{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T23:49:18Z","timestamp":1788824958124,"version":"build-2803163510"},"reference-count":10,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2011,5,1]],"date-time":"2011-05-01T00:00:00Z","timestamp":1304208000000},"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":[[2011,5]]},"abstract":"\n Objective<\/jats:title>\n To summarize the Americleft study regarding treatment outcomes for patients with complete unilateral cleft lip and palate (CUCLP).<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Five cleft palate centers in North America.<\/jats:p>\n <\/jats:sec>\n \n Subjects<\/jats:title>\n One hundred sixty-nine subjects, between the ages of 6 years and 12 years, with repaired CUCLP who were consecutively treated at the five centers.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Study consisted of model comparisons assessing maxillomandibular relationship using the GOSLON Yardstick (169 patients from all 5 centers), soft and hard tissue craniofacial morphologic comparisons using lateral cephalometric analyses (148 patients from four of the centers), and nasolabial esthetics assessments (125 patients from four of the centers).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Significant differences were found between the center with the best GOSLON scores and the remaining centers. These differences also corresponded to those found in the craniofacial morphologic cephalometric assessment. Sagittal maxillary prominence was found to be significantly better for the center with the best GOSLON scores, while no significant differences were seen among the centers for mandibular prominence, vertical dimensions, or dental inclinations. No differences were seen for nasolabial esthetics between the centers.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Challenges experienced while undertaking the inter-center retrospective study are reviewed. Aspects of treatment that could potentially make the outcome of treatment less optimal included primary alveolar bone grafting and extensive treatment protocols. Differences in the outcomes identified between the centers were restricted to the maxilla, and no differences were identified for mandibular prominence, vertical dimensions, or dental inclinations.<\/jats:p>\n <\/jats:sec>","DOI":"10.1597\/09-187.1","type":"journal-article","created":{"date-parts":[[2011,1,10]],"date-time":"2011-01-10T18:44:03Z","timestamp":1294685043000},"page":"265-270","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":74,"title":["The Americleft Study: An Inter-Center Study of Treatment Outcomes for Patients with Unilateral Cleft Lip and Palate Part 5. General Discussion and Conclusions"],"prefix":"10.1177","volume":"48","author":[{"given":"Kathleen","family":"Russell","sequence":"first","affiliation":[{"name":"Division of Orthodontics, and Dalhousie University Staff Orthodontist and Chair, Cleft Palate Team, IWK Health Centre, Halifax, Nova Scotia, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ross E.","family":"Long","sequence":"additional","affiliation":[{"name":"Lancaster Cleft Palate Clinic, Lancaster General Health, and Clinical Professor, Department of Surgery, Penn State College of Medicine, Lancaster, Pennsylvania."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald","family":"Hathaway","sequence":"additional","affiliation":[{"name":"Craniofacial Center, Peyton Manning Children's Hospital at St. Vincent, Indianapolis, Indiana."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Daskalogiannakis","sequence":"additional","affiliation":[{"name":"SickKids Hospital, and Department of Orthodontics, University of Toronto, Toronto, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Mercado","sequence":"additional","affiliation":[{"name":"Division of Orthodontics, College of Dentistry, The Ohio State University, Columbus, Ohio."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marilyn","family":"Cohen","sequence":"additional","affiliation":[{"name":"Regional Cleft-Craniofacial Program, Cooper University Hospital, Moorestown, New Jersey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gunvor","family":"Semb","sequence":"additional","affiliation":[{"name":"University of Oslo, and Affiliate, Oslo Cleft Team, Department of Plastic Surgery, Oslo, Norway, and University of Manchester, Manchester, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Shaw","sequence":"additional","affiliation":[{"name":"Orthodontics and Dentofacial Development, University of Manchester, Manchester, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2011,5,1]]},"reference":[{"key":"bibr1-09-187.1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_2000_037_0012_dricbw_2.3.co_2"},{"key":"bibr2-09-187.1","first-page":"35","volume":"2","author":"Lew K.K.","year":"1994","journal-title":"Asian J Aesthet Dent."},{"key":"bibr3-09-187.1","first-page":"1061","volume-title":"Comprehensive Cleft Care.","author":"Long R.E.","year":"2008"},{"key":"bibr4-09-187.1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_1992_029_0405_asciso_2.3.co_2"},{"key":"bibr5-09-187.1","first-page":"756","volume-title":"Facial clefts and craniosynostosis. Principles and management.","author":"Shaw W.C.","year":"1996"},{"key":"bibr6-09-187.1","doi-asserted-by":"publisher","DOI":"10.1597\/02-119.5.1"},{"key":"bibr7-09-187.1","doi-asserted-by":"publisher","DOI":"10.1597\/04-117r.1"},{"key":"bibr8-09-187.1","first-page":"45","volume":"11","author":"Woon K.C.","year":"1989","journal-title":"Aust Orthod J."},{"key":"bibr9-09-187.1","unstructured":"World Health Organization. Global strategies to reduce the health-care burden of craniofacial anomalies. Report of WHO meetings on International Collaborative Research on Craniofacial Anomalies. WHO Human Genetics Programme; 2002."},{"key":"bibr10-09-187.1","doi-asserted-by":"publisher","DOI":"10.1597\/07-210.1"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1597\/09-187.1","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1597\/09-187.1","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1597\/09-187.1","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:16:37Z","timestamp":1777392997000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1597\/09-187.1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,5]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2011,5]]}},"alternative-id":["10.1597\/09-187.1"],"URL":"https:\/\/doi.org\/10.1597\/09-187.1","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,5]]}}}