Current Surgical Practices in Cleft Care: Unilateral Cleft Lip Repair
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
Abstract
BACKGROUND: The purpose of this study was to report objectively on practice trends in unilateral cleft lip repair in the United States and Canada. This study details current technique preferences, modifications, and adjunct procedure use. METHODS: All surgeons in the American Cleft Palate-Craniofacial Association and the Canadian Society of Plastic Surgeons (n = 1138) were mailed a survey inquiring about their management of unilateral cleft lip. RESULTS: Responses were received from 622 surgeons (55 percent response rate), of whom 269 currently perform cleft surgery. The results arise from this group of 269 active cleft surgeons. Eight-four percent of surgeons perform rotation advancement for complete unilateral cleft lip repair. Nine percent perform a variation of the triangular flap repair. Among those using rotation advancement, 45 percent use a modified technique. The most common modifications are the Noordhoff vermilion flap, the Mohler modification, and the Onizuka triangular advancement flap. Surgeons rarely use more than one technique in their practice, and 86 percent use the same repair for every unilateral cleft lip. Over half of surgeons routinely perform some form of primary nasal correction. Lip adhesion, presurgical orthopedics, nasoalveolar molding, and postoperative nasal stenting are performed by limited numbers of respondents, and the use of these surgical adjuncts is discussed. CONCLUSIONS: Rotation advancement remains the most frequently used technique for unilateral cleft lip repair. However, almost half of those using rotation advancement perform a modification to the original technique. Surgeons should be familiar with both the rotation advancement repair and its common modifications. Among adjunct procedures, only primary nasal correction currently garners widespread use.
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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it