{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T02:30:46Z","timestamp":1793068246994,"version":"4.5.0"},"reference-count":62,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,3,15]],"date-time":"2021-03-15T00:00:00Z","timestamp":1615766400000},"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":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study evaluates skeletal and dental outcomes of LeFort I advancement surgery in patients with cleft lip and palate (CLP) with varying degrees of maxillary skeletal hypoplasia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Retrospective study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>\n                      Lateral cephalograms were digitized at preoperative (T1), immediately postoperative (T2), and 1-year follow-up (T3) and compared to untreated unaffected controls. Based on the severity of cleft maxillary hypoplasia, the sample was divided into 3 groups using Wits analysis:\n                      <jats:italic>mild<\/jats:italic>\n                      : \u22640 to \u2265\u22125 mm;\n                      <jats:italic>moderate<\/jats:italic>\n                      : &lt;\u22125 to &gt;\u221210 mm; and\n                      <jats:italic>severe<\/jats:italic>\n                      : \u2264\u221210 mm.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>Fifty-one patients with nonsyndromic CLP with hypoplastic maxilla who met inclusion criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention:<\/jats:title>\n                    <jats:p>LeFort I advancement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure:<\/jats:title>\n                    <jats:p>Skeletal and dental stability post-LeFort I surgery at a 1-year follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>At T2, LeFort I surgery produced an average correction of maxillary hypoplasia by 6.4 \u00b1 0.6, 8.1 \u00b1 0.4, and 10.7 \u00b1 0.8 mm in the mild, moderate, and severe groups, respectively. There was a mean relapse of 1 to 1.5 mm observed in all groups. At T3, no statistically significant differences were observed between the surgical groups and controls at angle Sella, Nasion, A point (SNA), A point, Nasion, B point (ANB), and overjet outcome measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>LeFort I advancement produces a stable correction in mild, moderate, and severe skeletal maxillary hypoplasia. Overcorrection is recommended in all patients with CLP to compensate for the expected postsurgical skeletal relapse.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1055665621996108","type":"journal-article","created":{"date-parts":[[2021,3,16]],"date-time":"2021-03-16T19:48:46Z","timestamp":1615924126000},"page":"98-109","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":25,"title":["Skeletal and Dental Correction and Stability Following LeFort I Advancement in Patients With Cleft Lip and Palate With Mild, Moderate, and Severe Maxillary Hypoplasia"],"prefix":"10.1177","volume":"59","author":[{"given":"Buddhathida","family":"Wangsrimongkol","sequence":"first","affiliation":[{"name":"Hansj\u00f6rg Wyss Department of Plastic Surgery, NYU Langone Health, New York, NY, the United States"},{"name":"Department of Preventive Dentistry, Division of Orthodontics, Faculty of Dentistry, Khon Kaen University, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3817-313X","authenticated-orcid":false,"given":"Roberto L.","family":"Flores","sequence":"additional","affiliation":[{"name":"Hansj\u00f6rg Wyss Department of Plastic Surgery, NYU Langone Health, New York, NY, the United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David A.","family":"Staffenberg","sequence":"additional","affiliation":[{"name":"Hansj\u00f6rg Wyss Department of Plastic Surgery, NYU Langone Health, New York, NY, the United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo D.","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Hansj\u00f6rg Wyss Department of Plastic Surgery, NYU Langone Health, New York, NY, the United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9910-5667","authenticated-orcid":false,"given":"Pradip. R.","family":"Shetye","sequence":"additional","affiliation":[{"name":"Hansj\u00f6rg Wyss Department of Plastic Surgery, NYU Langone Health, New York, NY, the United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,3,15]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0266-4356(89)90037-5"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2007.06.018"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.5037\/jomr.2015.6202"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/scs.0b013e31814b2b8c"},{"issue":"6","key":"e_1_3_2_6_1","first-page":"412","article-title":"Le Forte I osteotomy for correction of maxillary deformities","volume":"33","author":"Bell WH","year":"1975","unstructured":"Bell WH. Le Forte I osteotomy for correction of maxillary deformities. J Oral Surg. 1975;33(6):412\u2013426.","journal-title":"J Oral Surg"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2015.09.025"},{"issue":"3","key":"e_1_3_2_8_1","first-page":"239","article-title":"Cephalometric evaluation of facial growth in operated and non-operated individuals with isolated clefts of the palate","volume":"10","author":"Bishara SE","year":"1973","unstructured":"Bishara SE. Cephalometric evaluation of facial growth in operated and non-operated individuals with isolated clefts of the palate. Cleft Palate J. 1973;10(3):239\u2013246.","journal-title":"Cleft Palate J"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e3181ef2eed"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2010.04.033"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000005623"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199705000-00036"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-5406(05)81729-9"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2004.07.051"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-0503(81)80037-9"},{"key":"e_1_3_2_16_1","first-page":"535","volume-title":"Craniofacial Distraction Osteogenesis","author":"Emparanza A","year":"2001","unstructured":"Emparanza A, Vela A, Lasagabaster F. Distraction osteogenesis in maxillary hypoplasia using internal devices: case reports. In: Cherkashin A (ed.) Craniofacial Distraction Osteogenesis. Mosby; 2001. pp. 535\u2013540."},{"key":"e_1_3_2_17_1","first-page":"1571","volume-title":"Dentofacial Deformities: Integrated Orthodontic and Surgical Correction","author":"Epker BN","year":"1998","unstructured":"Epker BN, Sella JP, Fish LC. Dentofacial deformities associated with cleft lip and palate. Dentofacial Deformities: Integrated Orthodontic and Surgical Correction. 2nd ed. Mosby; 1998. pp. 1571\u20131708.","edition":"2"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199211000-00007"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000001800"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000138593.89303.1B"},{"key":"e_1_3_2_21_1","first-page":"485","volume-title":"Craniofacial Distraction Osteogenesis","author":"Figueroa AA","year":"2001","unstructured":"Figueroa AA, Polley JW, Ko E. Distraction osteogenesis for treatment of severe cleft maxillary deficiency with the RED technique. In: Cherkashin A. (ed.) Craniofacial Distraction Osteogenesis. Mosby; 2001. pp. 485\u2013493."},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2017.05.028"},{"key":"e_1_3_2_23_1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_2001_038_0199_cisfmd_2.0.co_2"},{"key":"e_1_3_2_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2009.09.018"},{"key":"e_1_3_2_25_1","doi-asserted-by":"publisher","DOI":"10.1080\/02844310151032556"},{"key":"e_1_3_2_26_1","doi-asserted-by":"publisher","DOI":"10.1054\/ijom.2002.0243"},{"key":"e_1_3_2_27_1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_2001_038_0001_frtral_2.0.co_2"},{"key":"e_1_3_2_28_1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_1993_030_0237_ltrama_2.3.co_2"},{"key":"e_1_3_2_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-5182(89)80121-0"},{"key":"e_1_3_2_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001665-200407000-00025"},{"key":"e_1_3_2_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.coms.2014.08.007"},{"key":"e_1_3_2_32_1","doi-asserted-by":"publisher","DOI":"10.1597\/13-095"},{"key":"e_1_3_2_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2005.03.022"},{"issue":"8","key":"e_1_3_2_34_1","first-page":"CD010403","article-title":"Maxillary distraction osteogenesis versus orthognathic surgery for cleft lip and palate patients","author":"Kloukos D","year":"2018","unstructured":"Kloukos D, Fudalej P, Sequeira-Byron P, Katsaros C. Maxillary distraction osteogenesis versus orthognathic surgery for cleft lip and palate patients. Cochrane Database Syst Rev. 2018;(8):CD010403.","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_2_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000206308.86089.86"},{"key":"e_1_3_2_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0901-5027(05)80808-2"},{"key":"e_1_3_2_37_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001665-199803000-00017"},{"key":"e_1_3_2_38_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199804040-00010"},{"key":"e_1_3_2_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-5182(05)80092-7"},{"key":"e_1_3_2_40_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-196904000-00003"},{"key":"e_1_3_2_41_1","first-page":"23","article-title":"The need for orthognathic surgery in patients born with complete cleft palate or complete unilateral cleft lip and palate","volume":"4","author":"Panula K","year":"1993","unstructured":"Panula K, Lovius BB, Pospisil OA. The need for orthognathic surgery in patients born with complete cleft palate or complete unilateral cleft lip and palate. Oral Surg Oral Diagn. 1993;4:23\u201328.","journal-title":"Oral Surg Oral Diagn"},{"key":"e_1_3_2_42_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001665-199705000-00008"},{"key":"e_1_3_2_43_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199810000-00007"},{"key":"e_1_3_2_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-0503(86)80276-4"},{"key":"e_1_3_2_45_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199005000-00009"},{"key":"e_1_3_2_46_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000204798.50710.a7"},{"key":"e_1_3_2_47_1","doi-asserted-by":"publisher","DOI":"10.4103\/2231-0746.101336"},{"key":"e_1_3_2_48_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199105000-00003"},{"issue":"1","key":"e_1_3_2_49_1","first-page":"5","article-title":"Treatment variables affecting facial growth in complete unilateral cleft lip and palate","volume":"24","author":"Ross RB","year":"1987","unstructured":"Ross RB. Treatment variables affecting facial growth in complete unilateral cleft lip and palate. Cleft Palate J. 1987;24(1):5\u201377.","journal-title":"Cleft Palate J"},{"issue":"4","key":"e_1_3_2_50_1","first-page":"317","article-title":"Stability after Le Fort I osteotomy in cleft lip and palate patients","volume":"13","author":"Saelen R","year":"1998","unstructured":"Saelen R, Tornes K, Halse A. Stability after Le Fort I osteotomy in cleft lip and palate patients. Int J Adult Orthodon Orthognath Surg. 1998;13(4):317\u2013323.","journal-title":"Int J Adult Orthodon Orthognath Surg"},{"key":"e_1_3_2_51_1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_1991_028_0022_asofgi_2.3.co_2"},{"key":"e_1_3_2_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0094-1298(03)00137-8"},{"key":"e_1_3_2_53_1","volume-title":"Stata Statistical Software: Release 14","author":"StataCorp","year":"2015","unstructured":"StataCorp. Stata Statistical Software: Release 14. StataCorp LP; 2015."},{"key":"e_1_3_2_54_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-0503(82)80017-9"},{"key":"e_1_3_2_55_1","doi-asserted-by":"publisher","DOI":"10.1597\/04-042r.1"},{"key":"e_1_3_2_56_1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_2003_040_0054_eoosos_2.0.co_2"},{"key":"e_1_3_2_57_1","first-page":"441","volume-title":"Facial Clefts and Craniosynostosis: Principles and Management","author":"Turvey TA","year":"1996","unstructured":"Turvey TA, Vig KWL, Fonseca RJ. Maxillary advancement and contouring in the presence of cleft lip and palate. In Fonseca R. (ed). Facial Clefts and Craniosynostosis: Principles and Management. 1st ed. Saunders, 1996; pp. 441\u2013503.","edition":"1"},{"key":"e_1_3_2_58_1","doi-asserted-by":"publisher","DOI":"10.1597\/09-224"},{"key":"e_1_3_2_59_1","doi-asserted-by":"publisher","DOI":"10.1597\/14-061.1"},{"key":"e_1_3_2_60_1","doi-asserted-by":"publisher","DOI":"10.1016\/0278-2391(89)90003-7"},{"key":"e_1_3_2_61_1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_2001_038_0024_clapci_2.0.co_2"},{"key":"e_1_3_2_62_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2016.08.007"},{"key":"e_1_3_2_63_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0028-1102910"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1055665621996108","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1055665621996108","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1055665621996108","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:21:43Z","timestamp":1777393303000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1055665621996108"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,15]]},"references-count":62,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"alternative-id":["10.1177\/1055665621996108"],"URL":"https:\/\/doi.org\/10.1177\/1055665621996108","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3,15]]}}}