{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T06:15:47Z","timestamp":1790057747307,"version":"4.0.1"},"reference-count":7,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2024,12,8]],"date-time":"2024-12-08T00:00:00Z","timestamp":1733616000000},"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":[[2026,4]]},"abstract":"\n \n Background<\/jats:italic>\n <\/jats:title>\n Velopharyngeal insufficiency (VPI) is common in patients with a repaired cleft palate. 18% to 20% of patients who undergo superiorly based pharyngeal flap for VPI may require a revision procedure due to persistent hypernasality.<\/jats:p>\n <\/jats:sec>\n \n \n Solution<\/jats:italic>\n <\/jats:title>\n One solution to persistent VPI is flap revision, but there is a paucity of revision techniques described in the literature.<\/jats:p>\n <\/jats:sec>\n \n \n What We Do<\/jats:italic>\n <\/jats:title>\n We present a novel technique for pharyngeal flap revision utilizing a V-to-Y procedure to tighten the lateral pharyngeal ports.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/10556656241305227","type":"journal-article","created":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T01:51:41Z","timestamp":1733709101000},"page":"951-954","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Management of Persistent Hypernasality After Pharyngeal Flap: A Novel V-to-Y Revision Procedure to Tighten the Lateral Ports"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0146-1477","authenticated-orcid":false,"given":"David L.","family":"Best","sequence":"first","affiliation":[{"name":"Atlanta Oral and Maxillofacial Surgery, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vicky","family":"Yau","sequence":"additional","affiliation":[{"name":"Mount Sinai Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"Ma\u00f1on","sequence":"additional","affiliation":[{"name":"Northeast Oral and Maxillofacial Surgery, Kingwood, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shannon","family":"Noto","sequence":"additional","affiliation":[{"name":"John R. Oishei Children's Hospital, Craniofacial Center of Western New York, Buffalo, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert J.","family":"Perry","sequence":"additional","affiliation":[{"name":"Pediatric Plastic Surgery, John R. Oishei Children's Hospital, Buffalo, NY, USA"},{"name":"Department of Surgery, Jacobs School of Medicine and Biomedical Sciences, SUNY Buffalo, Buffalo, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,12,8]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181c2a6c1"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/1055665620919326"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40902-018-0164-2"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamafacial.2015.0093"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_1998_035_0447_stfpio_2.3.co_2"},{"key":"e_1_3_2_7_2","first-page":"331","article-title":"A clarification of the surgical goals in cleft palate speech and the introduction of the lateral port control (l.p.c.) pharyngeal flap","volume":"10","author":"Hogan VM","year":"1973","unstructured":"Hogan VM. A clarification of the surgical goals in cleft palate speech and the introduction of the lateral port control (l.p.c.) pharyngeal flap. Cleft Palate J. 1973;10(4):331\u2010345.","journal-title":"Cleft Palate J"},{"key":"e_1_3_2_8_2","first-page":"237308","article-title":"The lateral port control pharyngeal flap: A thirty-year evolution and followup","volume":"2013","author":"Boutros S","year":"2013","unstructured":"Boutros S, Cutting C. The lateral port control pharyngeal flap: A thirty-year evolution and followup. Plast Surg Int. 2013;2013:237308. doi:https:\/\/doi.org\/10.1155\/2013\/237308","journal-title":"Plast Surg Int"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656241305227","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10556656241305227","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656241305227","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:22:14Z","timestamp":1777393334000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10556656241305227"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,8]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1177\/10556656241305227"],"URL":"https:\/\/doi.org\/10.1177\/10556656241305227","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,8]]}}}