{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T04:11:05Z","timestamp":1788667865136,"version":"build-2803163510"},"reference-count":20,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T00:00:00Z","timestamp":1761782400000},"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":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Management of cleft maxillary hypoplasia (CMH) is complex and influenced by multiple factors. While orthognathic surgery (OGS) remains a standard corrective approach, large maxillary advancement often result in compromised stability. Alternative methods, such as anterior maxillary distraction (AMD) and Le Fort 1 distraction, offer gradual advancement but may not address CMH in all dimensions. This study assesses the efficacy of staging CMH treatment using both AMD and OGS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective Observational Study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients<\/jats:title>\n                    <jats:p>Unilateral cleft lip and palate patients with at least 1 year of follow-up post-CMH correction were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention<\/jats:title>\n                    <jats:p>Patients were grouped by maxillary arch perimeter (MAP) and intervention: Group A (&lt;80\u2005mm, AMD\u2009+\u2009OGS), Group B (&gt;90\u2005mm, OGS only), and Group C (&lt;80\u2005mm, OGS only). Maxillary arch perimeter changes, OGS movement, relapse, and postoperative orthodontic treatment duration were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifteen patients (5 per group) were included. Group A showed increased MAP by 7.84\u2005mm post-AMD, accommodating palatally placed teeth. Mean maxillary movement during OGS was comparable in Group A (7.4\u2005mm) and Group B (7.5\u2005mm) but greater in Group C (11.8\u2005mm). Relapse was the least in Group B, followed by Group A and then C. Postoperative orthodontic duration varied: 4 to 6 months for Group A, 3 to 5 months for Group B, and 12 to 16 months for Group C.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Anterior maxillary distraction effectively addresses crowding, maintains Bolton's ratio, increases MAP, and reduces the quantum of movement during subsequent OGS. A preoperative MAP\u2009\u2265\u200985\u2005mm allowed good interarch intercuspation improving stability during OGS and reduced postoperative orthodontic duration. Anterior maxillary distraction proves to be a valuable interim procedure, enhancing overall treatment outcomes in CMH correction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656251385657","type":"journal-article","created":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T17:18:53Z","timestamp":1761844733000},"page":"3208-3213","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Anterior Maxillary Distraction as an Interim Procedure for Management of Cleft Maxillary Hypoplasia"],"prefix":"10.1177","volume":"63","author":[{"given":"Maria","family":"Kuriakose","sequence":"first","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopaedics, Amrita Institute of Medical Sciences, Kochi, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3019-614X","authenticated-orcid":false,"given":"Shibani A.","family":"Nerurkar","sequence":"additional","affiliation":[{"name":"Department of Cleft &amp; Craniomaxillofacial Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9446-0336","authenticated-orcid":false,"given":"Arjun","family":"Krishnadas","sequence":"additional","affiliation":[{"name":"Department of Cleft &amp; Craniomaxillofacial Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arya","family":"V M","sequence":"additional","affiliation":[{"name":"Amrita Institute of Medical Sciences, Kochi, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinanthi","family":"Vinay","sequence":"additional","affiliation":[{"name":"Department of Cleft &amp; Craniomaxillofacial Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1486-2053","authenticated-orcid":false,"given":"Pramod","family":"Subash","sequence":"additional","affiliation":[{"name":"Department of Cleft &amp; Craniomaxillofacial Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,30]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0294059"},{"key":"e_1_3_2_3_2","unstructured":"Hirano A Suzuki DDS. 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