{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T04:47:43Z","timestamp":1788497263173,"version":"build-2803163510"},"reference-count":24,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2018,6,21]],"date-time":"2018-06-21T00:00:00Z","timestamp":1529539200000},"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":[[2019,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Evaluating the safety and outcomes of premaxillary setback with posterior vomerine ostectomy in single-stage repair of complete bilateral cleft lip (CBCL) with severe premaxillary protrusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Retrospective case series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Multiple outreach surgical sites.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients\/Participants:<\/jats:title>\n                    <jats:p>From 2012 to 2016, 41 patients with CBCL and severe premaxillary protrusion underwent posterior vomerine premaxillary setback (PVPS) by a single surgeon in Brazil, Ecuador, and Peru. Patients 4 months to 18 years old undergoing primary or revision CBCL surgery were eligible for inclusion in the study. Patients with diagnosed syndromes were excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions:<\/jats:title>\n                    <jats:p>Posterior vomerine premaxillary setback.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures:<\/jats:title>\n                    <jats:p>Postoperative complications and postoperative aesthetic outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean age at surgery was 3.7 \u00b1 3.8 years, with an average follow-up time of 17.0 \u00b1 13.9 months. Patients underwent their procedures in Brazil (71%), Ecuador (22%), and Peru (7%). The majority of patients were aged 2 years or less (56%), were males (54%), had undergone prior surgery (56%), and had not undergone preoperative surgical orthopedics (95%). None of the patients developed major complications. All patients were able to undergo PVPS with concomitant required procedures and had good aesthetic outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Few reports have evaluated single-stage CBCL repair or revision with severe premaxillary protrusion using PVPS. Our study shows that this technique is safe and results in good aesthetic outcomes. Further follow-up with anthropometric patient data is needed to evaluate long-term postoperative outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1055665618782806","type":"journal-article","created":{"date-parts":[[2018,6,21]],"date-time":"2018-06-21T12:29:11Z","timestamp":1529584151000},"page":"471-478","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":19,"title":["Premaxillary Setback With Posterior Vomerine Ostectomy: Outcomes of Single-Stage Repair of Complete Bilateral Cleft Lip With a Severely Protruding Premaxilla"],"prefix":"10.1177","volume":"56","author":[{"given":"Fernando","family":"Almas","sequence":"first","affiliation":[{"name":"Global Smile Foundation, Norwood, MA, USA"},{"name":"Global Smile Foundation Brazil\u2014REFACE, Goi\u00e2nia, Brazil"},{"name":"Cirurgi\u00e3o BucoMaxiloFacial, Hospital Geral de Goi\u00e2nia, Goi\u00e2nia, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valerie","family":"Cote","sequence":"additional","affiliation":[{"name":"Global Smile Foundation, Norwood, MA, USA"},{"name":"Advocate Children\u2019s Hospital, Oak Lawn, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elie P.","family":"Ramly","sequence":"additional","affiliation":[{"name":"Global Smile Foundation, Norwood, MA, USA"},{"name":"Department of Surgery, Oregon Health and Science University, Portland, OR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rami S.","family":"Kantar","sequence":"additional","affiliation":[{"name":"Global Smile Foundation, Norwood, MA, USA"},{"name":"Hansj\u00f6rg Wyss Department of Plastic Surgery, NYULMC, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Usama","family":"Hamdan","sequence":"additional","affiliation":[{"name":"Global Smile Foundation, Norwood, MA, USA"},{"name":"Department of Otolaryngology, Tufts University School of Medicine, Boston, MA, USA"},{"name":"Department of Otology &amp; Laryngology, Harvard Medical School, Boston, MA, USA"},{"name":"Department of Otolaryngology-Head and Neck Surgery, Boston University School of Medicine, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,6,21]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000096710.08123.93"},{"issue":"4","key":"e_1_3_4_3_1","first-page":"364","article-title":"The premaxillary-vomerine junction: an anatomic viewpoint","volume":"8","author":"Burdi A","year":"1971","unstructured":"Burdi A. 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