{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T03:48:36Z","timestamp":1783396116574,"version":"3.54.6"},"reference-count":50,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T00:00:00Z","timestamp":1716336000000},"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":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to determine the efficacy of gingivoperiosteoplasty (GPP) in preventing alveolar bone grafting (ABG) among children with cleft lip and palate (CLP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design\/Setting<\/jats:title>\n                    <jats:p>Retrospective university hospital single center study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients<\/jats:title>\n                    <jats:p>Children with CLP treated with GPP from 2000-2015 were included. Those under eight years of age, without definitive conclusions regarding need for ABG or with incomplete data were excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>Included patients were analyzed for demographics, cleft type, age at GPP, associated cleft surgery, use of nasoalveolar molding (NAM), indication for ABG, operating surgeon and presence of residual alveolar fistula. T-tests and Fisher's exact tests were utilized for statistical analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure<\/jats:title>\n                    <jats:p>The need for ABG.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 1682 children identified with CLP, 64 underwent GPP and met inclusion criteria. 78% of patients with CLP who underwent GPP were recommended for ABG. Those who received GPP at a younger age (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.004) and at the time of initial cleft lip repair (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.022) were less likely to be recommended for ABG. Patients with complete CLP were more likely to be recommended for ABG than patients with cleft lip and alveolus only (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.015). The operating surgeon impacted the likelihood of ABG (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.004). Patient gender, race, ethnicity, laterality, and NAM were not significantly associated with recommendation for ABG.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>GPP does not preclude the need for ABG. Therefore, the success of ABG after GPP and maxillary growth restriction should be analyzed further to determine if GPP is a worthwhile adjunct to ABG in cleft care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656241256917","type":"journal-article","created":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T01:41:20Z","timestamp":1716428480000},"page":"1395-1401","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Gingivoperiosteoplasty in Children with Cleft Lip and Palate: The Need for Alveolar Bone Grafting"],"prefix":"10.1177","volume":"62","author":[{"given":"Darius","family":"Balumuka","sequence":"first","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Oregon Health and Science University, Portland, OR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2780-7894","authenticated-orcid":false,"given":"Gwendolyn E.","family":"Daly","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Oregon Health and Science University, Portland, OR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelsi","family":"Krakauer","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Stanford University, Stanford, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Burch","sequence":"additional","affiliation":[{"name":"School of Medicine, Oregon Health and Science University, Portland, OR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Breanna","family":"Jedrzejewski","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Oregon Health and Science University, Portland, OR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicia","family":"Johnson","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Oregon Health and Science University, Portland, OR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lori K.","family":"Howell","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Oregon Health and Science University, Portland, OR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik M.","family":"Wolfswinkel","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Oregon Health and Science University, Portland, OR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,5,22]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics13091642"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.7181\/acfs.2015.16.2.49"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.coms.2021.01.007"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41415-023-6002-7"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656221080990"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9020576"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2009.04.102"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000302461.56820.c9"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/1055665618788421"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.7181\/acfs.2022.00115"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e3181b3efda"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-979283"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000001897"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000001935"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000010681"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/27325016221111449"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.12669\/pjms.38.7.5422"},{"issue":"5","key":"e_1_3_3_19_2","article-title":"The facial growth pattern and the amount of palatal bone deficiency relative to cleft size should be considered in treatment planning","volume":"4","author":"Berkowitz S","year":"2016","unstructured":"Berkowitz S. 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