{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T12:48:47Z","timestamp":1791550127861,"version":"4.3.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2026,3,29]],"date-time":"2026-03-29T00:00:00Z","timestamp":1774742400000},"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":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the impact of single-stage posterior vomerine ostectomy with premaxillary setback (PVPS) on craniofacial development in children with bilateral cleft lip and palate (BCLP) and a protuberant premaxilla.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective pilot study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Resource-limited outreach setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients, Participants<\/jats:title>\n                    <jats:p>Fifty-two children were included: 22 with BCLP who underwent PVPS before 8 years of age and 30 age-matched non-cleft controls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>Single-stage PVPS with bilateral gingivoperiosteoplasties, bilateral cleft lip repair, and primary rhinoplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure(s)<\/jats:title>\n                    <jats:p>\n                      Twenty-two cephalometric parameters assessed post-operatively; intergroup comparisons made using the Mann\u2013Whitney\n                      <jats:italic toggle=\"yes\">U<\/jats:italic>\n                      -test with post-hoc power analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 22 cephalometric variables, 16 showed no statistically significant differences between PVPS-treated and control groups, indicating minimal overall impact of PVPS on craniofacial growth. Significant differences were noted in SNA (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.05), ANB (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.02), N-A-Pog (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.01), A-Ptm (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.01), (ANS-Ptm\/M-Me)% (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.03), and HSTA (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.01). These differences reflected localized or subtle growth effects rather than global craniofacial alterations.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>PVPS appears to preserve craniofacial growth in the preadolescent period in BCLP patients with a protruding premaxilla, with limited and localized impact on specific parameters. While not recommended when preoperative orthodontics is available, PVPS provides a valuable alternative in resource-limited settings by achieving adequate results, reducing psychosocial stigma, improving societal integration, and consolidating surgical interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656261436222","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T04:53:58Z","timestamp":1774846438000},"page":"3874-3884","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Effect of Single-Stage Posterior Vomerine Ostectomy\/Premaxillary Setback on Facial Growth in Bilateral Cleft Lip and Protuberant Premaxilla"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3654-7262","authenticated-orcid":false,"given":"Usama S.","family":"Hamdan","sequence":"first","affiliation":[{"name":"Global Smile Foundation, Norwood, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucille","family":"Ridgell","sequence":"additional","affiliation":[{"name":"Global Smile Foundation, Norwood, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1506-0295","authenticated-orcid":false,"given":"Jose A.","family":"Garcia-Garcia","sequence":"additional","affiliation":[{"name":"Global Smile Foundation, Norwood, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8671-0756","authenticated-orcid":false,"given":"Dhruv","family":"Ahuja","sequence":"additional","affiliation":[{"name":"Manav Rachna International Institute of Research and Studies"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaitlin M.","family":"Smith","sequence":"additional","affiliation":[{"name":"University of California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lizbeth","family":"Roman","sequence":"additional","affiliation":[{"name":"Global Smile Foundation, Norwood, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beyhan","family":"Annan","sequence":"additional","affiliation":[{"name":"Global Smile Foundation, Norwood, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuliana","family":"Roggiero","sequence":"additional","affiliation":[{"name":"Global Smile Foundation, Norwood, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3529-6249","authenticated-orcid":false,"given":"Wassim","family":"Najjar","sequence":"additional","affiliation":[{"name":"Global Smile Foundation, Norwood, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Liau","sequence":"additional","affiliation":[{"name":"University of Kentucky"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4201-4235","authenticated-orcid":false,"given":"Puneet","family":"Batra","sequence":"additional","affiliation":[{"name":"Manav Rachna International Institute of Research and Studies"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,29]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000006911"},{"key":"e_1_3_3_3_2","first-page":"351","article-title":"A question of the role of the vomer in the growth of the premaxillary segment","volume":"12","author":"Latham RA","year":"1975","unstructured":"Latham RA, Deaton TG, Calabrese CT. 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