{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T23:38:01Z","timestamp":1781048281533,"version":"3.54.1"},"reference-count":40,"publisher":"Elsevier BV","issue":"12","license":[{"start":{"date-parts":[[2018,12,1]],"date-time":"2018-12-01T00:00:00Z","timestamp":1543622400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2018,12,1]],"date-time":"2018-12-01T00:00:00Z","timestamp":1543622400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jprasurg.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Plastic, Reconstructive & Aesthetic Surgery"],"published-print":{"date-parts":[[2018,12]]},"DOI":"10.1016\/j.bjps.2018.07.018","type":"journal-article","created":{"date-parts":[[2018,8,3]],"date-time":"2018-08-03T02:42:51Z","timestamp":1533264171000},"page":"1786-1795","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":33,"title":["Impact of orthognathic surgery on velopharyngeal function by evaluating speech and cephalometric radiographs"],"prefix":"10.1016","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1961-4497","authenticated-orcid":false,"given":"D","family":"Impieri","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"KA","family":"T\u00f8nseth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d8","family":"Hide","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"EL","family":"Brinck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"HE","family":"H\u00f8gevold","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Filip","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.bjps.2018.07.018_bib0001","first-page":"5","article-title":"Treatment variables affecting facial growth in complete unilateral cleft lip and palate","volume":"24","author":"Ross","year":"1987","journal-title":"Cleft Palate J"},{"key":"10.1016\/j.bjps.2018.07.018_bib0002","doi-asserted-by":"crossref","first-page":"1665","DOI":"10.1097\/SCS.0b013e31826542ff","article-title":"Frequency of surgical correction for maxillary hypoplasia in cleft lip and palate","volume":"23","author":"Oberoi","year":"2012","journal-title":"J Craniofac Surg"},{"key":"10.1016\/j.bjps.2018.07.018_bib0003","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/S0301-0503(76)80007-0","article-title":"Logopaedic findings following advancement of the maxilla","volume":"4","author":"Schwarz","year":"1976","journal-title":"J Maxillofac Surg"},{"key":"10.1016\/j.bjps.2018.07.018_bib0004","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1597\/1545-1569_2001_038_0199_cisfmd_2.0.co_2","article-title":"Changes in speech following maxillary distraction osteogenesis","volume":"38","author":"Guyette","year":"2001","journal-title":"Cleft Palate Craniofac J"},{"key":"10.1016\/j.bjps.2018.07.018_bib0005","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1016\/0002-9416(84)90139-8","article-title":"Effects of orthognathic surgery on speech: a prospective study","volume":"86","author":"Dalston","year":"1984","journal-title":"Am J Orthod"},{"key":"10.1016\/j.bjps.2018.07.018_bib0006","first-page":"193","article-title":"The effects of Le Fort I osteotomy with maxillary movement on articulation, resonance, and velopharyngeal function","volume":"26","author":"Kummer","year":"1989","journal-title":"Cleft Palate J"},{"key":"10.1016\/j.bjps.2018.07.018_bib0007","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1016\/S0301-0503(79)80023-5","article-title":"Velopharyngeal anatomy and maxillary advancement","volume":"7","author":"Schendel","year":"1979","journal-title":"J Maxillofac Surg"},{"key":"10.1016\/j.bjps.2018.07.018_bib0008","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1597\/12-304","article-title":"Impact of maxillary advancement on speech and velopharyngeal function in patients with cleft lip and palate","volume":"51","author":"Smedberg","year":"2014","journal-title":"Cleft Palate Craniofac J"},{"key":"10.1016\/j.bjps.2018.07.018_bib0009","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1597\/1545-1569_2003_040_0054_eoosos_2.0.co_2","article-title":"Effects of orthognathic surgery on speech and breathing of subjects with cleft lip and palate: acoustic and aerodynamic assessment","volume":"40","author":"Trindade","year":"2003","journal-title":"Cleft Palate Craniofac J"},{"key":"10.1016\/j.bjps.2018.07.018_bib0010","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1159\/000266436","article-title":"Velopharyngeal function in cleft patients undergoing maxillary advancement","volume":"49","author":"Haapanen","year":"1997","journal-title":"Folia Phoniatr Logop"},{"key":"10.1016\/j.bjps.2018.07.018_bib0011","doi-asserted-by":"crossref","first-page":"538","DOI":"10.1067\/moe.2002.123827","article-title":"Effect of maxillary distraction osteogenesis on velopharyngeal function: a pilot study","volume":"93","author":"Harada","year":"2002","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod"},{"key":"10.1016\/j.bjps.2018.07.018_bib0012","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1097\/00001665-199803000-00017","article-title":"Speech changes after maxillary advancement in 40 cleft lip and palate patients","volume":"9","author":"Maegawa","year":"1998","journal-title":"J Craniofac Surg"},{"key":"10.1016\/j.bjps.2018.07.018_bib0013","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1097\/00001665-199907000-00005","article-title":"Velopharyngeal changes after maxillary advancement in cleft patients with distraction osteogenesis using a rigid external distraction device: a 1-year cephalometric follow-up","volume":"10","author":"Ko","year":"1999","journal-title":"J Craniofac Surg"},{"key":"10.1016\/j.bjps.2018.07.018_bib0014","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1597\/02-153.1","article-title":"Morphological evaluation of changes in velopharyngeal function following maxillary distraction in patients with repaired cleft palate during mixed dentition","volume":"41","author":"Satoh","year":"2004","journal-title":"Cleft Palate Craniofac J"},{"key":"10.1016\/j.bjps.2018.07.018_bib0015","doi-asserted-by":"crossref","first-page":"2226","DOI":"10.1016\/j.joms.2011.02.142","article-title":"Predictors of velopharyngeal insufficiency after Le Fort I maxillary advancement in patients with cleft palate","volume":"69","author":"McComb","year":"2011","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjps.2018.07.018_bib0016","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1597\/11-116","article-title":"The impact of maxillary osteotomy on speech outcomes in cleft lip and palate: an evidence-based approach to evaluating the literature","volume":"50","author":"Pereira","year":"2013","journal-title":"Cleft Palate Craniofac J"},{"key":"10.1016\/j.bjps.2018.07.018_bib0017","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/S0007-1226(96)90216-7","article-title":"Cleft palate speech dissected: a review of current knowledge and analysis","volume":"49","author":"Wyatt","year":"1996","journal-title":"Br J Plast Surg"},{"key":"10.1016\/j.bjps.2018.07.018_bib0018","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1597\/05-003","article-title":"Speech outcome and velopharyngeal function in cleft palate: comparison of Le Fort I maxillary osteotomy and distraction osteogenesis\u2013early results","volume":"44","author":"Chanchareonsook","year":"2007","journal-title":"Cleft Palate Craniofac J"},{"key":"10.1016\/j.bjps.2018.07.018_bib0019","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1097\/00006534-195701000-00007","article-title":"A cephalometric study of the growth of the soft palate","volume":"19","author":"Subtelny","year":"1946","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2018.07.018_bib0020","unstructured":"Klein D. 2016. KAPPAETC: Stata module to evaluate interrater agreement, Statistical Software Components S458283, Boston College Department of Economics, revised 01 Feb 2018.https:\/\/ideas.repec.org\/c\/boc\/bocode\/s458283.html"},{"key":"10.1016\/j.bjps.2018.07.018_bib0021","series-title":"Handbook of Inter-Rater Reliability","author":"Gwet","year":"2014"},{"key":"10.1016\/j.bjps.2018.07.018_bib0022","first-page":"176","article-title":"Velopharyngeal insufficiency after maxillary advancement","volume":"14","author":"Witzel","year":"1977","journal-title":"Cleft Palate J"},{"key":"10.1016\/j.bjps.2018.07.018_bib0023","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1016\/j.joms.2003.08.014","article-title":"The effects of Le Fort I osteotomies on velopharyngeal and speech functions in cleft patients","volume":"62","author":"Janulewicz","year":"2004","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjps.2018.07.018_bib0024","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1080\/000163502753740142","article-title":"Cephalometric pharyngeal changes after Le Fort I osteotomy in patients with unilateral cleft lip and palate","volume":"60","author":"Heliovaara","year":"2002","journal-title":"Acta Odontol Scand"},{"key":"10.1016\/j.bjps.2018.07.018_bib0025","first-page":"341","article-title":"A cephalometric investigation of velar stretch","volume":"9","author":"Simpson","year":"1972","journal-title":"Cleft Palate J"},{"key":"10.1016\/j.bjps.2018.07.018_bib0026","first-page":"22","article-title":"Morphologic airway changes after mandibular setback osteotomy for prognathism with and without cleft palate","volume":"2","author":"Katakura","year":"1993","journal-title":"Anesth Pain Control Dent"},{"key":"10.1016\/j.bjps.2018.07.018_bib0027","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1016\/j.ijom.2010.03.011","article-title":"Maxillary distraction versus orthognathic surgery in cleft lip and palate patients: effects on speech and velopharyngeal function","volume":"39","author":"Chua","year":"2010","journal-title":"Int J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjps.2018.07.018_bib0028","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1111\/1460-6984.12036","article-title":"Effect of maxillary osteotomy on speech in cleft lip and palate: perceptual outcomes of velopharyngeal function","volume":"48","author":"Pereira","year":"2013","journal-title":"Int J Lang Commun Disord"},{"key":"10.1016\/j.bjps.2018.07.018_bib0029","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1097\/00000637-199304000-00003","article-title":"Speech and velopharyngeal function following maxillary advancement in patients with cleft lip and palate","volume":"30","author":"Okazaki","year":"1993","journal-title":"Ann Plast Surg"},{"key":"10.1016\/j.bjps.2018.07.018_bib0030","doi-asserted-by":"crossref","first-page":"1207","DOI":"10.1016\/j.joms.2015.12.016","article-title":"Pharyngeal flap is effective treatment for post maxillary advancement Velopharyngeal Insufficiency in patients with repaired Cleft Lip and Palate","volume":"74","author":"Dentino","year":"2016","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjps.2018.07.018_bib0031","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1097\/01.PRS.0000152433.29134.79","article-title":"Predictors of velopharyngeal insufficiency in cleft palate orthognathic surgery","volume":"115","author":"Phillips","year":"2005","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2018.07.018_bib0032","doi-asserted-by":"crossref","first-page":"2859","DOI":"10.1016\/j.joms.2012.03.009","article-title":"Maxillary advancement with conventional orthognathic surgery in patients with cleft lip and palate: is it a stable technique?","volume":"70","author":"Saltaji","year":"2012","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjps.2018.07.018_bib0033","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1016\/0278-2391(87)90195-9","article-title":"Accuracy of cephalometric prediction in orthognathic surgery","volume":"45","author":"Friede","year":"1987","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.bjps.2018.07.018_bib0034","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/0002-9416(71)90028-5","article-title":"The reliability of head film measurements. 1. Landmark identification","volume":"60","author":"Baumrind","year":"1971","journal-title":"Am J Orthod"},{"key":"10.1016\/j.bjps.2018.07.018_bib0035","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1093\/ejo\/cju036","article-title":"Accuracy of linear measurements using three imaging modalities: two lateral cephalograms and one 3D model from CBCT data","volume":"37","author":"Pittayapat","year":"2015","journal-title":"Eur J Orthod"},{"key":"10.1016\/j.bjps.2018.07.018_bib0036","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1111\/j.1601-6343.2010.01482.x","article-title":"An analysis of different approaches to the assessment of upper airway morphology: a CBCT study","volume":"13","author":"Lenza","year":"2010","journal-title":"Orthod Craniofac Res"},{"key":"10.1016\/j.bjps.2018.07.018_bib0037","article-title":"Adults with 22q11.2 deletion syndrome have a different velopharyngeal anatomy with predisposition to velopharyngeal insufficiency","author":"Filip","year":"2017","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"10.1016\/j.bjps.2018.07.018_bib0038","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1597\/12-083","article-title":"Using MRI for assessing velopharyngeal structures and function","volume":"51","author":"Perry","year":"2014","journal-title":"Cleft Palate Craniofac J"},{"key":"10.1016\/j.bjps.2018.07.018_bib0039","doi-asserted-by":"crossref","first-page":"708","DOI":"10.1597\/09-161","article-title":"Speech and magnetic resonance imaging results following autologous fat transplantation to the velopharynx in patients with velopharyngeal insufficiency","volume":"48","author":"Filip","year":"2011","journal-title":"Cleft Palate Craniofac J"},{"key":"10.1016\/j.bjps.2018.07.018_bib0040","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1016\/j.bjps.2012.11.006","article-title":"Autologous fat transplantation to the velopharynx for treating persistent velopharyngeal insufficiency of mild degree secondary to overt or submucous cleft palate","volume":"66","author":"Filip","year":"2013","journal-title":"J Plast Reconstr Aesthet Surg"}],"container-title":["Journal of Plastic, Reconstructive & Aesthetic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1748681518302535?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1748681518302535?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T20:37:52Z","timestamp":1761683872000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1748681518302535"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,12]]},"references-count":40,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2018,12]]}},"alternative-id":["S1748681518302535"],"URL":"https:\/\/doi.org\/10.1016\/j.bjps.2018.07.018","relation":{},"ISSN":["1748-6815"],"issn-type":[{"value":"1748-6815","type":"print"}],"subject":[],"published":{"date-parts":[[2018,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Impact of orthognathic surgery on velopharyngeal function by evaluating speech and cephalometric radiographs","name":"articletitle","label":"Article Title"},{"value":"Journal of Plastic, Reconstructive & Aesthetic Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.bjps.2018.07.018","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2018 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}