{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T08:52:35Z","timestamp":1787820755844,"version":"build-2784847793"},"reference-count":46,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2022,11,13]],"date-time":"2022-11-13T00:00:00Z","timestamp":1668297600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["TL1 TR002318"],"award-info":[{"award-number":["TL1 TR002318"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine whether method of maxillary advancement in adolescents with cleft palate with or without cleft lip (CP\u2009\u00b1\u2009L) influences post-operative velopharyngeal function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Pediatric Tertiary Care Hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>One hundred and ninety-nine patients with CP\u2009\u00b1\u2009L after LeFort I osteotomy for maxillary advancement at our institution between January 2007 and June 2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>LeFort I osteotomy via distraction osteogenesis (DO) or conventional osteotomy (CO).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Patients who underwent DO or CO were compared for the presence of new velopharyngeal insufficiency (VPI), as measured by perceptual rating by a craniofacial speech-language pathologist.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title\/>\n                    <jats:p>Of the 199 patients who underwent maxillary advancement, 126 were available for analysis. The DO group was younger, male, and had more severe maxillary hypoplasia. Following surgery, 17\/41 (41.5%) of the DO group had new VPI, compared to just 23\/85 (27.1%) of the CO group. After adjusting for cleft type and predicted maxillary advancement, however, there was not sufficient evidence to reject the null hypothesis of no difference in risk of post-operative VPI between the two surgical groups (prevalence ratio [PR] 1.40, 95% CI 0.68-2.90). Increased prevalence of VPI after DO versus CO was primarily observed among patients with a pre-operative velopharyngeal need ratio &lt; 0.8 (PR\u2009=\u20092.01, 95% CI 0.79-5.10) and patients with normal velopharyngeal function pre-operatively (PR\u2009=\u20092.86, 95% CI 0.96-8.50).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title\/>\n                    <jats:p>Our results suggest an increased rather than decreased risk of VPI following DO relative to CO. This association is primarily seen among those with a smaller velopharyngeal ratio or perceptually normal velopharyngeal function pre-operatively.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656221138895","type":"journal-article","created":{"date-parts":[[2022,11,14]],"date-time":"2022-11-14T01:24:40Z","timestamp":1668389080000},"page":"422-432","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Does Distraction Lower Risk of VPI Compared to Conventional Maxillary Advancement? A Retrospective Cohort Study of Adolescents with Cleft Palate"],"prefix":"10.1177","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6017-4529","authenticated-orcid":false,"given":"Sara","family":"Kinter","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Division of Craniofacial Medicine, University of Washington, Seattle, WA, USA"},{"name":"Craniofacial Center, Seattle Children's Hospital, Seattle, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Srinivas","family":"Susarla","sequence":"additional","affiliation":[{"name":"Craniofacial Center, Seattle Children's Hospital, Seattle, WA, USA"},{"name":"Department of Oral & Maxillofacial Surgery, University of Washington, Seattle, WA, USA"},{"name":"Department of Surgery, Division of Plastic Surgery, University of Washington, Seattle, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph Christopher","family":"Delaney","sequence":"additional","affiliation":[{"name":"College of Pharmacy, University of Manitoba, Winnipeg, Canada"},{"name":"Department of Epidemiology, University of Washington, Seattle, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathy","family":"Chapman","sequence":"additional","affiliation":[{"name":"Department of Communication Sciences & Disorders, University of Utah, Salt Lake City, UT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hitesh","family":"Kapadia","sequence":"additional","affiliation":[{"name":"Craniofacial Center, Seattle Children's Hospital, Seattle, WA, USA"},{"name":"Department of Surgery, Division of Plastic Surgery, University of Washington, Seattle, WA, USA"},{"name":"Department of Orthodontics, University of Washington, Seattle, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noel","family":"Weiss","sequence":"additional","affiliation":[{"name":"Department 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