{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T02:35:45Z","timestamp":1777343745223,"version":"3.51.4"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2018,7,2]],"date-time":"2018-07-02T00:00:00Z","timestamp":1530489600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2018,7,2]],"date-time":"2018-07-02T00:00:00Z","timestamp":1530489600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Young Foundation of Peking Union Medical College"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sci Rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Rigid external distraction is currently performed to correct cases of severe maxillary hypoplasia. As an improvement of this technique, we propose the use of an intranasal bone-borne traction hook. This study is a retrospective chart review of the intranasal bone-borne traction hooks used in the treatment of severe maxillary hypoplasia. There were 110 patients treated with the hooks from 2005 to 2017. The maximum traction force was 7.75\u2009kg, and there were few complications encountered during distraction. There were 76 patients who had the hooks removed under local anaesthesia. A cephalometric analysis was conducted in 56 patients. The average advancement of A-point was 9.9\u2009\u00b1\u20094.2\u2009mm, 8.4\u2009\u00b1\u20092.5\u2009mm, 11.0\u2009\u00b1\u20093.7\u2009mm, 17.9\u2009\u00b1\u20094.4\u2009mm for the trans-sutural distraction osteogenesis (DO), maxillary anterior segment DO, Le Fort I osteotomy DO and Le Fort III\/II osteotomy DO, respectively. The average changes of sella-nasion-point A (SNA) were 8.89\u2009\u00b1\u20094.30 degrees, 8.21\u2009\u00b1\u20093.17 degrees, 10.49\u2009\u00b1\u20093.26 degrees, and 15.10\u2009\u00b1\u20094.00 degrees, respectively. The A point-nasion-B point (ANB) also showed increases in all procedures with P\u2009&lt;\u20090.001. In conclusion, this technique sufficiently advances the midface and ensures the scars are concealed in the nasal base. The traction hook can bear a large traction force, causes minimal complications and is easily removed.<\/jats:p>","DOI":"10.1038\/s41598-018-28068-8","type":"journal-article","created":{"date-parts":[[2018,6,26]],"date-time":"2018-06-26T11:27:52Z","timestamp":1530012472000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Rigid External Distraction with Intranasal Bone-borne Traction Hooks for Midfacial Hypoplasia"],"prefix":"10.1038","volume":"8","author":[{"given":"Yilue","family":"Zheng","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haizhou","family":"Tong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ningbei","family":"Yin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Feng","family":"Niu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhenmin","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tao","family":"Song","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2018,7,2]]},"reference":[{"key":"28068_CR1","doi-asserted-by":"publisher","first-page":"433","DOI":"10.1597\/1545-1569(2000)037<0433:TCDSCS>2.0.CO;2","volume":"37","author":"JC Posnick","year":"2000","unstructured":"Posnick, J. C. & Ruiz, R. L. The Craniofacial Dysostosis Syndromes: Current Surgical Thinking and Future Directions. Cleft Palate Craniofac J. 37, 433 (2000).","journal-title":"Cleft Palate Craniofac J."},{"issue":"181\u2013185","key":"28068_CR2","first-page":"186","volume":"8","author":"JW Polley","year":"1997","unstructured":"Polley, J. W. & Figueroa, A. A. Management of Severe Maxillary Deficiency in Childhood and Adolescence through Distraction Osteogenesis with an External, Adjustable, Rigid Distraction Device. J CRANIOFAC SURG. 8(181\u2013185), 186 (1997).","journal-title":"J CRANIOFAC SURG."},{"key":"28068_CR3","doi-asserted-by":"publisher","first-page":"1990","DOI":"10.1016\/j.bjps.2010.01.029","volume":"63","author":"N Mitsukawa","year":"2010","unstructured":"Mitsukawa, N. & Satoh, K. Midfacial Distraction Using a Transfacial Pinning Technique for Syndromic Craniosynostosis with Obstructive Respiratory Disorders. J Plast Reconstr Aesthet Surg. 63, 1990\u20131994 (2010).","journal-title":"J Plast Reconstr Aesthet Surg."},{"key":"28068_CR4","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1597\/04-204.1","volume":"44","author":"K Minami","year":"2007","unstructured":"Minami, K. et al. Maxillary Distraction Osteogenesis in Cleft Lip and Palate Patients with Skeletal Anchorage. Cleft Palate Craniofac J. 44, 137\u2013141 (2007).","journal-title":"Cleft Palate Craniofac J."},{"key":"28068_CR5","doi-asserted-by":"publisher","first-page":"533","DOI":"10.1002\/jemt.10376","volume":"61","author":"AJ Schulten","year":"2003","unstructured":"Schulten, A. J., Zimmermann, C. E. & Glowacki, J. Osteoclastic Bone Resorption Around Intraosseous Screws in Rat and Pig Mandibles. Microsc Res Tech. 61, 533\u2013539 (2003).","journal-title":"Microsc Res Tech."},{"key":"28068_CR6","doi-asserted-by":"publisher","first-page":"714","DOI":"10.1111\/j.1600-0501.2006.01233.x","volume":"17","author":"A Buchter","year":"2006","unstructured":"Buchter, A. et al. Load-Related Bone Modelling at the Interface of Orthodontic Micro-Implants. Clin Oral Implants Res. 17, 714\u2013722 (2006).","journal-title":"Clin Oral Implants Res."},{"key":"28068_CR7","doi-asserted-by":"publisher","first-page":"959","DOI":"10.1016\/j.joms.2013.09.039","volume":"72","author":"H Saltaji","year":"2014","unstructured":"Saltaji, H. et al. Le Fort III Distraction Osteogenesis Versus Conventional Le Fort III Osteotomy in Correction of Syndromic Midfacial Hypoplasia: A Systematic Review. J Oral Maxillofac Surg. 72, 959\u2013972 (2014).","journal-title":"J Oral Maxillofac Surg."},{"key":"28068_CR8","doi-asserted-by":"publisher","first-page":"1199","DOI":"10.1097\/SCS.0b013e318184365d","volume":"19","author":"P Scolozzi","year":"2008","unstructured":"Scolozzi, P. Distraction Osteogenesis in the Management of Severe Maxillary Hypoplasia in Cleft Lip and Palate Patients. J CRANIOFAC SURG. 19, 1199\u20131214 (2008).","journal-title":"J CRANIOFAC SURG."},{"issue":"996\u20131008","key":"28068_CR9","first-page":"1009","volume":"118","author":"LK Cheung","year":"2006","unstructured":"Cheung, L. K., Chua, H. D. & Hagg, M. B. Cleft Maxillary Distraction Versus Orthognathic Surgery: Clinical Morbidities and Surgical Relapse. PLAST RECONSTR SURG. 118(996\u20131008), 1009 (2006).","journal-title":"PLAST RECONSTR SURG."},{"key":"28068_CR10","doi-asserted-by":"publisher","first-page":"803","DOI":"10.1016\/j.tripleo.2009.10.056","volume":"109","author":"HD Chua","year":"2010","unstructured":"Chua, H. D., Hagg, M. B. & Cheung, L. K. Cleft Maxillary Distraction Versus Orthognathic Surgery\u2013Which One is More Stable in 5 Years? Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 109, 803\u2013814 (2010).","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod."},{"key":"28068_CR11","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1016\/j.ijom.2010.10.009","volume":"40","author":"TR Meling","year":"2011","unstructured":"Meling, T. R., Hogevold, H. E., Due-Tonnessen, B. J. & Skjelbred, P. Midface Distraction Osteogenesis: Internal Vs. External Devices. Int J Oral Maxillofac Surg. 40, 139\u2013145 (2011).","journal-title":"Int J Oral Maxillofac Surg."},{"key":"28068_CR12","doi-asserted-by":"publisher","first-page":"275","DOI":"10.1097\/SAP.0000000000001113","volume":"79","author":"JL Yu","year":"2017","unstructured":"Yu, J. L. & Woo, A. S. Alar Pinning in Rigid External Distraction for Midfacial Hypoplasia. Ann Plast Surg. 79, 275\u2013279 (2017).","journal-title":"Ann Plast Surg."},{"key":"28068_CR13","doi-asserted-by":"publisher","first-page":"406","DOI":"10.1097\/SCS.0000000000003327","volume":"28","author":"H Sawada","year":"2017","unstructured":"Sawada, H., Ogawa, T., Kataoka, K., Baba, Y. & Moriyama, K. Measurement of Distraction Force in Cleft Lip and Palate Patients During Le Fort I Maxillary Advancement with Rigid External Distraction. J CRANIOFAC SURG. 28, 406\u2013412 (2017).","journal-title":"J CRANIOFAC SURG."},{"key":"28068_CR14","doi-asserted-by":"publisher","first-page":"1573","DOI":"10.1097\/SCS.0000000000003377","volume":"28","author":"H Tong","year":"2017","unstructured":"Tong, H. et al. Midface Distraction Osteogenesis Using a Modified External Device with Elastic Distraction for Crouzon Syndrome. J CRANIOFAC SURG. 28, 1573\u20131577 (2017).","journal-title":"J CRANIOFAC SURG."},{"key":"28068_CR15","doi-asserted-by":"publisher","first-page":"1749","DOI":"10.1016\/j.jcms.2015.08.027","volume":"43","author":"H Tong","year":"2015","unstructured":"Tong, H. et al. Three-Dimensional Quantitative Evaluation of Midfacial Skeletal Changes After Trans-Sutural Distraction Osteogenesis for Midfacial Hypoplasia in Growing Patients with Cleft Lip and Palate. J Craniomaxillofac Surg. 43, 1749\u20131757 (2015).","journal-title":"J Craniomaxillofac Surg."},{"key":"28068_CR16","doi-asserted-by":"publisher","first-page":"144","DOI":"10.1097\/PRS.0000000000001375","volume":"136","author":"H Tong","year":"2015","unstructured":"Tong, H. et al. Trans-Sutural Distraction Osteogenesis for Midfacial Hypoplasia in Growing Patients with Cleft Lip and Palate: Clinical Outcomes and Analysis of Skeletal Changes. PLAST RECONSTR SURG. 136, 144\u2013155 (2015).","journal-title":"PLAST RECONSTR SURG."},{"key":"28068_CR17","doi-asserted-by":"crossref","first-page":"500","DOI":"10.3760\/cma.j.issn.0366-6999.20131861","volume":"127","author":"F Gao","year":"2014","unstructured":"Gao, F. et al. Advancement of Maxillary Anterior Segment by Distraction Osteogenesis for Severe Maxillary Retrusion in Cleft Lip and Palate. Chin Med J (Engl). 127, 500\u2013505 (2014).","journal-title":"Chin Med J (Engl)."}],"container-title":["Scientific Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41598-018-28068-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-018-28068-8","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-018-28068-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,7]],"date-time":"2024-07-07T18:45:30Z","timestamp":1720377930000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41598-018-28068-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7,2]]},"references-count":17,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2018,12]]}},"alternative-id":["28068"],"URL":"https:\/\/doi.org\/10.1038\/s41598-018-28068-8","relation":{},"ISSN":["2045-2322"],"issn-type":[{"value":"2045-2322","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7,2]]},"assertion":[{"value":"16 January 2018","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 June 2018","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 July 2018","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no competing interests.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing Interests"}}],"article-number":"9948"}}