{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T18:58:16Z","timestamp":1785351496772,"version":"3.55.0"},"reference-count":15,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T00:00:00Z","timestamp":1785110400000},"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"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the feasibility of a modified presurgical naso-alveolar molding (PNAM) technique using segmental bowl cutting with contralateral soft-liner augmentation for correcting severely rotated premaxillae in infants with bilateral cleft lip and palate (BCLP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective case series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Clinical case series conducted over a 2-year period (July 2022\u2013July 2024) at a single center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Three infants diagnosed with BCLP presenting with extreme premaxillary rotation (2 rightward, 1 leftward).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All 3 premaxillae achieved the predefined midline criterion within 4 to 5 weeks (28-35 days) at an average correction rate of approximately 2\u2005mm per week. No major complications were observed; mild transient mucosal blanching was noted in 2 infants, which resolved with appliance relief.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Segmental cutting of the PNAM bowl with contralateral soft-liner augmentation appears to be a feasible and clinically useful adjunct for correcting severely rotated premaxillae prior to labioplasty. These preliminary findings require validation in larger, controlled studies before superiority over conventional PNAM can be established.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656261473168","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T14:02:22Z","timestamp":1785160942000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Segmental Premaxillary Bowl Cutting as an Alternative PNAM Approach for Extreme Premaxillary Rotation in Bilateral Cleft Lip and Palate Case Series"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3329-8881","authenticated-orcid":false,"given":"Gian Nur","family":"Alamsyah","sequence":"first","affiliation":[{"name":"Universitas Padjadjaran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helmi Siti","family":"Aminah","sequence":"additional","affiliation":[{"name":"RSUP Dr. Hasan Sadikin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1815-6199","authenticated-orcid":false,"given":"Yunia Dwi","family":"Rakhmatia","sequence":"additional","affiliation":[{"name":"Universitas Padjadjaran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,27]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1038\/nrg2933"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.15537\/smj.2018.2.21020"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.4314\/gmj.v44i1.68851"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40902-018-0182-0"},{"issue":"4","key":"e_1_3_3_6_2","article-title":"Repair of complete bilateral cleft lip with severely protruding premaxilla performing a premaxillary setback and vomerine ostectomy in one stage surgery","volume":"20","author":"Fakih-Gomez N","year":"2015","unstructured":"Fakih-Gomez N, Sanchez-Sanchez M, Iglesias-Martin F, Garcia-Perla-Garcia A, Belmonte-Caro R, Gonzalez-Perez LM. Repair of complete bilateral cleft lip with severely protruding premaxilla performing a premaxillary setback and vomerine ostectomy in one stage surgery. Med Oral Patol Oral Cir Bucal. 2015;20(4):e500-e507. doi:https:\/\/doi.org\/10.4317\/medoral.20568","journal-title":"Med Oral Patol Oral Cir Bucal"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-017-10435-6"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_2001_038_0193_pnomip_2.0.co_2"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.4103\/0976-237X.194104"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.4103\/2321-4848.133804"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31825dc10a"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1597\/11-007"},{"issue":"5","key":"e_1_3_3_13_2","first-page":"1","article-title":"Clinical application of customized presurgical nasoalveolar molding for the treatment of unilateral complete cleft lip and alveolus: Case report","volume":"15","author":"Premkumar S","year":"2018","unstructured":"Premkumar S, Roopa C, Tovani-Palone MR. Clinical application of customized presurgical nasoalveolar molding for the treatment of unilateral complete cleft lip and alveolus: Case report. Electron J Gen Med. 2018;15(5):1-6.","journal-title":"Electron J Gen Med"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.4103\/2321-4848.133804"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/1055665618765781"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.4103\/1735-3327.324027"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656261473168","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10556656261473168","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656261473168","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T18:00:32Z","timestamp":1785348032000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10556656261473168"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,27]]},"references-count":15,"alternative-id":["10.1177\/10556656261473168"],"URL":"https:\/\/doi.org\/10.1177\/10556656261473168","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,27]]},"article-number":"10556656261473168"}}