{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T07:12:10Z","timestamp":1791529930561,"version":"4.3.4"},"reference-count":42,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T00:00:00Z","timestamp":1757980800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","award":["001"],"award-info":[{"award-number":["001"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to assess the impact of two-stage palatoplasty incorporating a vomer flap on facial growth of individuals with bilateral cleft lip and palate (BCLP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Hospital for Rehabilitation of Craniofacial Anomalies, University of S\u00e3o Paulo, Bauru, Brazil.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross-sectional study involving patients who underwent labial adhesion and anterior palatoplasty with a vomer flap at 3 and 5 months, followed by posterior palatoplasty at 12 months. Individuals without prior orthodontic treatment or secondary alveolar bone grafting were included. Cephalometric radiographs were obtained during mixed or early permanent dentition. A control group of untreated class I individuals without clefts was evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>The sample comprised 49 individuals with BCLP (17 females, 32 males; mean age 8.91 years) and 44 control subjects (17 females, 27 males; mean age 8.91 years).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure<\/jats:title>\n                    <jats:p>\n                      Cephalometric analysis was conducted using Dolphin Imaging software (version 11.95). Intergroup comparisons were performed using independent t-tests and Mann-Whitney U tests (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      No significant difference between groups was found in maxillary sagittal position. However, BCLP group showed a significantly smaller SNB angle (mean difference \u22122.1\u00b0,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.003) and a more convex skeletal profile compared to the noncleft group. Additionally, BCLP group exhibited severe lingual inclination of the maxillary incisors, (MD\u2009=\u2009\u201331.6\u00b0,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001) and a high prevalence of anterior crossbite.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>At the time of observation, the maxillary sagittal position appeared comparable between groups. However, mandibular retrusion contributed to a more convex profile. The severe retroinclination of maxillary incisors determined a negative overjet. Longitudinal follow up are needed to confirm long-term maxillofacial growth outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656251376513","type":"journal-article","created":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T17:55:57Z","timestamp":1758045357000},"page":"2364-2372","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Facial Growth in Patients With Bilateral Cleft Lip and Palate After two-Stage Palatoplasty Using Vomer Flap"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-5880-3960","authenticated-orcid":false,"given":"Roberta Costa e","family":"Silva","sequence":"first","affiliation":[{"name":"University of S\u00e3o Paulo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4015-0623","authenticated-orcid":false,"given":"Felicia","family":"Miranda","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Paulo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shana","family":"Rufino","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Paulo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Terumi Okada","family":"Ozawa","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Paulo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriela Neves","family":"de Castro","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Paulo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Garib","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Paulo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Fernando","family":"Castanha Henriques","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Paulo"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9,16]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_1998_035_0040_ioclap_2.3.co_2"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_1991_028_0022_asofgi_2.3.co_2"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_2003_040_0144_iolroc_2.0.co_2"},{"issue":"1","key":"e_1_3_2_5_2","first-page":"5","article-title":"Treatment variables affecting facial growth in complete unilateral cleft lip and palate","volume":"24","author":"Ross RB","year":"1987","unstructured":"Ross RB. 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