{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T20:59:04Z","timestamp":1771275544614,"version":"3.50.1"},"reference-count":25,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2022,6,1]],"date-time":"2022-06-01T00:00:00Z","timestamp":1654041600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,6,1]],"date-time":"2022-06-01T00:00:00Z","timestamp":1654041600000},"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 &amp; Aesthetic Surgery"],"published-print":{"date-parts":[[2022,6]]},"DOI":"10.1016\/j.bjps.2022.01.008","type":"journal-article","created":{"date-parts":[[2022,1,20]],"date-time":"2022-01-20T02:37:56Z","timestamp":1642646276000},"page":"e1-e6","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["Posterior pharyngeal wall augmentation using autologous tiered costal cartilage for velopharyngeal insufficiency"],"prefix":"10.1016","volume":"75","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2058-5678","authenticated-orcid":false,"given":"Shinji","family":"Kobayashi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuki","family":"Mizuno","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mayumi","family":"Suzuki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazunori","family":"Yasumura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Hirakawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshihiko","family":"Fukawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuichiro","family":"Yabuki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshihiko","family":"Satake","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2054-246X","authenticated-orcid":false,"given":"Jiro","family":"Maegawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.bjps.2022.01.008_bib0001","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1016\/j.cps.2013.12.010","article-title":"Surgical management of velopharyngeal insufficiency","volume":"41","author":"Gart","year":"2014","journal-title":"Clin Plast Surg"},{"key":"10.1016\/j.bjps.2022.01.008_bib0002","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1597\/04-115.1","article-title":"Outcomes in pharyngoplasty: a 10-year experience","volume":"43","author":"Pryor","year":"2006","journal-title":"Cleft Palate Craniofac J"},{"key":"10.1016\/j.bjps.2022.01.008_bib0003","first-page":"421","article-title":"Articulation skills and oral-nasal resonance in children with pharyngeal flaps","volume":"16","author":"Riski","year":"1979","journal-title":"Cleft Palate J"},{"key":"10.1016\/j.bjps.2022.01.008_bib0004","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1016\/S0022-3476(80)80730-X","article-title":"Obstructive sleep apnea and death associated with surgical correction of velopharyngeal incompetence","volume":"96","author":"Kravath","year":"1980","journal-title":"J Pediatr"},{"key":"10.1016\/j.bjps.2022.01.008_bib0005","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1597\/1545-1569_2002_039_0312_iasoos_2.0.co_2","article-title":"Incidence and severity of obstructive sleep apnea following pharyngeal flap surgery in patients with cleft palate","volume":"39","author":"Liao","year":"2002","journal-title":"Cleft Palate Craniofac J"},{"key":"10.1016\/j.bjps.2022.01.008_bib0006","first-page":"148","article-title":"Nasal obstruction as a complication of pharyngeal flap surgery","volume":"17","author":"Thurston","year":"1980","journal-title":"Cleft Palate J. Cleft Palate J."},{"key":"10.1016\/j.bjps.2022.01.008_bib0007","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1097\/SCS.0b013e31816b6ccb","article-title":"Use of porous polyethylene implant for augmentation of the posterior pharynx in young adult patients with borderline velopharyngeal insufficiency","volume":"19","author":"Ulkur","year":"2008","journal-title":"J Craniofac Surg"},{"key":"10.1016\/j.bjps.2022.01.008_bib0008","first-page":"47","article-title":"A long term study on treating velopharyngeal insufficiency by teflon injection","volume":"19","author":"Furlow","year":"1982","journal-title":"Cleft Palate J"},{"key":"10.1016\/j.bjps.2022.01.008_bib0009","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.ijporl.2018.02.034","article-title":"Primary augmentation pharyngoplasty with calcium hydroxylapatite for treatment of velopharyngeal insufficiency: surgical and speech outcomes","volume":"108","author":"Munson","year":"2018","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"10.1016\/j.bjps.2022.01.008_bib0010","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1159\/000431229","article-title":"Calcium Hydroxylapatite Injection for Persistent Velopharyngeal Insufficiency after Sphincter Pharyngoplasty","volume":"77","author":"O'Connell","year":"2015","journal-title":"ORL J Otorhinolaryngol Relat Spec"},{"key":"10.1016\/j.bjps.2022.01.008_bib0011","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1097\/00006534-196909000-00004","article-title":"Present status of retropharyngeal implantation for velopharyngeal insufficiency","volume":"44","author":"Blocksma","year":"1969","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2022.01.008_bib0012","doi-asserted-by":"crossref","first-page":"1287","DOI":"10.1097\/00006534-199705000-00012","article-title":"Surgical management of velopharyngeal dysfunction: outcome analysis of autogenous posterior pharyngeal wall augmentation","volume":"99","author":"Witt","year":"1997","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2022.01.008_bib0013","doi-asserted-by":"crossref","first-page":"634","DOI":"10.1097\/SCS.0b013e31824db85b","article-title":"Fat injections for the treatment of velopharyngeal insufficiency","volume":"23","author":"Cantarella","year":"2012","journal-title":"J Craniofac Surg"},{"key":"10.1016\/j.bjps.2022.01.008_bib0014","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1597\/11-038","article-title":"Posterior pharyngeal fat grafting for velopharyngeal insufficiency","volume":"50","author":"Lau","year":"2013","journal-title":"Cleft Palate Craniofac J"},{"key":"10.1016\/j.bjps.2022.01.008_bib0015","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"},{"key":"10.1016\/j.bjps.2022.01.008_bib0016","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1177\/1055665617739002","article-title":"Safety and Efficacy Concerns of Autologous Fat Grafting for Velopharyngeal Insufficiency","volume":"55","author":"Phua","year":"2018","journal-title":"Cleft Palate Craniofac J"},{"key":"10.1016\/j.bjps.2022.01.008_bib0017","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1597\/1545-1569_1993_030_0046_covibp_2.3.co_2","article-title":"Oliff-Carneol S. Correction of velopharyngeal insufficiency by pharyngeal augmentation using autologous cartilage: a preliminary report","volume":"30","author":"Denny","year":"1993","journal-title":"Cleft Palate Craniofac J"},{"key":"10.1016\/j.bjps.2022.01.008_bib0018","first-page":"39","article-title":"Autologous costochondral cartilage implant in two cases of velopharyngeal insufficiency","volume":"2","author":"Desgain","year":"2006","journal-title":"B-ENT"},{"key":"10.1016\/j.bjps.2022.01.008_bib0019","doi-asserted-by":"crossref","first-page":"1254","DOI":"10.1097\/00006534-200011000-00003","article-title":"Palatal length in cleft palate as a predictor of speech outcome","volume":"106","author":"Randall","year":"2000","journal-title":"Plast.Reconstr.Surg"},{"key":"10.1016\/j.bjps.2022.01.008_bib0020","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1097\/00006534-200001000-00002","article-title":"The outcome of long-term follow-up after palatoplasty","volume":"105","author":"Park","year":"2000","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2022.01.008_bib0021","series-title":"Assessment of Cleft Palate Speech (For Clinical Speech Therapy)","year":"2007"},{"key":"10.1016\/j.bjps.2022.01.008_bib0022","first-page":"230","article-title":"The Japanese association of communication disorders cleft palate speech committee. Assessment of Cleft Palate Speech","volume":"26","author":"Miura","year":"2009","journal-title":"J. Communication Disorders"},{"key":"10.1016\/j.bjps.2022.01.008_bib0023","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1597\/02-102","article-title":"Submucous cleft palate: a grading system and review of 40 consecutive submucous cleft palate repairs","volume":"41","author":"Sommerlad","year":"2004","journal-title":"Cleft Palate Craniofac J"},{"key":"10.1016\/j.bjps.2022.01.008_bib0024","first-page":"369","article-title":"Patterns of velopharyngeal closure in subjects with repaired cleft palate and normal speech: a multi-view videofluoroscopic analysis","volume":"12","author":"Skolnick","year":"1975","journal-title":"Cleft Palate J"},{"key":"10.1016\/j.bjps.2022.01.008_bib0025","first-page":"286","article-title":"The sphincteric mechanism of velopharyngeal closure","volume":"10","author":"Skolnick","year":"1973","journal-title":"Cleft Palate J"}],"container-title":["Journal of Plastic, Reconstructive &amp; Aesthetic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1748681522000225?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1748681522000225?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T20:46:10Z","timestamp":1761684370000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1748681522000225"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6]]},"references-count":25,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2022,6]]}},"alternative-id":["S1748681522000225"],"URL":"https:\/\/doi.org\/10.1016\/j.bjps.2022.01.008","relation":{},"ISSN":["1748-6815"],"issn-type":[{"value":"1748-6815","type":"print"}],"subject":[],"published":{"date-parts":[[2022,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Posterior pharyngeal wall augmentation using autologous tiered costal cartilage for velopharyngeal insufficiency","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.2022.01.008","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}