{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:27:56Z","timestamp":1777523276336,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2019,12,18]],"date-time":"2019-12-18T00:00:00Z","timestamp":1576627200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Scienc","doi-asserted-by":"crossref","award":["KAKENHI (B) 16H05541"],"award-info":[{"award-number":["KAKENHI (B) 16H05541"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study aims to assess occlusal relationships and frequency of oronasal fistula at 5 years of age following 2 hard palate closure techniques and to compare results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Retrospective longitudinal study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Institutional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients:<\/jats:title>\n                    <jats:p>Study patients included 57 patients with nonsyndromic complete unilateral cleft lip and palate who were consecutively treated. All patients underwent our early 2-stage protocol for palatoplasty, which consisted of soft palate plasty at 1 year of age and hard palate closure at 1.5 years of age. Twenty-nine patients underwent hard palate closure using vestibular flap (VF group) technique (2009-2011) and 28 patients underwent conventional hard palate closure with local palatal flap (LPF group) technique (2006-2008).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures:<\/jats:title>\n                    <jats:p>Occlusal relationships were assessed with 5-year-olds\u2019 index, and frequency of oronasal fistula was investigated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Average 5-year-olds\u2019 index scores for VF and LPF groups were 3.11 and 3.57, respectively (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). Oronasal fistula occurred in approximately 7% of patients in the VF group and in 18% of patients in the LPF group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Hard palate closure with VF technique may provide better occlusal relationships at 5 years of age than does conventional local closure with the LPF.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1055665619892474","type":"journal-article","created":{"date-parts":[[2019,12,18]],"date-time":"2019-12-18T04:44:50Z","timestamp":1576644290000},"page":"729-735","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Occlusion at 5 Years of Age Following Hard Palate Closure With Vestibular Flap"],"prefix":"10.1177","volume":"57","author":[{"given":"Koichi","family":"Otsuki","sequence":"first","affiliation":[{"name":"First Department of Oral and Maxillofacial Surgery, Graduate School of Dentistry, Osaka University, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tadashi","family":"Yamanishi","sequence":"additional","affiliation":[{"name":"First Department of Oral and Maxillofacial Surgery, Graduate School of Dentistry, Osaka University, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wakako","family":"Tome","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Oral Structure, Function, and Development, School of Dentistry, Asahi University, Gifu, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuko","family":"Shintaku","sequence":"additional","affiliation":[{"name":"First Department of Oral and Maxillofacial Surgery, Graduate School of Dentistry, Osaka University, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsuya","family":"Seikai","sequence":"additional","affiliation":[{"name":"First Department of Oral and Maxillofacial Surgery, Graduate School of Dentistry, Osaka University, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yukari","family":"Fujimoto","sequence":"additional","affiliation":[{"name":"First Department of Oral and Maxillofacial Surgery, Graduate School of Dentistry, Osaka University, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4556-2491","authenticated-orcid":false,"given":"Mikihiko","family":"Kogo","sequence":"additional","affiliation":[{"name":"First Department of Oral and Maxillofacial Surgery, Graduate School of Dentistry, Osaka University, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,12,18]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/ocr.12109"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/19.2.165"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_1997_034_0242_anifas_2.3.co_2"},{"issue":"1","key":"e_1_3_2_5_1","first-page":"27","article-title":"Delayed hard palate repair and speech deficiencies: a cautionary report","volume":"17","author":"Cosman B","year":"1980","unstructured":"Cosman B, Falk AS. Delayed hard palate repair and speech deficiencies: a cautionary report. Cleft Palate J. 1980;17(1):27\u201333.","journal-title":"Cleft Palate J"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1597\/10-252"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198678060-00002"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cjw013"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1597\/03-020.1"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_1997_034_0122_rcithp_2.3.co_2"},{"key":"e_1_3_2_11_1","volume-title":"Comprehensive Cleft Care","author":"Losee JE","year":"2009","unstructured":"Losee JE, Kirschner RE. Comprehensive Cleft Care. New York, NY: McGraw-Hill Education; 2009."},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199710000-00009"},{"issue":"4","key":"e_1_3_2_13_1","first-page":"314","article-title":"The Goslon Yardstick: a new system of assessing dental arch relationships in children with unilateral clefts of the lip and palate","volume":"24","author":"Mars M","year":"1987","unstructured":"Mars M, Plint DA, Houston WJ, Bergland O, Semb G. The Goslon Yardstick: a new system of assessing dental arch relationships in children with unilateral clefts of the lip and palate. Cleft Palate J. 1987;24(4): 314\u2013322.","journal-title":"Cleft Palate J"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1597\/13-285"},{"key":"e_1_3_2_15_1","first-page":"173","volume-title":"Transactions of the 9th International Conference of Cleft Palate and Related Craniofacial Anomalies","author":"Nishio J","year":"2001","unstructured":"Nishio J, Adachi T, Hirano Y, Sako M. A new designed two-stage palatoplasty using Furlow\u2019s veloplasty. In: Transactions of the 9th International Conference of Cleft Palate and Related Craniofacial Anomalies; Goteborg, Sweden: Organizing Committee for the 9th International Congress on Cleft Palate and Related Craniofacial Anomalies. 2001:173\u2013276."},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1597\/08-067.1"},{"issue":"1","key":"e_1_3_2_17_1","first-page":"46","article-title":"Two-stage closure of cleft palate (progress report)","volume":"7","author":"Perko MA","year":"1979","unstructured":"Perko MA. Two-stage closure of cleft palate (progress report). 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