{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T22:58:58Z","timestamp":1790636338210,"version":"4.1.0"},"reference-count":22,"publisher":"Elsevier BV","issue":"9","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"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":[[2026,9]]},"DOI":"10.1016\/j.joms.2026.04.006","type":"journal-article","created":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T14:51:25Z","timestamp":1776523885000},"page":"1414-1426","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Relationship Between Expansion Magnitude and Relapse in Multi-Segment Le Fort I Osteotomy: A Retrospective Cohort Study"],"prefix":"10.1016","volume":"84","author":[{"given":"Rachel","family":"Macdonald","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melih","family":"Motro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Gunson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7456-136X","authenticated-orcid":false,"given":"Leslie","family":"Will","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"12","key":"10.1016\/j.joms.2026.04.006_bib1","article-title":"The diagnosis methods and management modalities of maxillary transverse discrepancy","volume":"13","author":"Dakhil","year":"2021","journal-title":"Cureus"},{"issue":"1","key":"10.1016\/j.joms.2026.04.006_bib2","doi-asserted-by":"crossref","first-page":"808","DOI":"10.1186\/s12903-024-04580-4","article-title":"Comparative evaluation of transverse width indices for diagnosing maxillary transverse deficiency","volume":"24","author":"Ye","year":"2024","journal-title":"BMC Oral Health"},{"issue":"6","key":"10.1016\/j.joms.2026.04.006_bib3","doi-asserted-by":"crossref","first-page":"3256","DOI":"10.3390\/app15063256","article-title":"Maxillary deficiency: treatments and applications for adolescents","volume":"15","author":"Yang","year":"2025","journal-title":"Appl Sci"},{"issue":"3","key":"10.1016\/j.joms.2026.04.006_bib4","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1055\/s-0033-1357112","article-title":"Le Fort I osteotomy","volume":"27","author":"Buchanan","year":"2013","journal-title":"Semin Plast Surg"},{"issue":"9","key":"10.1016\/j.joms.2026.04.006_bib5","doi-asserted-by":"crossref","first-page":"1071","DOI":"10.1016\/j.ijom.2017.05.011","article-title":"Stability and surgical complications in segmental Le Fort I osteotomy: a systematic review","volume":"46","author":"Junior","year":"2017","journal-title":"Int J Oral Maxillofac Surg"},{"issue":"1","key":"10.1016\/j.joms.2026.04.006_bib6","doi-asserted-by":"crossref","first-page":"63","DOI":"10.4041\/kjod.2018.48.1.63","article-title":"Evaluation of the stability of maxillary expansion using cone-beam computed tomography after segmental Le Fort I osteotomy in adult subjects with skeletal Class III malocclusion","volume":"48","author":"Kim","year":"2018","journal-title":"Korean J Orthod"},{"issue":"8","key":"10.1016\/j.joms.2026.04.006_bib7","doi-asserted-by":"crossref","first-page":"1516","DOI":"10.1016\/j.jcms.2015.07.007","article-title":"Long-term skeletal and dental stability after orthognathic surgery of the maxillo-mandibular complex in Class II subjects with transverse discrepancies","volume":"43","author":"Brandtner","year":"2015","journal-title":"J Craniomaxillofac Surg"},{"issue":"2","key":"10.1016\/j.joms.2026.04.006_bib8","doi-asserted-by":"crossref","first-page":"128","DOI":"10.4041\/kjod23.166","article-title":"Is three-piece maxillary segmentation surgery a stable procedure?","volume":"54","author":"Kato","year":"2024","journal-title":"Korean J Orthod"},{"issue":"3","key":"10.1016\/j.joms.2026.04.006_bib9","doi-asserted-by":"crossref","first-page":"861","DOI":"10.1016\/j.joms.2010.05.024","article-title":"Transverse stability of 3-piece Le Fort I osteotomies","volume":"69","author":"Kretschmer","year":"2011","journal-title":"J Oral Maxillofac Surg"},{"issue":"3","key":"10.1016\/j.joms.2026.04.006_bib10","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1016\/j.joms.2014.08.024","article-title":"Cone-beam computed tomographic comparison of surgically assisted rapid palatal expansion and multipiece Le Fort I osteotomy","volume":"73","author":"Yao","year":"2015","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.joms.2026.04.006_bib11","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.jcms.2008.08.006","article-title":"Surgically assisted rapid palatal expansion vs. segmental Le Fort I osteotomy: transverse stability over a 2-year period","volume":"37","author":"Marchetti","year":"2009","journal-title":"J Craniomaxillofac Surg"},{"issue":"12","key":"10.1016\/j.joms.2026.04.006_bib12","doi-asserted-by":"crossref","first-page":"1356","DOI":"10.1016\/0278-2391(91)90320-L","article-title":"Pyramidal osseous release around the descending palatine artery: a surgical technique","volume":"49","author":"Johnson","year":"1991","journal-title":"J Oral Maxillofac Surg"},{"issue":"5","key":"10.1016\/j.joms.2026.04.006_bib13","doi-asserted-by":"crossref","first-page":"762","DOI":"10.2319\/090413-652.1","article-title":"Reliability of anatomic structures as landmarks in three-dimensional cephalometric analysis using CBCT","volume":"84","author":"Naji","year":"2014","journal-title":"Angle Orthod"},{"issue":"9","key":"10.1016\/j.joms.2026.04.006_bib14","doi-asserted-by":"crossref","DOI":"10.1259\/dmfr.20130059","article-title":"Comparison of observer reliability of three-dimensional cephalometric landmark identification on subject images from Galileos and i-CAT cone beam CT","volume":"42","author":"Katkar","year":"2013","journal-title":"Dentomaxillofac Radiol"},{"issue":"9","key":"10.1016\/j.joms.2026.04.006_bib15","doi-asserted-by":"crossref","first-page":"1071","DOI":"10.3390\/bioengineering10091071","article-title":"Orthognathic surgery and relapse: a systematic review","volume":"10","author":"Inchingolo","year":"2023","journal-title":"Bioengineering (Basel)"},{"issue":"2","key":"10.1016\/j.joms.2026.04.006_bib16","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1177\/0022034513506445","article-title":"Periosteum: biology and applications in craniofacial bone regeneration","volume":"93","author":"Lin","year":"2014","journal-title":"J Dent Res"},{"issue":"3","key":"10.1016\/j.joms.2026.04.006_bib17","doi-asserted-by":"crossref","first-page":"301","DOI":"10.2319\/052920-491.1","article-title":"Skeletal width changes after mini-implant\u2013assisted rapid maxillary expansion (MARME) in young adults","volume":"91","author":"Tang","year":"2021","journal-title":"Angle Orthod"},{"issue":"5","key":"10.1016\/j.joms.2026.04.006_bib18","doi-asserted-by":"crossref","first-page":"313","DOI":"10.4041\/kjod.2017.47.5.313","article-title":"Stability of dental, alveolar, and skeletal changes after miniscrew-assisted rapid palatal expansion","volume":"47","author":"Lim","year":"2017","journal-title":"Korean J Orthod"},{"issue":"1","key":"10.1016\/j.joms.2026.04.006_bib19","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1007\/s10006-024-01319-x","article-title":"Stability of expansion effects following Miniscrew-assisted Rapid Palatal expansion: a prospective longitudinal cohort study","volume":"29","author":"Chen","year":"2025","journal-title":"Oral Maxillofac Surg"},{"issue":"2","key":"10.1016\/j.joms.2026.04.006_bib20","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1097\/SCS.0000000000003349","article-title":"Bone substitutes in Le Fort I osteotomy to promote bone union and skeletal stability","volume":"28","author":"Zanettini","year":"2017","journal-title":"J Craniofac Surg"},{"issue":"4","key":"10.1016\/j.joms.2026.04.006_bib21","doi-asserted-by":"crossref","first-page":"486","DOI":"10.1111\/ocr.12399","article-title":"Can palatal splint improve stability of segmental Le Fort I osteotomies?","volume":"23","author":"Parizotto","year":"2020","journal-title":"Orthod Craniofac Res"},{"issue":"6","key":"10.1016\/j.joms.2026.04.006_bib22","doi-asserted-by":"crossref","first-page":"1756","DOI":"10.1097\/SCS.0000000000006542","article-title":"Is a final splint necessary in bimaxillary orthognathic surgery?","volume":"31","author":"Posnick","year":"2020","journal-title":"J Craniomaxillofac Surg"}],"container-title":["Journal of Oral and Maxillofacial Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0278239126002892?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0278239126002892?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T22:32:20Z","timestamp":1790634740000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0278239126002892"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":22,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["S0278239126002892"],"URL":"https:\/\/doi.org\/10.1016\/j.joms.2026.04.006","relation":{},"ISSN":["0278-2391"],"issn-type":[{"value":"0278-2391","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Relationship Between Expansion Magnitude and Relapse in Multi-Segment Le Fort I Osteotomy: A Retrospective Cohort Study","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.2026.04.006","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 American Association of Oral and Maxillofacial Surgeons","name":"copyright","label":"Copyright"}]}}