal-title":"J Craniomaxillofac Surg"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1597\/14-080","article-title":"Classification of cleft lip\/palate: then and now","volume":"54","author":"AC Allori","year":"2017","journal-title":"Cleft Palate Craniofac J"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/0378-3782(85)90140-9","article-title":"Classification of clefting deformity","volume":"12","author":"A Sandham","year":"1985","journal-title":"Early Hum Dev"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"85e","DOI":"10.1097\/PRS.0000000000002923","article-title":"Evaluation and implementation of a high-fidelity cleft palate simulator","volume":"139","author":"DJ Podolsky","year":"2017","journal-title":"Plast Reconstr Surg"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"455e","DOI":"10.1097\/PRS.0000000000003010","article-title":"Infant robotic cleft palate surgery: a feasibility assessment using a realistic cleft palate simulator","volume":"139","author":"DJ Podolsky","year":"2017","journal-title":"Plast Reconstr Surg"}],"container-title":["Archives of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.e-aps.org\/upload\/pdf\/aps-2017-01060.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.e-aps.org\/journal\/view.php?doi=10.5999\/aps.2017.01060","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.5999\/aps.2017.01060.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,20]],"date-time":"2022-04-20T22:30:58Z","timestamp":1650493858000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.5999\/aps.2017.01060"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,11]]},"references-count":13,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2022,4,20]]},"published-print":{"date-parts":[[2017,11]]}},"URL":"https:\/\/doi.org\/10.5999\/aps.2017.01060","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2234-6163","2234-6171"],"issn-type":[{"value":"2234-6163","type":"print"},{"value":"2234-6171","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,11]]},"assertion":[{"value":"2017-06-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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