{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T18:15:44Z","timestamp":1778868944734,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T00:00:00Z","timestamp":1745971200000},"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":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the impact of bimaxillary osteotomy on upper airway metrics and patient-reported sleep quality in patients with cleft lip and palate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective cohort study involving Class III patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>A specialized craniofacial surgery center within a tertiary care institution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients\/Participants<\/jats:title>\n                    <jats:p>Eight patients with unilateral cleft lip and palate were included, undergoing pre- and postoperative assessments (\u22651 year after surgery).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>Bimaxillary orthognathic surgery, including mandibular setback and maxillary advancement. Cone-beam computed tomography (CBCT), nasopharyngoscopy, and polysomnography were performed, along with sleep quality questionnaires (Epworth and Berlin scales).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcomes<\/jats:title>\n                    <jats:p>Upper airway (UA) volume and minimum cross-sectional area assessed via CBCT; apnea\u2013hypopnea index (AHI) from polysomnography; airflow analysis and sleep quality assessments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>No significant changes were observed in UA volume or minimum cross-sectional area, including the oropharynx and hypopharynx regions. Similarly, there were no clinical repercussions on sleep, with AHI remaining stable between pre- and postoperative assessments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this cohort of 8 patients with unilateral cleft lip and palate, bimaxillary osteotomy did not result in significant changes in upper airway metrics or patient-reported sleep quality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656251338966","type":"journal-article","created":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T03:47:02Z","timestamp":1745984822000},"page":"1504-1514","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Evaluation of Upper Airway and Sleep Quality in Patients With Unilateral Cleft Lip and Palate Undergoing Orthognathic Surgery: A Pilot Study"],"prefix":"10.1177","volume":"63","author":[{"given":"Marina de Almeida Barbosa","family":"Mello","sequence":"first","affiliation":[{"name":"Hospital for Rehabilitation of Craniofacial Anomalies\u2014University of S\u00e3o Paulo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0369-2757","authenticated-orcid":false,"given":"Caroline de Paula Oliveira","family":"Gringo","sequence":"additional","affiliation":[{"name":"Hospital for Rehabilitation of Craniofacial Anomalies\u2014University of S\u00e3o Paulo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Carolina Bonetti","family":"Valente","sequence":"additional","affiliation":[{"name":"Hospital for Rehabilitation of Craniofacial Anomalies\u2014University of S\u00e3o Paulo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruno Marcos Zeponi Fernandes de","family":"Mello","sequence":"additional","affiliation":[{"name":"Hospital das Cl\u00ednicas da Faculdade de Medicina de Botucatu"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luiz Fernando Manzoni","family":"Louren\u00e7one","sequence":"additional","affiliation":[{"name":"Hospital for Rehabilitation of Craniofacial Anomalies\u2014University of S\u00e3o Paulo"},{"name":"Bauru School of Dentistry\u2014University of S\u00e3o Paulo, Bauru, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergio Henrique Kiemle","family":"Trindade","sequence":"additional","affiliation":[{"name":"Hospital for Rehabilitation of Craniofacial Anomalies\u2014University of S\u00e3o Paulo"},{"name":"Bauru School of Dentistry\u2014University of S\u00e3o Paulo, Bauru, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivy Kiemle Trindade","family":"Suedam","sequence":"additional","affiliation":[{"name":"Hospital for Rehabilitation of Craniofacial Anomalies\u2014University of S\u00e3o Paulo"},{"name":"Bauru School of Dentistry\u2014University of S\u00e3o Paulo, Bauru, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renato Yassutaka Faria","family":"Yaed\u00fa","sequence":"additional","affiliation":[{"name":"Hospital for Rehabilitation of Craniofacial Anomalies\u2014University of S\u00e3o Paulo"},{"name":"Bauru School of Dentistry\u2014University of S\u00e3o Paulo, Bauru, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,4,30]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2016.12.033"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1597\/15-322"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000006820"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2015.02.007"},{"issue":"5","key":"e_1_3_2_6_2","first-page":"502","article-title":"Tomographic pharyngeal dimensions in individuals with unilateral cleft lip\/palate and class III malocclusion are reduced when compared with controls","volume":"54","author":"Trindade-Suedam IK","unstructured":"Trindade-Suedam IK, Lima TF, Campos LD, Yaed\u00fa RYF, Filho HN, Trindade IEK. Tomographic pharyngeal dimensions in individuals with unilateral cleft lip\/palate and class III malocclusion are reduced when compared with controls. Cleft Palate-Craniofa J. set. 2017;54(5):502\u2010508. Dispon\u00edvel em: http:\/\/dx.doi.org\/10.1597\/15-124","journal-title":"Cleft Palate-Craniofa J"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25543"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-5182(05)80092-7"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.36557\/2674-8169.2024v6n3p148-154"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-131-7-199910050-00002"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/14.6.540"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.2172"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2009.06.001"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1597\/16-013"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2014.04.005"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/1055665618778622"},{"issue":"2","key":"e_1_3_2_17_2","first-page":"340.e1\u2013340.e9","article-title":"A 2-year follow-up of changes after bimaxillary surgery in patients with mandibular prognathism: 3-dimensional analysis of pharyngeal airway volume and hyoid bone position","volume":"73","author":"Shin J-H","unstructured":"Shin J-H, Kim M-A, Park I-Y, Park Y-H. A 2-year follow-up of changes after bimaxillary surgery in patients with mandibular prognathism: 3-dimensional analysis of pharyngeal airway volume and hyoid bone position. J Oral Maxillofac Surg. 1 fev. 2015;73(2):340.e1\u2013340.e9. Dispon\u00edvel em: https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0278239114016012","journal-title":"J Oral Maxillofac Surg"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12663-013-0524-5"},{"key":"e_1_3_2_19_2","article-title":"Influence of bimaxillary surgery on pharyngeal airway in class III deformities and effect on sleep apnea: A STOP-BANG questionnaire and cone-beam computed tomography study","author":"Gandedkar NH","unstructured":"Gandedkar NH, Chng CK, Por YC, Yeow VKL, Chiew AOT, EE ST. Influence of bimaxillary surgery on pharyngeal airway in class III deformities and effect on sleep apnea: A STOP-BANG questionnaire and cone-beam computed tomography study. J Oral Maxillofac Surg. 1 jun. 2017b. Dispon\u00edvel em: http:\/\/dx.doi.org\/10.1016\/j.joms.2017.05.028","journal-title":"J Oral Maxillofac Surg"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2011.01.011"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2010.10.006"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2010.02.033"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2011.09.008"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656251338966","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10556656251338966","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656251338966","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T17:48:27Z","timestamp":1778867307000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10556656251338966"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,30]]},"references-count":22,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1177\/10556656251338966"],"URL":"https:\/\/doi.org\/10.1177\/10556656251338966","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,30]]}}}