{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:33:36Z","timestamp":1777523616688,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2021,4,5]],"date-time":"2021-04-05T00:00:00Z","timestamp":1617580800000},"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 the long-term stability of LeFort I osteotomy followed by distraction osteogenesis with a transcutaneous rigid external device for the treatment of severe maxillary hypoplasia in patients with cleft lip and palate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>Nine patients with cleft lip and palate underwent rigid external distraction after a LeFort I osteotomy for maxillary advancement. Lateral cephalometric films were analyzed for assessment of treatment outcome and stability in 1 month, 6 months, and 1 year after distraction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Significant maxillary advancement was observed in the horizontal direction, with the anterior nasal spine (ANS) distance of the maxilla increasing by an average of 20.5 \u00b1 5.1 mm after distraction. The ANS relapse rates in 6 months and 1 year were 8.7% and 12.8%, respectively. The mean inclination of upper incisors to the palatal plane was almost unchanged (before: 109.8\u00b0 \u00b1 6.6\u00b0; after: 108.9\u00b0 \u00b1 7.5\u00b0). The movement ratios at the nasal tip\/ANS, soft tissue A point\/A point, and the upper vermilion border\/upper incisor edge were 0.36:1, 0.72:1, and 0.83:1, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Considerable maxillary advancement was achieved with less change of incisors inclination after distraction. Moreover, the relapse rate after 1 year was minimal. The concave facial profile was improved as well as the facial balance and aesthetics.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656211005638","type":"journal-article","created":{"date-parts":[[2021,4,5]],"date-time":"2021-04-05T03:37:34Z","timestamp":1617593854000},"page":"299-306","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["One-Year Treatment Outcome of Profile Changes After Transcutaneous Maxillary Distraction Osteogenesis in Growing Children With Cleft Lip and Palate"],"prefix":"10.1177","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3194-5758","authenticated-orcid":false,"given":"Wei-Ling","family":"Gao","sequence":"first","affiliation":[{"name":"Department of Craniofacial Orthodontics, Department of Dentistry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi-Hao","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Craniofacial Orthodontics, Department of Dentistry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chi-Yu","family":"Tsai","sequence":"additional","affiliation":[{"name":"Department of Craniofacial Orthodontics, Department of Dentistry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Te-Ju","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Craniofacial Orthodontics, Department of Dentistry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jui-Pin","family":"Lai","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shiu-Shiung","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Craniofacial Orthodontics, Department of Dentistry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu-Jen","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Craniofacial Orthodontics, Department of Dentistry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,4,5]]},"reference":[{"key":"bibr1-10556656211005638","doi-asserted-by":"publisher","DOI":"10.1177\/154405910808700215"},{"key":"bibr2-10556656211005638","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2009.03.030"},{"key":"bibr3-10556656211005638","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_1994_031_0473_eacewd_2.3.co_2"},{"key":"bibr4-10556656211005638","doi-asserted-by":"publisher","DOI":"10.4103\/ams.ams_234_18"},{"key":"bibr5-10556656211005638","doi-asserted-by":"publisher","DOI":"10.1016\/j.bj.2015.10.003"},{"key":"bibr6-10556656211005638","doi-asserted-by":"publisher","DOI":"10.1016\/j.jfma.2019.09.017"},{"key":"bibr7-10556656211005638","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2005.06.008"},{"issue":"4","key":"bibr8-10556656211005638","first-page":"353","volume":"2","author":"Codivilla A","year":"1905","journal-title":"J Bone Joint 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