{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T18:00:33Z","timestamp":1785088833720,"version":"3.55.0"},"reference-count":39,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T00:00:00Z","timestamp":1784851200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Smile Train","award":["0200856"],"award-info":[{"award-number":["0200856"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Annually, over 6000 infants are born with orofacial clefts (OFC) in Indonesia. This study provides a comprehensive analysis Of OFC patterns in Indonesia over 20 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Ethical approval was obtained from the Research Ethics Committee Universitas Padjadjaran. A retrospective analysis of 45,283 cases (2001-2021) from a Smile Train-funded surgical database was conducted. Chi-square tests were performed using Stata 17.0 to analyze gender, cleft type, and laterality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Cleft lip and palate (CLP) was the most common cleft type, affecting 23,200 individuals (51.23%), followed by cleft lip (CL) in 16,490 (36.42%) and cleft palate (CP) in 5593 (12.35%). Among individuals with CL, 2516 (15.26%) had bilateral clefts and 13,974 (84.74%) had unilateral clefts, with a predominance of left-sided involvement (9194; 65.29%). In the CLP group, 15,499 (66.81%) cases were unilateral, and 7701 (33.19%) were bilateral, with a similar predominance of left-sided involvement (67.55%). Males accounted for 28,254 cases (62.39%). Significant sex differences were observed across cleft types (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001) and CLP laterality, whereas no significant sex differences were found in CL laterality.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings enhance understanding of OFC distribution in Indonesia, offering insights into its morphological patterns. These results are crucial for developing a birth defect surveillance system and planning healthcare services for OFC patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656261471875","type":"journal-article","created":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T13:42:23Z","timestamp":1784900543000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Phenotypic Spectrum of Orofacial Clefts in Indonesia: Insights From Two Decades of Surgical Records"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4678-2744","authenticated-orcid":false,"given":"Erli","family":"Sarilita","sequence":"first","affiliation":[{"name":"Universitas Padjadjaran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agus","family":"Nurwiadh","sequence":"additional","affiliation":[{"name":"Universitas Padjadjaran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter A","family":"Mossey","sequence":"additional","affiliation":[{"name":"University of Dundee Dental Hospital & School"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,24]]},"reference":[{"key":"e_1_3_3_2_2","volume-title":"Report on basic health research (RISKESDAS) 2018","author":"Indonesia Ministry of Health, NIHRD","year":"2019","unstructured":"Indonesia Ministry of Health, NIHRD. 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