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3%). Type 3 variations in 67 patients (105 sides, 17.5%) were identified, and 77.6% of the patients answered the questionnaires 3 months after surgery. The satisfaction rate in the four-step excision group was 91.7%, which was significantly higher than that in the wedge excision group (56.3%) (P =0.01). The complication rate of the four-step excision was 2.5%. Preoperative evaluation based on the new classification facilitated recognition of the variations of CLC, especially of the fused type. The four-step excisio