{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T15:50:27Z","timestamp":1789055427200,"version":"build-2803163510"},"reference-count":4,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2019,2,12]],"date-time":"2019-02-12T00:00:00Z","timestamp":1549929600000},"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":[[2019,9]]},"abstract":"<jats:p>Wide cleft palates (&gt;15-mm gap) present a number of challenges to the surgeon tasked with their repair ( Bardach, 1999 ). Eliminating the need for secondary surgery due to fistula formation can reduce additional anesthetic and scarring risks and optimize early speech development. Greater palatine foraminal osteotomy is a useful surgical adjunct that allows additional medial movement of oral mucoperiosteal flaps to aid in tension-free closure of the oral layer. We use a technique similar to that described by Seibert in 1995 with a few modifications. Closure of the nasal layer in these wide clefts can be achieved using a sphenoid flap, a technique recently published by our unit ( Khan et al, 2018 ).<\/jats:p>","DOI":"10.1177\/1055665619829386","type":"journal-article","created":{"date-parts":[[2019,2,13]],"date-time":"2019-02-13T07:45:56Z","timestamp":1550043956000},"page":"1080-1082","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["What We Do: Greater Palatine Medializing Foraminal Osteotomy for Repair of the Wide Cleft Palate"],"prefix":"10.1177","volume":"56","author":[{"given":"Theodore","family":"Pezas","sequence":"first","affiliation":[{"name":"Birmingham Children\u2019s Hospital, Birmingham, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khurram","family":"Khan","sequence":"additional","affiliation":[{"name":"Birmingham Children\u2019s Hospital, Birmingham, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce","family":"Richard","sequence":"additional","affiliation":[{"name":"Birmingham Children\u2019s Hospital, Birmingham, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,2,12]]},"reference":[{"key":"bibr1-1055665619829386","unstructured":"Bardach J. Atlas of Craniofacial and Cleft Surgery. Philadelphia, PA: Lippincott Raven; 1999:2."},{"key":"bibr2-1055665619829386","doi-asserted-by":"publisher","DOI":"10.1177\/1055665617732781"},{"key":"bibr3-1055665619829386","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200103000-00026"},{"key":"bibr4-1055665619829386","first-page":"289","volume-title":"Atlas of Pediatric Otolaryngology","author":"Seibert RW","year":"1995"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1055665619829386","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1055665619829386","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1055665619829386","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:19:52Z","timestamp":1777393192000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1055665619829386"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2,12]]},"references-count":4,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2019,9]]}},"alternative-id":["10.1177\/1055665619829386"],"URL":"https:\/\/doi.org\/10.1177\/1055665619829386","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,2,12]]}}}