{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T21:48:26Z","timestamp":1790718506856,"version":"4.1.0"},"reference-count":20,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2021,4,15]],"date-time":"2021-04-15T00:00:00Z","timestamp":1618444800000},"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":[[2022,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate facial growth after modified Veau\u2013Wardill\u2013Kilner\/pushback (PB) palatoplasty from childhood to adulthood in patients with unilateral cleft lip and palate (UCLP).<\/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>Single center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients:<\/jats:title>\n                    <jats:p>Sixty-two (29 males and 33 females) consecutive patients with nonsyndromic UCLP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions:<\/jats:title>\n                    <jats:p>Pushback palatoplasty and subsequent cleft palate treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures:<\/jats:title>\n                    <jats:p>Lateral and posterior\u2013anterior cephalograms were taken at 3 different phases: phase 1 (before first-stage orthodontic treatment; N = 58; average age, 4.9 \u00b1 1.1 years), phase 2 (before second-stage orthodontic treatment; N = 58; 15.9 \u00b1 1.1 years), and phase 3 (after orthodontic retention; N = 51; 22.1 \u00b1 3.2 years).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The majority of patients had skeletal class III morphology in all 3 phases due to retrognathic maxilla. Maxillary growth did not improve in phase 2 despite first-stage orthodontic treatment in phase 1. Maxillary morphology improved in phase 3 but retardation occurred, although 77.42% of patients received orthognathic surgery during second-stage orthodontic treatment. Mandibular growth was slightly reduced in phases 1 and 2 and the mandible remained retrognathic in phase 3, following mandibular setback orthognathic surgery. The horizontal occlusal cant was slightly upward and toward the cleft side with respect to the reference plane, and the upper midline was deviated to the cleft side in phases 1 and 3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Patients with UCLP who undergo phased PB palatoplasty, orthodontic treatment, and orthognathic surgeries do not maintain skeletal class I facial morphology.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656211004852","type":"journal-article","created":{"date-parts":[[2021,4,15]],"date-time":"2021-04-15T10:42:39Z","timestamp":1618483359000},"page":"291-298","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Longitudinal Follow-Up of Facial Growth of Patients With Unilateral Cleft Lip and Palate Following Modified Veau\u2013Wardill\u2013Kilner Palatoplasty"],"prefix":"10.1177","volume":"59","author":[{"given":"Konomi","family":"Iwasaki","sequence":"first","affiliation":[{"name":"Department of Orthodontics, Showa University School of Dentistry, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1803-9056","authenticated-orcid":false,"given":"Yuki Sato","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Showa University School of Dentistry, Tokyo, Japan"},{"name":"Japan Orthodontic Center, Tokyo, Japan"},{"name":"Department of Plastic and Reconstructive Surgery, Showa University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marina","family":"Masuda","sequence":"additional","affiliation":[{"name":"Japan Orthodontic Center, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2442-7618","authenticated-orcid":false,"given":"Prasad","family":"Nalabothu","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Pediatric Dentistry, University Center for Dental Medicine Basel, University of Basel, Switzerland"},{"name":"Department of Oral and Craniomaxillofacial Surgery, University Hospital Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fumio","family":"Ohkubo","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Showa University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koichi","family":"Kadomatsu","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Showa University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koutaro","family":"Maki","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Showa University School of Dentistry, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,4,15]]},"reference":[{"key":"bibr1-10556656211004852","doi-asserted-by":"publisher","DOI":"10.3109\/02844318109103425"},{"key":"bibr2-10556656211004852","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000041945.51785.58"},{"key":"bibr3-10556656211004852","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2013.12.010"},{"key":"bibr4-10556656211004852","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-194609000-00005"},{"key":"bibr5-10556656211004852","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198678060-00002"},{"key":"bibr6-10556656211004852","first-page":"8","volume":"41","author":"Kimura T","year":"2016","journal-title":"J Jpn 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