{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:42:49Z","timestamp":1777524169828,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2017,12,14]],"date-time":"2017-12-14T00:00:00Z","timestamp":1513209600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To review our experience with a polymethylmethacrylate (PMMA) protective shield used as an adjunct to protect the newly restored palate in wide bilateral cleft and complex fistula closure without diet restrictions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Clinical cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Division of Plastic Surgery and Maxillary Surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients:<\/jats:title>\n                    <jats:p>A selection of 22 cleft palate children undergoing (tertiary) palatal fistula repair (n = 16) or closure of a complex wide primary palatal defect (n = 6).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions:<\/jats:title>\n                    <jats:p>One month prior to surgery, a plaster model of the palate was made adding a 5- to 8-mm-thick layer of dental putty to the level of the dental arch. On top of the putty, a 1.5-mm-thick PMMA shield was created to cover the postoperative elevated and restored palate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures:<\/jats:title>\n                    <jats:p>Fistula recurrence rate, postoperative complications, days of hospitalization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>All patients maintained durable and safe palatal closure without fistula recurrence within the follow-up period, varying from 1 until 4 years. Recovery was fast, with a mean duration of hospitalization of 1.5 days. All patients could directly resume their normal diet.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>A PMMA shield has been shown to be a safe and helpful adjunct in complex fistula repair and late anterior palate repair.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1055665617727001","type":"journal-article","created":{"date-parts":[[2018,1,19]],"date-time":"2018-01-19T12:44:55Z","timestamp":1516365895000},"page":"307-311","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Custom-Made Palatal Shield Use in Cleft Palate and Fistula Repair"],"prefix":"10.1177","volume":"55","author":[{"given":"Anouk","family":"Tan","sequence":"first","affiliation":[{"name":"Department of Plastic Reconstructive and Hand Surgery, Medical Centre of Leeuwarden, Leeuwarden, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kees","family":"Heijdenrijk","sequence":"additional","affiliation":[{"name":"Department of Plastic Reconstructive and Hand Surgery, Medical Centre of Leeuwarden, Leeuwarden, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chantal M.","family":"Moues","sequence":"additional","affiliation":[{"name":"Department of Plastic Reconstructive and Hand Surgery, Medical Centre of Leeuwarden, Leeuwarden, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,12,14]]},"reference":[{"key":"bibr1-1055665617727001","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000001814"},{"issue":"4","key":"bibr2-1055665617727001","first-page":"S61","volume":"96","author":"Augsornwan D","year":"2013","journal-title":"J Med Assoc Thai"},{"key":"bibr3-1055665617727001","first-page":"CD003315","volume":"2","author":"Bessell A","year":"2011","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr4-1055665617727001","doi-asserted-by":"publisher","DOI":"10.1001\/archfaci.5.1.40"},{"key":"bibr5-1055665617727001","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000000548"},{"key":"bibr6-1055665617727001","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000218788.44591.f0"},{"key":"bibr7-1055665617727001","doi-asserted-by":"publisher","DOI":"10.7748\/ncyp2013.11.25.9.26.e324"},{"key":"bibr8-1055665617727001","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31817d6223"},{"key":"bibr9-1055665617727001","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000181652.84855.a3"},{"key":"bibr10-1055665617727001","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_1998_035_0081_aancrf_2.3.co_2"},{"key":"bibr12-1055665617727001","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199608000-00005"},{"key":"bibr13-1055665617727001","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198678060-00004"},{"key":"bibr14-1055665617727001","doi-asserted-by":"publisher","DOI":"10.1097\/00001665-199509000-00008"},{"key":"bibr15-1055665617727001","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200102000-00002"},{"key":"bibr16-1055665617727001","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199809010-00009"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1055665617727001","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1055665617727001","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1055665617727001","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:22:49Z","timestamp":1777393369000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1055665617727001"}},"subtitle":["A Potential Benefit for Fast Postoperative Recovery"],"short-title":[],"issued":{"date-parts":[[2017,12,14]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,2]]}},"alternative-id":["10.1177\/1055665617727001"],"URL":"https:\/\/doi.org\/10.1177\/1055665617727001","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,12,14]]}}}