{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T03:34:04Z","timestamp":1777260844278,"version":"3.51.4"},"reference-count":19,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2022,3,28]],"date-time":"2022-03-28T00:00:00Z","timestamp":1648425600000},"content-version":"vor","delay-in-days":1182,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2019,1,15]],"date-time":"2019-01-15T00:00:00Z","timestamp":1547510400000},"content-version":"tdm","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["e-aps.org"],"crossmark-restriction":true},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:p>\n          Background  Various surgical techniques have been used to correct Tessier number 7 craniofacial cleft, which involves macrostomia, ear deformity, and hemifacial microsomia. To achieve symmetrical and satisfactory results in patients with macrostomia, the authors performed a 1-mm medial overcorrection on the cleft side and evaluated the results of this procedure.<\/jats:p><jats:p>\n          Methods  A retrospective medical record review of patients diagnosed with Tessier number 7 craniofacial cleft from March 1999 to February 2017 was performed. Using clinical photographs, outpatient clinic records, and operative records, information was recorded regarding concurrent congenital anomalies, postoperative complications, and follow-up. Using Photoshop CS2, the length of both sides of the lip was compared. The ratio of these lengths was calculated to evaluate lip symmetry.<\/jats:p><jats:p>\n          Results  Of the patients treated at the Department of Plastic and Reconstructive Surgery at Kyungpook National University Chilgok Hospital, 11 (male-to-female sex ratio, 7:4) were diagnosed with Tessier number 7 craniofacial cleft. Concurrent congenital anomalies included skin tag, hemifacial microsomia, and cleft palate. The mean duration of follow-up was 78.273\u00b172.219 months and the mean ratio of the lengths of both sides of the lip was 1.048\u00b10.071. Scar widening occurred as a postoperative complication in some patients. No cases of wound infection, bleeding, or wound dehiscence occurred.<\/jats:p><jats:p>\n          Conclusions  For the successful correction of macrostomia, plastic surgeons should consider both functional and aesthetic problems of the lip. Adequate repair of the orbicularis oris muscle, skin closure with Z-plasty, and medial overcorrection of the neo-oral commissure led to good results in our patients.<\/jats:p>","DOI":"10.5999\/aps.2018.01193","type":"journal-article","created":{"date-parts":[[2019,1,21]],"date-time":"2019-01-21T01:18:27Z","timestamp":1548033507000},"page":"16-22","update-policy":"https:\/\/doi.org\/10.5999\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Surgical correction for Tessier number 7 craniofacial cleft using a medially overcorrected design"],"prefix":"10.1055","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2812-5051","authenticated-orcid":false,"given":"Jeong Yeop","family":"Ryu","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University, Daegu, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1909-7298","authenticated-orcid":false,"given":"Pil Seon","family":"Eo","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University, Daegu, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3449-8084","authenticated-orcid":false,"given":"Lulu","family":"Tian","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University, Daegu, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1580-0487","authenticated-orcid":false,"given":"Joon Seok","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University, Daegu, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4903-6066","authenticated-orcid":false,"given":"Jeong Woo","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University, Daegu, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7735-1939","authenticated-orcid":false,"given":"Kang Young","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University, Daegu, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9121-3604","authenticated-orcid":false,"given":"Jung Dug","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University, Daegu, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7359-3044","authenticated-orcid":false,"given":"Ho Yun","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University, Daegu, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9395-8896","authenticated-orcid":false,"given":"Byung Chae","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University, Daegu, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,3,28]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1097\/scs.0b013e31805345f5","article-title":"Commissuroplasty for macrostomia","volume":"18","author":"D 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