{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:37:55Z","timestamp":1777523875397,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,11,18]],"date-time":"2024-11-18T00:00:00Z","timestamp":1731888000000},"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":[[2026,1]]},"abstract":"\n Objective<\/jats:title>\n This study analyzes indications and outcomes of premaxillary setback (PS) and presents an algorithm for its use in patients with bilateral cleft lip and\/or palate (BCL\u2009\u00b1\u2009P).<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Retrospective review.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Children's Hospital Los Angeles.<\/jats:p>\n <\/jats:sec>\n \n \n Patients, Participants<\/jats:italic>\n <\/jats:title>\n A retrospective review was conducted evaluating patients with BCL\u2009\u00b1\u2009P undergoing lip repair from 2003\u20132023. Patients were categorized as undergoing repair with (BCL\u2009+\u2009PS) or without (BCL-PS) simultaneous PS. Presurgical nasoalveolar molding (NAM), indications for PS, timing of surgery, and complications were collected.<\/jats:p>\n <\/jats:sec>\n \n Interventions<\/jats:title>\n BCL with PS, BCL\u2009+\u2009PS.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measures(s)<\/jats:title>\n Primary outcomes included rates of postoperative complications and revision surgeries. Secondary outcome was the need for orthognathic surgery to correct midface hypoplasia in patients at least 14 years old at their most recent follow-up.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Of 1193 patients, 262 met inclusion criteria. One hundred forty-nine patients (56.9%) were referred for NAM. Fifty-one patients (19.5%) underwent PS during primary BCL repair. Patients who failed repositioning of the premaxilla following presurgical NAM (n\u2009=\u200912) were not candidates for NAM (n\u2009=\u200931) or presented late with a protruding premaxilla (n\u2009=\u20098, 12.977\u2009\u00b1\u20098.196 months) underwent PS. Median age at surgery was 4.29 months. Complications included wound dehiscence (n\u2009=\u20093) and abscess formation (n\u2009=\u20092). No premaxillary necrosis occurred. Overall revision rates were 9.9%. Of 41 patients over 14 years old, 53.6% needed orthognathic surgery. BCL\u2009+\u2009PS had comparable rates of wound dehiscence (2.0% vs 4.0%;\n P<\/jats:italic>\n \u2009=\u2009.790), lip revisions (7.8% vs 10.4%;\n P<\/jats:italic>\n \u2009=\u2009.770), and orthognathic surgery (50.0% vs 56.3%;\n P<\/jats:italic>\n \u2009>\u2009.999).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n PS is a safe and effective method to facilitate BCL repair in patients who are not candidates for NAM.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/10556656241298824","type":"journal-article","created":{"date-parts":[[2024,11,18]],"date-time":"2024-11-18T03:45:00Z","timestamp":1731901500000},"page":"104-111","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Premaxillary Setback in the Management of Patients With Bilateral Cleft Lip: A 2 Decade Review"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7043-2210","authenticated-orcid":false,"given":"Marah I.","family":"Jolibois","sequence":"first","affiliation":[{"name":"Children's Hospital Los Angeles"},{"name":"Albany Medical College"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3336-0540","authenticated-orcid":false,"given":"Sasha","family":"Lasky","sequence":"additional","affiliation":[{"name":"Children's Hospital Los Angeles"},{"name":"Keck School of Medicine, University of Southern California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0063-8584","authenticated-orcid":false,"given":"Eloise W.","family":"Stanton","sequence":"additional","affiliation":[{"name":"Keck School of Medicine of USC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7843-583X","authenticated-orcid":false,"given":"Idean","family":"Roohani","sequence":"additional","affiliation":[{"name":"Children's Hospital Los Angeles"},{"name":"Keck School of Medicine, University of Southern California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9078-7809","authenticated-orcid":false,"given":"Tayla","family":"Moshal","sequence":"additional","affiliation":[{"name":"Children's Hospital Los Angeles"},{"name":"Keck School of Medicine, University of Southern California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lacey","family":"Foster","sequence":"additional","affiliation":[{"name":"Keck School of Medicine, University of Southern California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatemah","family":"Husain","sequence":"additional","affiliation":[{"name":"Children's Hospital Los Angeles"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2731-837X","authenticated-orcid":false,"given":"Naikhoba CO","family":"Munabi","sequence":"additional","affiliation":[{"name":"Children's Hospital Los Angeles"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark M.","family":"Urata","sequence":"additional","affiliation":[{"name":"Children's Hospital Los Angeles"},{"name":"Keck School of Medicine of USC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"III","given":"William P.","family":"Magee","sequence":"additional","affiliation":[{"name":"Children's Hospital Los Angeles"},{"name":"Keck School of Medicine of USC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0030-1420","authenticated-orcid":false,"given":"Jeffrey A.","family":"Hammoudeh","sequence":"additional","affiliation":[{"name":"Children's Hospital Los Angeles"},{"name":"Keck School of Medicine of USC"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,11,18]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/JS9.0000000000000406"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656211062042"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1597\/07-236.1"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656221130166"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1597\/14-099"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rjw240"},{"issue":"2","key":"e_1_3_2_8_2","first-page":"97","article-title":"Long-term effects of premaxillary setback on facial skeletal profile in complete bilateral cleft lip and palate","volume":"22","author":"Friede H","year":"1985","unstructured":"Friede H, Pruzansky S. Long-term effects of premaxillary setback on facial skeletal profile in complete bilateral cleft lip and palate. Cleft Palate J. 1985;22(2):97-105.","journal-title":"Cleft Palate J"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9416(53)90082-7"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1601-6343.2006.00363.x"},{"issue":"1","key":"e_1_3_2_11_2","first-page":"8","article-title":"Cephalometrics in clinical practice","volume":"29","author":"Steiner CC","year":"1959","unstructured":"Steiner CC. Cephalometrics in clinical practice. Angle Orthod. 1959;29(1):8-29.","journal-title":"Angle Orthod"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e318205f3ac"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_2001_038_0193_pnomip_2.0.co_2"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1597\/04-114r.1"},{"issue":"6","key":"e_1_3_2_15_2","first-page":"3988","article-title":"Modified presurgical nasoalveolar molding for patients with neonatal complete bilateral cleft lip and palate having a severely malpositioned premaxilla","volume":"14","author":"Hao J","year":"2022","unstructured":"Hao J, Wan Q, Liu J, et al. Modified presurgical nasoalveolar molding for patients with neonatal complete bilateral cleft lip and palate having a severely malpositioned premaxilla. 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