{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T23:14:59Z","timestamp":1793229299915,"version":"4.5.0"},"reference-count":32,"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 investigate the postoperative complication rates of LeFort 1 maxillary advancement surgery in cleft patients when performed by a single surgeon over a 5-year period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A retrospective case note review of 79 cleft palate patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>All surgery was performed by a single oral and maxillofacial surgeon in a tertiary care center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>All cleft palate patients over 17 years of age who opted for surgical correction of maxillary hypoplasia with a LeFort 1 between 2010 and 2015. Patients required full surgical and clinical records.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions:<\/jats:title>\n                    <jats:p>Complete surgical advancement of the maxilla ranging from 2.0 to 18.0 mm performed by conventional osteotomies (87%) or distraction osteogenesis (13%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure(s):<\/jats:title>\n                    <jats:p>Postoperative patient- and clinician-reported complications at set-interval follow-up appointments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Twenty-one patients (26.58%) reported no complications; 11 postoperative complications were identified in the remaining cohort. Temporary paresthesia of the infraorbital nerve was the most common complication (53.16%) followed by infection (13.92%). Other complications included relapse (11.39%), maxillary instability (6.33%), velopharyngeal impairment (6.33%), nasal obstruction (5.06%), chronic sinusitis (3.80%), bony dehiscence (1.27%), gingival necrosis (1.27%), partial necrosis of the maxilla (1.27%), and loss of tooth vitality (1.27%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>LeFort 1 maxillary advancement surgery in cleft palate patients is associated with a wide range of postoperative complications, most commonly temporary paresthesia of the infraorbital nerve. Detailed, informed consent is essential prior to surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1055665617736778","type":"journal-article","created":{"date-parts":[[2018,1,19]],"date-time":"2018-01-19T12:44:55Z","timestamp":1516365895000},"page":"231-237","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":35,"title":["Postoperative Complications Following LeFort 1 Maxillary Advancement Surgery in Cleft Palate Patients"],"prefix":"10.1177","volume":"55","author":[{"given":"Isabelle","family":"Moran","sequence":"first","affiliation":[{"name":"Barts Health Dental Hospital, Whitechapel, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satnam","family":"Virdee","sequence":"additional","affiliation":[{"name":"Cardiff Dental Hospital, Cardiff, Wales, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Sharp","sequence":"additional","affiliation":[{"name":"Queen Elizabeth Hospital Birmingham, Birmingham, England, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jagdeep","family":"Sulh","sequence":"additional","affiliation":[{"name":"Queen Elizabeth Hospital Birmingham, Birmingham, England, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,12,14]]},"reference":[{"key":"bibr1-1055665617736778","doi-asserted-by":"publisher","DOI":"10.1016\/S0901-5027(96)80005-1"},{"key":"bibr2-1055665617736778","unstructured":"Andersson L, Kahnberg KE, Pogrel MA. Oral and Maxillofacial Surgery. Chichester, West Sussex: Wiley; 2010:945\u2013972."},{"key":"bibr3-1055665617736778","doi-asserted-by":"publisher","DOI":"10.1016\/0278-2391(86)90189-8"},{"key":"bibr4-1055665617736778","first-page":"1","volume":"1","author":"Brignardello-Petersen R","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr5-1055665617736778","doi-asserted-by":"publisher","DOI":"10.1002\/hed.2890020603"},{"key":"bibr6-1055665617736778","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000232358.31321.ea"},{"key":"bibr7-1055665617736778","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2015.555"},{"key":"bibr8-1055665617736778","first-page":"3","volume":"25","author":"Dalston RM","year":"1988","journal-title":"Cleft Palate J"},{"key":"bibr9-1055665617736778","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-5182(05)80551-7"},{"key":"bibr10-1055665617736778","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-0503(81)80037-9"},{"key":"bibr11-1055665617736778","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-0503(79)80051-X"},{"key":"bibr12-1055665617736778","first-page":"324","volume":"34","author":"Epker BN","year":"1976","journal-title":"J Oral Surg"},{"key":"bibr13-1055665617736778","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-0503(77)80121-5"},{"key":"bibr14-1055665617736778","doi-asserted-by":"publisher","DOI":"10.1007\/s12663-012-0457-4"},{"key":"bibr15-1055665617736778","doi-asserted-by":"publisher","DOI":"10.1080\/000163502753740142"},{"key":"bibr16-1055665617736778","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_2001_038_0001_frtral_2.0.co_2"},{"key":"bibr17-1055665617736778","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_1993_030_0237_ltrama_2.3.co_2"},{"key":"bibr18-1055665617736778","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-2391(10)80199-5"},{"key":"bibr19-1055665617736778","doi-asserted-by":"publisher","DOI":"10.1016\/0266-4356(87)90159-8"},{"key":"bibr20-1055665617736778","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-0503(73)80012-8"},{"key":"bibr21-1055665617736778","first-page":"549","volume":"29","author":"Kufner J","year":"1971","journal-title":"J Oral Surg"},{"key":"bibr22-1055665617736778","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000436857.63021.f0"},{"key":"bibr23-1055665617736778","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197908000-00008"},{"key":"bibr24-1055665617736778","doi-asserted-by":"publisher","DOI":"10.1111\/1460-6984.12036"},{"key":"bibr25-1055665617736778","doi-asserted-by":"publisher","DOI":"10.1597\/11-116"},{"key":"bibr26-1055665617736778","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2010.07.038"},{"key":"bibr27-1055665617736778","doi-asserted-by":"publisher","DOI":"10.1016\/S0300-9785(72)80010-3"},{"key":"bibr28-1055665617736778","doi-asserted-by":"publisher","DOI":"10.4103\/2231-0746.101336"},{"key":"bibr29-1055665617736778","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-0503(79)80023-5"},{"key":"bibr30-1055665617736778","doi-asserted-by":"publisher","DOI":"10.1038\/ijos.2014.59"},{"key":"bibr31-1055665617736778","doi-asserted-by":"publisher","DOI":"10.1016\/0278-2391(89)90003-7"},{"key":"bibr32-1055665617736778","doi-asserted-by":"publisher","DOI":"10.1016\/j.jfma.2015.10.009"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1055665617736778","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1055665617736778","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1055665617736778","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:22:54Z","timestamp":1777393374000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1055665617736778"}},"subtitle":["A 5-Year Retrospective Study"],"short-title":[],"issued":{"date-parts":[[2017,12,14]]},"references-count":32,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,2]]}},"alternative-id":["10.1177\/1055665617736778"],"URL":"https:\/\/doi.org\/10.1177\/1055665617736778","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]]}}}