{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:35:27Z","timestamp":1777523727325,"version":"3.51.4"},"reference-count":50,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2024,2,12]],"date-time":"2024-02-12T00:00:00Z","timestamp":1707696000000},"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":[[2025,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To appraise the degree of intraoperative palatal lengthening with the modified Furlow small double-opposing Z-plasty (sDOZ).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective single-surgeon (R.D.) study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients<\/jats:title>\n                    <jats:p>Nonsyndromic children (n\u2009=\u2009167) with Veau types I to IV cleft palates who underwent primary sDOZ palatoplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>Intraoperative measurements of palatal lengths and widths were collected using calipers, paper rulers, and metal rulers before the administration of local anesthetic solution and before the removal of the mouth gag (initial and final palatal dimensions, respectively).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Assessment of the intraoperative percentage change (difference between final and initial values) in surface palatal length, straight palatal length, and soft palatal length. Bivariate and multivariate analyses were performed to identify independent predictors (sex, age at surgery, Veau, Kernahan\/ Stark, and Randall classifications, widest cleft width, presence of lateral relaxing incision, type of coverage with buccal fat flap, and postoperative complications) of soft palatal lengthening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Surface palatal, straight palatal, and soft palatal lengths had an intraoperative increase of 8%, 14.7%, and 27.7%, respectively. The degree of intraoperative soft palatal lengthening significantly varied among Veau cleft types (I\u2009=\u2009II\u2009&lt;\u2009III\u2009=\u2009IV). Veau type III and cleft lip\/palate were independent positive predictors (P\u2009&lt;\u2009.001) of soft palatal lengthening, while other tested variables were not correlated (P\u2009&gt;\u2009.05) with this outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Overall intraoperative palatal lengthening occurs with the modified sDOZ palatoplasty, with differences within the spectrum of cleft palate deformity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656241233151","type":"journal-article","created":{"date-parts":[[2024,2,13]],"date-time":"2024-02-13T01:14:32Z","timestamp":1707786872000},"page":"932-942","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Validating the Modified Small Double Opposing Z-Plasty for Palatal Lengthening in Primary Palatoplasty"],"prefix":"10.1177","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0525-3480","authenticated-orcid":false,"given":"Rafael","family":"Denadai","sequence":"first","affiliation":[{"name":"Plastic and Cleft-Craniofacial Surgery, A&amp;D DermePlastique, Sao Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chi-Chin","family":"Lo","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University, Taiwan, Taoyuan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyung Joon","family":"Seo","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Biomedical Research Institute, Pusan National University Hospital, Busan, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8436-4247","authenticated-orcid":false,"given":"Nobuhiro","family":"Sato","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Showa University Fujigaoka Hospital, Kanagawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dax Carlo Go","family":"Pascasio","sequence":"additional","affiliation":[{"name":"Section of Plastic and Reconstructive Surgery, Southern Philippines Medical Center, Davao, Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Srinisha","family":"Murali","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Ganga Medical Centre and Hospitals Pvt Ltd, Coimbatore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junior Chun-Yu","family":"Tu","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University, Taiwan, Taoyuan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8390-7059","authenticated-orcid":false,"given":"Pang-Yung","family":"Chou","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University, Taiwan, Taoyuan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lun-Jou","family":"Lo","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University, Taiwan, Taoyuan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,2,12]]},"reference":[{"issue":"4","key":"e_1_3_3_2_2","first-page":"335","article-title":"Palatoplasty: Evolution and controversies","volume":"31","author":"Leow AM","year":"2008","unstructured":"Leow AM, Lo LJ. Palatoplasty: Evolution and controversies. Chang Gung Med J. 2008;31(4):335-345.","journal-title":"Chang Gung Med J"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jfma.2019.10.017"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000085599.84458.D2"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198678060-00002"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31829ad109"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2022.01.038"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2020.07.016"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000011197"},{"key":"e_1_3_3_10_2","doi-asserted-by":"crossref","unstructured":"Denadai R Sato N Seo HJ et al. Medial incision approach in modified small double-opposing Z-plasty for Veau II cleft repair. 2023. in publication.","DOI":"10.1016\/j.jcms.2024.06.005"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000009353"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000002181"},{"issue":"1","key":"e_1_3_3_13_2","article-title":"Dissection in the pyramidal space for effective relief of tension in cleft palate repair","volume":"84","author":"Jung S","year":"2020","unstructured":"Jung S, Lo LJ. Dissection in the pyramidal space for effective relief of tension in cleft palate repair. Ann Plast Surg. 2020;84(1S Suppl 1):S54-S59. doi: https:\/\/doi.org\/10.1097\/SAP.0000000000002169.","journal-title":"Ann Plast Surg"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000018392"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000008648"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656211064769"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2022.08.018"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656221123917"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182910acb"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200011000-00003"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/1055665620915056"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1597\/08-070.1"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-200204000-00004"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2003.05.015"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e31829d2244"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1597\/14-255"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2021.09.017"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000002964"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1177\/1055665618802150"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000006673"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000010524"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000003273"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4684-6366-8"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.4135\/9781412985208"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.4135\/9781849209014"},{"key":"e_1_3_3_36_2","doi-asserted-by":"publisher","DOI":"10.1037\/1082-989X.1.1.30"},{"key":"e_1_3_3_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cps.2017.05.011"},{"issue":"4","key":"e_1_3_3_38_2","first-page":"256","article-title":"The theoretical basis of the Z-plasty","volume":"9","author":"Mcgregor IA","year":"1957","unstructured":"Mcgregor IA. The theoretical basis of the Z-plasty. Br J Plast Surg. 1957;9(4):256-259. doi: https:\/\/doi.org\/10.1016\/s0007-1226(56)80048-9","journal-title":"Br J Plast Surg"},{"key":"e_1_3_3_39_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0007-1226(71)80034-6"},{"key":"e_1_3_3_40_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200009010-00024"},{"key":"e_1_3_3_41_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000004324"},{"key":"e_1_3_3_42_2","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000000407"},{"key":"e_1_3_3_43_2","doi-asserted-by":"publisher","DOI":"10.1001\/archfaci.2012.169"},{"key":"e_1_3_3_44_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2008.05.048"},{"key":"e_1_3_3_45_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7580.2011.01468.x"},{"key":"e_1_3_3_46_2","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_2001_038_0049_cbtpci_2.0.co_2"},{"key":"e_1_3_3_47_2","doi-asserted-by":"publisher","DOI":"10.1597\/09-236"},{"key":"e_1_3_3_48_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000161673.31770.23"},{"key":"e_1_3_3_49_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-200301000-00004"},{"key":"e_1_3_3_50_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656231183385"},{"key":"e_1_3_3_51_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656221141188"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656241233151","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10556656241233151","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656241233151","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:21:42Z","timestamp":1777393302000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10556656241233151"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,12]]},"references-count":50,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1177\/10556656241233151"],"URL":"https:\/\/doi.org\/10.1177\/10556656241233151","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,12]]}}}