{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T13:57:18Z","timestamp":1790776638853,"version":"4.1.0"},"reference-count":17,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T00:00:00Z","timestamp":1766361600000},"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":[[2026,9]]},"abstract":"\n Objective<\/jats:title>\n To evaluate and compare the morphology of the pterygomaxillary suture (PMS) in unilateral cleft lip and palate (UCLP), bilateral cleft lip and palate (BCLP), and non-cleft (NC) individuals using cone-beam computed tomography (CBCT), focusing on side-specific differences relevant to Le Fort I osteotomy planning.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Retrospective cross-sectional study.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Oral and maxillofacial radiology clinic of a university-affiliated center, where CBCT data were originally obtained for diagnostic purposes.<\/jats:p>\n <\/jats:sec>\n \n Patients<\/jats:title>\n \n One hundred and fifty-six subjects\u201457 UCLP, 21 BCLP, and 78 NC\u2014matched for age and sex (\n P<\/jats:italic>\n \u202f>\u202f.25). Inclusion required complete records and high-quality CBCT scans; patients with syndromic anomalies or prior orthognathic surgery were excluded.\n <\/jats:p>\n <\/jats:sec>\n \n Interventions<\/jats:title>\n CBCT scans were retrospectively analyzed using standardized NNT software (v 6.2). Anatomical landmarks were referenced to the midsagittal plane for reproducibility.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measures<\/jats:title>\n \n Seven PMS parameters\u2014thickness, width, length, angulation, lateral pterygoid plate (LPP) length, medial pterygoid plate (MPP) length, and distance to the greater palatine foramen (GPF)\u2014were compared using ANOVA, paired-sample\n t<\/jats:italic>\n -tests, and Tukey post-hoc analyses (\u03b1\u202f=\u202f0.05).\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n PMS angulation was higher in UCLP (79.82\u202f\u00b1\u202f7.96\u00b0) and BCLP (79.84\u202f\u00b1\u202f9.11\u00b0) compared with NC (75.90\u202f\u00b1\u202f8.07;\n P<\/jats:italic>\n \u202f<\u202f.001). In UCLP, the cleft side showed greater angulation and shorter LPP (\n P<\/jats:italic>\n \u202f=\u202f.027;\n P<\/jats:italic>\n \u202f=\u202f.001). Other parameters did not differ significantly.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n CLP patients show increased PMS angulation and cleft-side LPP shortening compared with controls. These variations may be relevant to surgical planning; however, the present study did not assess surgical outcomes. Future research should determine whether such differences influence intraoperative complexity.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/10556656251408756","type":"journal-article","created":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T18:06:42Z","timestamp":1766426802000},"page":"2996-3005","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Morphometric Evaluation of the Pterygomaxillary Suture in Patients with Unilateral and Bilateral Cleft Lip and Palate Using Cone-Beam Computed Tomography"],"prefix":"10.1177","volume":"63","author":[{"given":"Salma","family":"Tabatabaei","sequence":"first","affiliation":[{"name":"Shiraz University of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamid Reza","family":"Heidari","sequence":"additional","affiliation":[{"name":"Shiraz University of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9022-6518","authenticated-orcid":false,"given":"Maryam","family":"Paknahad","sequence":"additional","affiliation":[{"name":"Shiraz University of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,22]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000006588"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.3390\/app13063825"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jormas.2020.06.006"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-020-03757-9"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656211023239"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.25241\/stomaeduj.2022.9(1).art.4"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/1055665620969575"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jormas.2024.101948"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656241300901"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2021.09.002"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000003514"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000001605"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2019.11.017"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jormas.2018.01.005"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2011.01.004"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12663-014-0720-y"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40510-021-00382-4"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656251408756","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10556656251408756","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656251408756","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T13:11:46Z","timestamp":1790773906000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10556656251408756"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,22]]},"references-count":17,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1177\/10556656251408756"],"URL":"https:\/\/doi.org\/10.1177\/10556656251408756","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,22]]}}}