{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T04:13:34Z","timestamp":1793333614007,"version":"4.5.0"},"reference-count":37,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2021,5,1]],"date-time":"2021-05-01T00:00:00Z","timestamp":1619827200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,5,1]],"date-time":"2021-05-01T00:00:00Z","timestamp":1619827200000},"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","joms.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Oral and Maxillofacial Surgery"],"published-print":{"date-parts":[[2021,5]]},"DOI":"10.1016\/j.joms.2020.12.037","type":"journal-article","created":{"date-parts":[[2020,12,30]],"date-time":"2020-12-30T01:55:32Z","timestamp":1609293332000},"page":"1133.e1-1133.e16","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":11,"title":["Magnitude of Horizontal Advancement is Associated With Apnea Hypopnea Index Improvement and Counter-Clockwise Maxillary Rotation After Subcranial Distraction for Syndromic Synostosis"],"prefix":"10.1016","volume":"79","author":[{"given":"Mengyuan T.","family":"Liu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole M.","family":"Kurnik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6920-048X","authenticated-orcid":false,"given":"Ezgi","family":"Mercan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Srinivas M.","family":"Susarla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chad A.","family":"Purnell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard A.","family":"Hopper","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.joms.2020.12.037_bib1","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1016\/j.ijom.2015.10.003","article-title":"The prevalence of obstructive sleep apnea in symptomatic patients with syndromic craniosynostosis","volume":"45","author":"Inverso","year":"2016","journal-title":"Int J Oral Maxillofac Surg"},{"key":"10.1016\/j.joms.2020.12.037_bib2","doi-asserted-by":"crossref","first-page":"670","DOI":"10.1097\/00001665-200407000-00026","article-title":"Undiagnosed obstructive sleep apnea syndrome in children with syndromal craniofacial synostosis","volume":"15","author":"Pijpers","year":"2004","journal-title":"J Craniofac Surg"},{"key":"10.1016\/j.joms.2020.12.037_bib3","doi-asserted-by":"crossref","first-page":"e12855","DOI":"10.1111\/jsr.12855","article-title":"Mortality-risk-based apnea\u2013hypopnea index thresholds for diagnostics of obstructive sleep apnea","volume":"28","author":"Korkalainen","year":"2019","journal-title":"J Sleep Res"},{"key":"10.1016\/j.joms.2020.12.037_bib4","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1097\/PRS.0b013e318290fa8a","article-title":"Normalizing Facial ratios in Apert syndrome patients with le fort II midface distraction and simultaneous zygomatic repositioning","volume":"132","author":"Hopper","year":"2013","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.joms.2020.12.037_bib5","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.joms.2018.04.023","article-title":"Le fort II distraction with zygomatic repositioning: A technique for Differential correction of midface hypoplasia","volume":"76","author":"Hopper","year":"2018","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.joms.2020.12.037_bib6","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2015\/125023","article-title":"Withdrawal of Continuous positive airway Pressure Therapy after malar advancement and le fort II distraction in a case of Apert syndrome with obstructive sleep apnea","volume":"2015","author":"Onda","year":"2015","journal-title":"Case Rep Otolaryngol"},{"key":"10.1016\/j.joms.2020.12.037_bib7","doi-asserted-by":"crossref","first-page":"1914","DOI":"10.1097\/SCS.0000000000002097","article-title":"The Management of obstructive sleep apnea in syndromic craniosynostosis","volume":"26","author":"Nash","year":"2015","journal-title":"J Craniofac Surg"},{"key":"10.1016\/j.joms.2020.12.037_bib8","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1016\/j.bjps.2014.02.013","article-title":"Upper airway outcomes following midface distraction osteogenesis: A systematic review","volume":"67","author":"Taylor","year":"2014","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"10.1016\/j.joms.2020.12.037_bib9","doi-asserted-by":"crossref","first-page":"1665","DOI":"10.1097\/PRS.0b013e3181eff362","article-title":"Computed tomographic analysis of Temporal maxillary Stability and Pterygomaxillary Generate formation following pediatric le fort III distraction advancement","volume":"126","author":"Hopper","year":"2010","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.joms.2020.12.037_bib10","series-title":"The AASM Manual for the Scoring of Sleep and Associated Events: Rules, Terminology and Technical Specifications","author":"Iber","year":"2007"},{"key":"10.1016\/j.joms.2020.12.037_bib11","doi-asserted-by":"crossref","first-page":"201","DOI":"10.5664\/jcsm.26819","article-title":"The visual scoring of sleep and arousal in infants and children","volume":"3","author":"Grigg-Damberger","year":"2007","journal-title":"J Clin Sleep Med"},{"key":"10.1016\/j.joms.2020.12.037_bib12","doi-asserted-by":"crossref","first-page":"1323","DOI":"10.1016\/j.mri.2012.05.001","article-title":"3D Slicer as an image computing platform for the quantitative imaging Network","volume":"30","author":"Fedorov","year":"2012","journal-title":"Magn Reson Imaging"},{"key":"10.1016\/j.joms.2020.12.037_bib13","first-page":"586","article-title":"Engineering and algorithm design for an image processing API: A technical report on ITK - the Insight Toolkit","volume":"85","author":"Yoo","year":"2002","journal-title":"Studi Health Technol Inform"},{"key":"10.1016\/j.joms.2020.12.037_bib14","series-title":"ANTsR: ANTs in R: Quantification Tools for Biomedical Images. R Packag version 0719000","author":"Avants","year":"2016"},{"key":"10.1016\/j.joms.2020.12.037_bib15","doi-asserted-by":"crossref","first-page":"568","DOI":"10.1097\/SAP.0000000000001811","article-title":"Mandibular Spatial Reorientation and morphological Alteration of Crouzon and Apert syndrome","volume":"83","author":"Lu","year":"2019","journal-title":"Ann Plast Surg"},{"key":"10.1016\/j.joms.2020.12.037_bib16","first-page":"e1","article-title":"Effect of head and tongue posture on the Pharyngeal airway Dimensions and morphology in Three-dimensional imaging: A systematic review","volume":"7","author":"Gurani","year":"2016","journal-title":"J Oral Maxillofac Res"},{"key":"10.1016\/j.joms.2020.12.037_bib17","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1111\/ocr.12348","article-title":"The effect of altered head and tongue posture on upper airway volume based on a validated upper airway analysis\u2014an MRI pilot study","volume":"23","author":"Gurani","year":"2020","journal-title":"Orthod Craniofac Res"},{"key":"10.1016\/j.joms.2020.12.037_bib18","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3389\/fninf.2014.00013","article-title":"Itk: Enabling reproducible research and open science","volume":"8","author":"Mccormick","year":"2014","journal-title":"Front Neuroinform"},{"key":"10.1016\/j.joms.2020.12.037_bib19","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1016\/j.ijom.2009.11.021","article-title":"Obstructive sleep apnea in children with syndromic craniosynostosis: Long-term respiratory outcome of midface advancement","volume":"39","author":"Bannink","year":"2010","journal-title":"Int J Oral Maxillofac Surg"},{"key":"10.1016\/j.joms.2020.12.037_bib20","doi-asserted-by":"crossref","first-page":"2318","DOI":"10.1016\/j.joms.2008.06.063","article-title":"Effect of midfacial distraction on the obstructed airway in patients with syndromic Bilateral coronal synostosis","volume":"66","author":"Nelson","year":"2008","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.joms.2020.12.037_bib21","doi-asserted-by":"crossref","first-page":"622","DOI":"10.1016\/j.ijom.2017.11.003","article-title":"Three-dimensional changes to the upper airway after maxillomandibular advancement with counterclockwise rotation: A systematic review and meta-analysis","volume":"47","author":"Louro","year":"2018","journal-title":"Int J Oral Maxillofac Surg"},{"key":"10.1016\/j.joms.2020.12.037_bib22","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1097\/PRS.0000000000004606","article-title":"Counterclockwise Craniofacial Distraction Osteogenesis (C3DO) for Tracheostomy-dependent Children with Treacher Collins Syndrome","volume":"142","author":"Hopper","year":"2018","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.joms.2020.12.037_bib23","doi-asserted-by":"crossref","first-page":"2028","DOI":"10.1016\/j.jcms.2017.09.028","article-title":"Subcranial and orthognathic surgery for obstructive sleep apnea in achondroplasia","volume":"45","author":"Susarla","year":"2017","journal-title":"J Cranio-Maxillofacial Surg"},{"key":"10.1016\/j.joms.2020.12.037_bib24","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1016\/j.jcms.2011.04.017","article-title":"Upper airway changes in syndromic craniosynostosis patients following midface or monobloc advancement: Correlation between volume changes and respiratory outcome","volume":"40","author":"Nout","year":"2012","journal-title":"J Cranio-Maxillofacial Surg"},{"key":"10.1016\/j.joms.2020.12.037_bib25","doi-asserted-by":"crossref","first-page":"564","DOI":"10.1097\/PRS.0b013e3181de227f","article-title":"Three-dimensional airway changes after le fort III advancement in syndromic craniosynostosis patients","volume":"126","author":"Nout","year":"2010","journal-title":"Plast Reconstr Surg"},{"issue":"Suppl 2","key":"10.1016\/j.joms.2020.12.037_bib26","doi-asserted-by":"crossref","first-page":"1876","DOI":"10.1097\/SCS.0b013e3181b91945","article-title":"The assessment of midface distraction osteogenesis in treatment of upper airway obstruction","volume":"20","author":"Xu","year":"2009","journal-title":"J Craniofac Surg"},{"issue":"12 Suppl","key":"10.1016\/j.joms.2020.12.037_bib27","doi-asserted-by":"crossref","first-page":"S20","DOI":"10.1016\/j.joms.2015.04.017","article-title":"Upper airway Length is predictive of obstructive sleep apnea in syndromic craniosynostosis","volume":"73","author":"Dentino","year":"2015","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.joms.2020.12.037_bib28","doi-asserted-by":"crossref","first-page":"1524","DOI":"10.1097\/01.PRS.0000160271.08827.15","article-title":"Halo distraction of the le fort III in syndromic craniosynostosis: A long-term assessment","volume":"115","author":"Fearon","year":"2005","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.joms.2020.12.037_bib29","doi-asserted-by":"crossref","first-page":"590","DOI":"10.1097\/PRS.0b013e3181b0fba9","article-title":"Airway changes following le fort III distraction osteogenesis for syndromic craniosynostosis: A clinical and cephalometric study","volume":"124","author":"Flores","year":"2009","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.joms.2020.12.037_bib30","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1097\/00006534-199902000-00010","article-title":"Advancement of the midface using distraction techniques","volume":"103","author":"Cedars","year":"1999","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.joms.2020.12.037_bib31","doi-asserted-by":"crossref","first-page":"1990","DOI":"10.1016\/j.bjps.2010.01.029","article-title":"Midfacial distraction using a transfacial pinning technique for syndromic craniosynostosis with obstructive respiratory disorders","volume":"63","author":"Mitsukawa","year":"2010","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"10.1016\/j.joms.2020.12.037_bib32","doi-asserted-by":"crossref","first-page":"1612","DOI":"10.1097\/PRS.0b013e318208d2de","article-title":"Quantitative computed tomographic scan and polysomnographic analysis of patients with syndromic midface hypoplasia before and after le Fort III distraction advancement","volume":"127","author":"Ettinger","year":"2011","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.joms.2020.12.037_bib33","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1097\/PRS.0b013e3181b17b57","article-title":"Le fort III distraction: Part I. Controlling position and vectors of the midface segment","volume":"124","author":"Shetye","year":"2009","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.joms.2020.12.037_bib34","doi-asserted-by":"crossref","first-page":"820","DOI":"10.1016\/j.jcms.2015.04.003","article-title":"Three-dimensional position changes of the midface following le Fort III advancement in syndromic craniosynostosis","volume":"43","author":"Bouw","year":"2015","journal-title":"J Cranio-Maxillofacial Surg"},{"key":"10.1016\/j.joms.2020.12.037_bib35","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1097\/SCS.0000000000004105","article-title":"The effect of midface advancement surgery on obstructive sleep Apnoea in syndromic craniosynostosis","volume":"29","author":"Saxby","year":"2018","journal-title":"J Craniofac Surg"},{"key":"10.1016\/j.joms.2020.12.037_bib36","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1016\/j.jcms.2015.11.004","article-title":"Upper airway endoscopy to optimize obstructive sleep apnea treatment in Apert and Crouzon syndromes","volume":"44","author":"Doerga","year":"2016","journal-title":"J Cranio-Maxillofacial Surg"},{"key":"10.1016\/j.joms.2020.12.037_bib37","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/j.smrv.2014.08.001","article-title":"Upper airway imaging in pediatric obstructive sleep apnea syndrome","volume":"21","author":"Slaats","year":"2015","journal-title":"Sleep Med Rev"}],"container-title":["Journal of Oral and Maxillofacial Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0278239120315354?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0278239120315354?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T17:04:14Z","timestamp":1759511054000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0278239120315354"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5]]},"references-count":37,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,5]]}},"alternative-id":["S0278239120315354"],"URL":"https:\/\/doi.org\/10.1016\/j.joms.2020.12.037","relation":{},"ISSN":["0278-2391"],"issn-type":[{"value":"0278-2391","type":"print"}],"subject":[],"published":{"date-parts":[[2021,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Magnitude of Horizontal Advancement is Associated With Apnea Hypopnea Index Improvement and Counter-Clockwise Maxillary Rotation After Subcranial Distraction for Syndromic Synostosis","name":"articletitle","label":"Article Title"},{"value":"Journal of Oral and Maxillofacial Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.joms.2020.12.037","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 Published by Elsevier Inc. on behalf of the American Association of Oral and Maxillofacial Surgeons","name":"copyright","label":"Copyright"}]}}