{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T15:45:11Z","timestamp":1782920711379,"version":"3.54.5"},"reference-count":48,"publisher":"Elsevier BV","issue":"7","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"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":[[2026,7]]},"DOI":"10.1016\/j.joms.2026.02.029","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:26:55Z","timestamp":1773188815000},"page":"1045-1056","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Digital Planning and Patient-Specific Implants Facilitate Accurate Conventional Sub-Cranial Le Fort III Advancement"],"prefix":"10.1016","volume":"84","author":[{"given":"Jeffrey S.","family":"Marschall","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.joms.2026.02.029_bib1","doi-asserted-by":"crossref","first-page":"86e","DOI":"10.1097\/PRS.0b013e318272c12b","article-title":"Craniofacial syndromes and surgery","volume":"131","author":"Forrest","year":"2013","journal-title":"Plast Reconstr Surg"},{"issue":"4","key":"10.1016\/j.joms.2026.02.029_bib2","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1016\/j.coms.2004.08.004","article-title":"Craniofacial dysostosis syndromes: Stages of reconstruction","volume":"16","author":"Posnick","year":"2004","journal-title":"Oral Maxillofac Surg Clin North Am"},{"issue":"3","key":"10.1016\/j.joms.2026.02.029_bib3","doi-asserted-by":"crossref","first-page":"683","DOI":"10.1016\/S1042-3680(18)30729-0","article-title":"Craniofacial dysostosis. Staging of reconstruction and management of the midface deformity","volume":"2","author":"Posnick","year":"1991","journal-title":"Neurosurg Clin N Am"},{"issue":"4","key":"10.1016\/j.joms.2026.02.029_bib4","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1016\/j.coms.2004.08.001","article-title":"Subcranial procedures in craniofacial surgery: The Le Fort III osteotomy","volume":"16","author":"Tiwana","year":"2004","journal-title":"Oral Maxillofac Surg Clin North Am"},{"issue":"1","key":"10.1016\/j.joms.2026.02.029_bib5","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/j.cxom.2015.10.007","article-title":"Le Fort III and Le Fort II Osteotomies","volume":"24","author":"Vu","year":"2016","journal-title":"Atlas Oral Maxillofac Surg Clin North Am"},{"issue":"1","key":"10.1016\/j.joms.2026.02.029_bib6","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/S0094-1298(20)30692-1","article-title":"Anthropometric guidelines in cranio-orbital surgery","volume":"14","author":"Farkas","year":"1987","journal-title":"Clin Plast Surg"},{"issue":"4","key":"10.1016\/j.joms.2026.02.029_bib7","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1597\/1545-1569_1992_029_0315_gpitor_2.3.co_2","article-title":"Growth patterns in the orbital region: A morphometric study","volume":"29","author":"Farkas","year":"1992","journal-title":"Cleft Palate Craniofac J"},{"issue":"6","key":"10.1016\/j.joms.2026.02.029_bib8","doi-asserted-by":"crossref","first-page":"977","DOI":"10.1097\/00006534-199305000-00001","article-title":"The monobloc frontofacial advancement: Do the pluses outweigh the minuses?","volume":"91","author":"Wolfe","year":"1993","journal-title":"Plast Reconstr Surg"},{"issue":"4","key":"10.1016\/j.joms.2026.02.029_bib9","doi-asserted-by":"crossref","first-page":"1311","DOI":"10.1097\/01.prs.0000305538.75347.52","article-title":"Functional outcomes in monobloc advancement by distraction using the rigid external distractor device","volume":"121","author":"Witherow","year":"2008","journal-title":"Plast Reconstr Surg"},{"issue":"7","key":"10.1016\/j.joms.2026.02.029_bib10","doi-asserted-by":"crossref","first-page":"1585","DOI":"10.1097\/01.prs.0000233010.15984.4d","article-title":"Monobloc advancement by distraction osteogenesis decreases morbidity and relapse","volume":"118","author":"Bradley","year":"2006","journal-title":"Plast Reconstr Surg"},{"issue":"6","key":"10.1016\/j.joms.2026.02.029_bib11","doi-asserted-by":"crossref","first-page":"1118","DOI":"10.1097\/00006534-199605000-00005","article-title":"Monobloc and facial bipartition osteotomies for reconstruction of craniofacial malformations: A study of extradural dead space and morbidity","volume":"97","author":"Posnick","year":"1996","journal-title":"Plast Reconstr Surg"},{"issue":"3","key":"10.1016\/j.joms.2026.02.029_bib12","doi-asserted-by":"crossref","first-page":"973","DOI":"10.1097\/PRS.0b013e3181e60502","article-title":"A 10-year study of skeletal stability and growth of the midface following Le Fort III advancement in syndromic craniosynostosis","volume":"126","author":"Shetye","year":"2010","journal-title":"Plast Reconstr Surg"},{"issue":"10","key":"10.1016\/j.joms.2026.02.029_bib13","doi-asserted-by":"crossref","first-page":"2080","DOI":"10.1016\/j.joms.2009.06.007","article-title":"Three-dimensional treatment planning of orthognathic surgery in the era of virtual imaging","volume":"67","author":"Swennen","year":"2009","journal-title":"J Oral Maxillofac Surg"},{"issue":"10","key":"10.1016\/j.joms.2026.02.029_bib14","doi-asserted-by":"crossref","first-page":"2084.e1","DOI":"10.1016\/j.joms.2019.05.027","article-title":"In-House digital workflow for the management of acute mandible fractures","volume":"77","author":"Marschall","year":"2019","journal-title":"J Oral Maxillofac Surg"},{"issue":"2","key":"10.1016\/j.joms.2026.02.029_bib15","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1016\/j.joms.2023.11.006","article-title":"Can a point-of-care 3D printing workflow produce accurate and successful results for craniomaxillofacial trauma?","volume":"82","author":"Marschall","year":"2024","journal-title":"J Oral Maxillofac Surg"},{"issue":"10","key":"10.1016\/j.joms.2026.02.029_bib16","doi-asserted-by":"crossref","first-page":"1329","DOI":"10.1016\/j.joms.2024.06.168","article-title":"Predicting the future focus of orthognathic surgery: Outcome-driven planning and treatment with function, esthetics, and occlusion as key indicators","volume":"82","author":"Miloro","year":"2024","journal-title":"J Oral Maxillofac Surg"},{"issue":"3","key":"10.1016\/j.joms.2026.02.029_bib17","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1016\/j.joms.2024.11.001","article-title":"The evolution of virtual surgical planning in craniomaxillofacial surgery: A comprehensive review","volume":"83","author":"Joachim","year":"2025","journal-title":"J Oral Maxillofac Surg"},{"issue":"10","key":"10.1016\/j.joms.2026.02.029_bib18","doi-asserted-by":"crossref","first-page":"1271","DOI":"10.1016\/j.joms.2025.05.024","article-title":"What factors influence success of mandibular reconstructions with patient-specific selective laser melted reconstruction plates?","volume":"83","author":"Marschall","year":"2025","journal-title":"J Oral Maxillofac Surg"},{"issue":"4","key":"10.1016\/j.joms.2026.02.029_bib19","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1016\/j.ijom.2019.08.005","article-title":"Splintless surgery using patient-specific osteosynthesis in Le Fort I osteotomies: A randomized controlled multi-centre trial","volume":"49","author":"Kraeima","year":"2020","journal-title":"Int J Oral Maxillofac Surg"},{"issue":"3","key":"10.1016\/j.joms.2026.02.029_bib20","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1097\/00006534-199509000-00004","article-title":"Crouzon and Apert syndromes: Intracranial volume measurements before and after cranio-orbital reshaping in childhood","volume":"96","author":"Posnick","year":"1995","journal-title":"Plast Reconstr Surg"},{"issue":"4","key":"10.1016\/j.joms.2026.02.029_bib21","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1016\/0278-2391(95)90704-1","article-title":"Monobloc and facial bipartition osteotomies: Quantitative assessment of presenting deformity and surgical results based on computed tomography scans","volume":"53","author":"Posnick","year":"1995","journal-title":"J Oral Maxillofac Surg"},{"issue":"2","key":"10.1016\/j.joms.2026.02.029_bib22","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1597\/1545-1569_1992_029_0118_csmboc_2.3.co_2","article-title":"Craniofacial skeletal measurements based on computed tomography: Part II. Normal values and growth trends","volume":"29","author":"Waitzman","year":"1992","journal-title":"Cleft Palate Craniofac J"},{"issue":"6","key":"10.1016\/j.joms.2026.02.029_bib23","doi-asserted-by":"crossref","first-page":"1067e","DOI":"10.1097\/PRS.0000000000006816","article-title":"Simultaneous midface advancement and orthognathic surgery: A powerful technique for managing midface hypoplasia and malocclusion","volume":"145","author":"Hammoudeh","year":"2020","journal-title":"Plast Reconstr Surg"},{"issue":"3","key":"10.1016\/j.joms.2026.02.029_bib24","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1097\/00001665-199605000-00013","article-title":"Monobloc and facial bipartition osteotomies: A step-by-step description of the surgical technique","volume":"7","author":"Posnick","year":"1996","journal-title":"J Craniofac Surg"},{"issue":"3","key":"10.1016\/j.joms.2026.02.029_bib25","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1016\/j.joms.2024.10.021","article-title":"Tranexamic acid is associated with reduced blood loss and transfusion requirement in pediatric midface reconstruction","volume":"83","author":"Manasyan","year":"2025","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.joms.2026.02.029_bib26","first-page":"1310","article-title":"De l'acrocephalosyndactylie","volume":"23","author":"Apert","year":"1906","journal-title":"Bull Soc Med Hop Paris"},{"key":"10.1016\/j.joms.2026.02.029_bib27","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1111\/j.1469-1809.1959.tb01728.x","article-title":"Apert's syndrome (a type of acrocephalosyndactyly)-observations on a British series of thirty-nine cases","volume":"24","author":"Blank","year":"1960","journal-title":"Ann Hum Genet"},{"issue":"5","key":"10.1016\/j.joms.2026.02.029_bib28","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1002\/ajmg.1320420505","article-title":"Birth prevalence study of the Apert syndrome","volume":"42","author":"Cohen","year":"1992","journal-title":"Am J Med Genet"},{"issue":"4","key":"10.1016\/j.joms.2026.02.029_bib29","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1002\/(SICI)1096-8628(19971112)72:4<394::AID-AJMG4>3.0.CO;2-R","article-title":"Birth prevalence, mutation rate, sex ratio, parents' age, and ethnicity in Apert syndrome","volume":"72","author":"Tolarova","year":"1997","journal-title":"Am J Med Genet"},{"issue":"2","key":"10.1016\/j.joms.2026.02.029_bib30","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1038\/ng0295-165","article-title":"Apert syndrome results from localized mutations of FGFR2 and is allelic with Crouzon syndrome","volume":"9","author":"Wilkie","year":"1995","journal-title":"Nat Genet"},{"issue":"1","key":"10.1016\/j.joms.2026.02.029_bib31","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1002\/(SICI)1096-8628(19990507)84:1<74::AID-AJMG14>3.0.CO;2-R","article-title":"Let's call it \"Crouzonodermoskeletal syndrome\" so we won't be prisoners of our own conventional terminology","volume":"84","author":"Cohen","year":"1999","journal-title":"Am J Med Genet"},{"key":"10.1016\/j.joms.2026.02.029_bib32","article-title":"Are there morphophysiological airway alterations in syndromic craniosynostosis? A 3D computed tomography and CFD analysis","volume":"63","author":"Garcia-Uso","year":"2025","journal-title":"Cleft Palate Craniofac J"},{"issue":"6","key":"10.1016\/j.joms.2026.02.029_bib33","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"},{"issue":"11","key":"10.1016\/j.joms.2026.02.029_bib34","doi-asserted-by":"crossref","first-page":"1360","DOI":"10.1016\/j.jcms.2024.04.002","article-title":"Clinical analysis of Le Fort III distraction for obstructive sleep apnea in pediatric patients with syndromic craniosynostosis","volume":"52","author":"Liu","year":"2024","journal-title":"J Craniomaxillofac Surg"},{"issue":"4","key":"10.1016\/j.joms.2026.02.029_bib35","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1111\/joor.13936","article-title":"Efficacy of orthognathic surgery in OSAS patients: A systematic review and meta-analysis","volume":"52","author":"Ali","year":"2025","journal-title":"J Oral Rehabil"},{"issue":"3","key":"10.1016\/j.joms.2026.02.029_bib36","doi-asserted-by":"crossref","first-page":"443","DOI":"10.3171\/jns.1999.90.3.0443","article-title":"Clinical variability in patients with Apert's syndrome","volume":"90","author":"Lajeunie","year":"1999","journal-title":"J Neurosurg"},{"issue":"6","key":"10.1016\/j.joms.2026.02.029_bib37","doi-asserted-by":"crossref","first-page":"990","DOI":"10.1097\/00006534-199305000-00003","article-title":"Complications with facial advancement: A comparison between the Le Fort III and monobloc advancements","volume":"91","author":"Fearon","year":"1993","journal-title":"Plast Reconstr Surg"},{"issue":"6","key":"10.1016\/j.joms.2026.02.029_bib38","doi-asserted-by":"crossref","first-page":"1797","DOI":"10.1097\/00006534-200205000-00004","article-title":"Midface distraction following Le Fort III and monobloc osteotomies: Problems and solutions","volume":"109","author":"Gosain","year":"2002","journal-title":"Plast Reconstr Surg"},{"issue":"3","key":"10.1016\/j.joms.2026.02.029_bib39","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1097\/PRS.0000000000011354","article-title":"Long-term orbito-ocular outcomes following Le Fort III and Monobloc distraction osteogenesis in patients with syndromic craniosynostosis","volume":"155","author":"Pontell","year":"2025","journal-title":"Plast Reconstr Surg"},{"issue":"3","key":"10.1016\/j.joms.2026.02.029_bib40","doi-asserted-by":"crossref","first-page":"648","DOI":"10.1097\/SCS.0000000000006105","article-title":"Apert Syndrome management: changing treatment algorithm","volume":"31","author":"Raposo-Amaral","year":"2020","journal-title":"J Craniofac Surg"},{"key":"10.1016\/j.joms.2026.02.029_bib41","series-title":"Orthognathic Surgery: Principles & Practice","author":"Posnick","year":"2014"},{"issue":"1","key":"10.1016\/j.joms.2026.02.029_bib42","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1097\/PRS.0b013e3182362a2f","article-title":"Long-term evaluation of midface position after Le Fort III advancement: a 20-plus-year follow-up","volume":"129","author":"Warren","year":"2012","journal-title":"Plast Reconstr Surg"},{"issue":"9","key":"10.1016\/j.joms.2026.02.029_bib43","doi-asserted-by":"crossref","first-page":"2002.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"},{"issue":"6","key":"10.1016\/j.joms.2026.02.029_bib44","doi-asserted-by":"crossref","first-page":"e339","DOI":"10.1016\/j.jcms.2014.01.032","article-title":"Soft tissue response and facial symmetry after orthognathic surgery","volume":"42","author":"Wermker","year":"2014","journal-title":"J Craniomaxillofac Surg"},{"issue":"1","key":"10.1016\/j.joms.2026.02.029_bib45","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1186\/s13005-020-00250-2","article-title":"Accuracy of virtual planning in orthognathic surgery: A systematic review","volume":"16","author":"Alkhayer","year":"2020","journal-title":"Head Face Med"},{"issue":"9","key":"10.1016\/j.joms.2026.02.029_bib46","doi-asserted-by":"crossref","first-page":"S9","DOI":"10.1016\/j.joms.2024.06.039","article-title":"Patient-specific plates are more accurate than traditional plates for Le Fort I advancement> 7mm","volume":"82","author":"Nelson","year":"2024","journal-title":"J Oral Maxillofacial Surg"},{"issue":"5","key":"10.1016\/j.joms.2026.02.029_bib47","doi-asserted-by":"crossref","first-page":"1101","DOI":"10.1097\/PRS.0000000000008427","article-title":"Randomized clinical trial of the accuracy of patient-specific implants versus CAD\/CAM splints in orthognathic surgery","volume":"148","author":"Li","year":"2021","journal-title":"Plast Reconstr Surg"},{"issue":"1","key":"10.1016\/j.joms.2026.02.029_bib48","doi-asserted-by":"crossref","first-page":"125","DOI":"10.3390\/jpm13010125","article-title":"Three-dimensional accuracy and stability of personalized implants in orthognathic surgery: A systematic review and a meta-analysis","volume":"13","author":"Diaconu","year":"2023","journal-title":"J Pers Med"}],"container-title":["Journal of Oral and Maxillofacial Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0278239126002053?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0278239126002053?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T14:53:06Z","timestamp":1782917586000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0278239126002053"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":48,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["S0278239126002053"],"URL":"https:\/\/doi.org\/10.1016\/j.joms.2026.02.029","relation":{},"ISSN":["0278-2391"],"issn-type":[{"value":"0278-2391","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Digital Planning and Patient-Specific Implants Facilitate Accurate Conventional Sub-Cranial Le Fort III Advancement","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.2026.02.029","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Published by Elsevier Inc. on behalf of the American Association of Oral and Maxillofacial Surgeons","name":"copyright","label":"Copyright"}]}}