{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T22:36:16Z","timestamp":1784327776753,"version":"3.55.0"},"reference-count":23,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2016,5,1]],"date-time":"2016-05-01T00:00:00Z","timestamp":1462060800000},"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":[[2016,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The transverse maxillary deficiency frequently observed in patients with cleft lip and palate (CLP) is usually treated by rapid maxillary expansion (RME). Considering that RME causes a significant increase of the internal nasal dimensions in children with unilateral CLP (UCLP), this study aimed to characterize the internal nasal geometry of children with bilateral CLP (BCLP) and transverse maxillary deficiency using acoustic rhinometry. The study also aimed to analyze changes caused by RME.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional prospective study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Laboratory of Physiology, Hospital for Rehabilitation of Craniofacial Anomalies, University of S\u00e3o Paulo, Bauru, SP, Brazil.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Fifteen children with repaired BCLP of both genders, aged 8 to 15 years, referred for RME, were prospectively analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>\n                      Subjects underwent acoustic rhinometry before the expander installation and after the active phase of expansion. Cross-sectional areas (CSA) and volumes (V) of the nasal valve regions (CSA\n                      <jats:sub>1<\/jats:sub>\n                      and V\n                      <jats:sub>1<\/jats:sub>\n                      ) and turbinates (CSA\n                      <jats:sub>2<\/jats:sub>\n                      , CSA\n                      <jats:sub>3<\/jats:sub>\n                      , and V\n                      <jats:sub>2<\/jats:sub>\n                      ), were measured after nasal decongestion.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>In the majority of the subjects, an increase of internal nasal dimensions was observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Percent changes of CSA\n                      <jats:sub>1<\/jats:sub>\n                      , CSA\n                      <jats:sub>2<\/jats:sub>\n                      , CSA\n                      <jats:sub>3<\/jats:sub>\n                      , V\n                      <jats:sub>1<\/jats:sub>\n                      , and V\n                      <jats:sub>2<\/jats:sub>\n                      were: +25%, +11%, +9%, 20%, and +12%, respectively. Differences were significant for all variables studied, except CSA\n                      <jats:sub>3<\/jats:sub>\n                      ( P &lt; .05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>RME promotes an increase in the internal nasal dimensions of children with BCLP, suggesting that RME is capable of substantially improving nasal patency in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1597\/14-244","type":"journal-article","created":{"date-parts":[[2015,1,15]],"date-time":"2015-01-15T15:53:19Z","timestamp":1421337199000},"page":"272-277","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Rapid Maxillary Expansion Increases Internal Nasal Dimensions of Children with Bilateral Cleft Lip and Palate"],"prefix":"10.1177","volume":"53","author":[{"given":"Ivy Kiemle","family":"Trindade-Suedam","sequence":"first","affiliation":[{"name":"Department of Biological Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo Le\u00e3o","family":"Castilho","sequence":"additional","affiliation":[{"name":"Hospital for Rehabilitation of Craniofacial Anomalies, University of S\u00e3o Paulo, Bauru, SP, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Claudia","family":"Martins Sampaio-Teixeira","sequence":"additional","affiliation":[{"name":"Laboratory of Physiology, Hospital for Rehabilitation of Craniofacial Anomalies, University of S\u00e3o Paulo, Bauru, SP, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruna Mara Adorno","family":"Marmotel Ara\u00fajo","sequence":"additional","affiliation":[{"name":"Laboratory of Physiology, Hospital for Rehabilitation of Craniofacial Anomalies, University of S\u00e3o Paulo, Bauru, SP, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Paula","family":"Fukushiro","sequence":"additional","affiliation":[{"name":"Department of Speech Pathology, Bauru School of Dentistry and Laboratory of Physiology, Hospital for Rehabilitation of Craniofacial Anomalies, University of S\u00e3o Paulo, Bauru, SP, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Let\u00edcia Dominguez","family":"Campos","sequence":"additional","affiliation":[{"name":"Hospital for Rehabilitation of Craniofacial Anomalies, University of S\u00e3o Paulo, Bauru, SP, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inge Elly","family":"Kiemle Trindade","sequence":"additional","affiliation":[{"name":"Department of Speech Pathology, Bauru School of Dentistry and Laboratory of Physiology, Hospital for Rehabilitation of Craniofacial Anomalies, University of S\u00e3o Paulo, Bauru, SP, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,5,1]]},"reference":[{"key":"bibr1-14-244","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1967.00760040055011"},{"key":"bibr2-14-244","doi-asserted-by":"publisher","DOI":"10.3109\/00016489709124122"},{"key":"bibr3-14-244","first-page":"1","volume":"75","author":"Bicakci A.A.","year":"2005","journal-title":"Angle Orthod."},{"key":"bibr4-14-244","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2005.05.004"},{"key":"bibr5-14-244","doi-asserted-by":"publisher","DOI":"10.1097\/01.moo.0000193166.57129.80"},{"key":"bibr6-14-244","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2005.12.019"},{"key":"bibr7-14-244","doi-asserted-by":"publisher","DOI":"10.1597\/03-081.1"},{"key":"bibr8-14-244","first-page":"200","volume":"35","author":"Haas A.J.","year":"1965","journal-title":"Angle 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