{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T01:08:26Z","timestamp":1785805706097,"version":"3.56.0"},"reference-count":74,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2012,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To systematically review the long-term skeletal stability after maxillary advancement with distraction osteogenesis (DO) in cleft lip and palate (CLP) patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Electronic databases, grey literature, and reference list searches were conducted. The inclusion criteria were stability of maxillary advancement with distraction osteogenesis assessed at the posttreatment follow-up \u2265 1\u00a0year in CLP patients. Full articles were retrieved from abstracts or titles that appear to meet the inclusion criteria or lacked sufficient detail for immediate exclusion. Once full articles were collected, they were again reviewed considering more detailed inclusion criteria for a final selection decision. A methodologic quality assessment tool was utilized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Thirty abstracts\/titles met the initial search criteria, and 13 articles were finally selected. Overall, methodologic quality scores were high in only one randomized clinical trial. After maxillary advancement with DO in CLP patients, the long-term horizontal relapse in A-point was less than 15% in eight studies and between 20% and 25% in four studies. The study that was judged as a high-quality study reported 8.2% horizontal relapse in A-point. The relapse rate was higher in DO with external distracter device than DO with internal distracter device.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Current evidence suggests maxillary advancement with DO has good stability in CLP patients with moderate and severe maxillary hypoplasia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2319\/011212-27.1","type":"journal-article","created":{"date-parts":[[2012,4,16]],"date-time":"2012-04-16T16:39:42Z","timestamp":1334594382000},"page":"1115-1122","source":"Crossref","is-referenced-by-count":46,"title":["Long-term skeletal stability after maxillary advancement with distraction osteogenesis in cleft lip and palate patients"],"prefix":"10.2319","volume":"82","author":[{"given":"Humam","family":"Saltaji","sequence":"first","affiliation":[{"name":"PhD Graduate Student, Orthodontic Graduate Program, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael P.","family":"Major","sequence":"additional","affiliation":[{"name":"MSc Graduate Student, Orthodontic Graduate Program, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mostafa","family":"Altalibi","sequence":"additional","affiliation":[{"name":"MSc Graduate Student, Orthodontic Graduate Program, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Youssef","sequence":"additional","affiliation":[{"name":"Professor and Dean, Department of Orthodontics, Faculty of Dentistry, Damascus University, Damascus, Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Flores-Mir","sequence":"additional","affiliation":[{"name":"Associate Professor and Head of the Division of Orthodontics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"key":"i0003-3219-82-6-1115-b01","series-title":"J Craniofac Surg","first-page":"117","article-title":"Maxillary distraction in cleft lip palate patients: a review of six cases.","volume":"10","author":"Swennen, G.","year":"1999","unstructured":"Swennen, G., F.Colle, A.De May, and C.Malevez. Maxillary distraction in cleft lip palate patients: a review of six cases.J Craniofac Surg1999. 10:117\u2013122."},{"key":"i0003-3219-82-6-1115-b02","series-title":"Plast Reconstr Surg","first-page":"1382","article-title":"Long-term skeletal stability after maxillary advancement with distraction osteogenesis using a rigid external distraction device in cleft maxillary deformities.","volume":"114","author":"Figueroa, A. A.","year":"2004","unstructured":"Figueroa, A. A., J. W.Polley, H.Friede, and E. W.Ko. Long-term skeletal stability after maxillary advancement with distraction osteogenesis using a rigid external distraction device in cleft maxillary deformities.Plast Reconstr Surg2004. 114:1382\u20131392."},{"key":"i0003-3219-82-6-1115-b03","series-title":"J Craniofac Surg","first-page":"662","article-title":"Le Fort I in cleft patients: 20\u00a0years' experience.","volume":"15","author":"Iannetti, G.","year":"2004","unstructured":"Iannetti, G., P.Cascone, A.Saltarel, and G.Ettaro. Le Fort I in cleft patients: 20\u00a0years' experience.J Craniofac Surg2004. 15:662\u2013669."},{"key":"i0003-3219-82-6-1115-b04","series-title":"J Craniofac Surg","first-page":"181","article-title":"Management of severe maxillary deficiency in childhood and adolescence through distraction osteogenesis with an external, adjustable, rigid distraction device.","volume":"8","author":"Polley, J. W.","year":"1997","unstructured":"Polley, J. W. and A. A.Figueroa. Management of severe maxillary deficiency in childhood and adolescence through distraction osteogenesis with an external, adjustable, rigid distraction device.J Craniofac Surg1997. 8:181\u2013185."},{"key":"i0003-3219-82-6-1115-b05","series-title":"J Craniofac Surg","first-page":"1199","article-title":"Distraction osteogenesis in the management of severe maxillary hypoplasia in cleft lip and palate patients.","volume":"19","author":"Scolozzi, P.","year":"2008","unstructured":"Scolozzi, P.\n          \n          Distraction osteogenesis in the management of severe maxillary hypoplasia in cleft lip and palate patients.\n          J Craniofac Surg\n          2008. 19:1199\u20131214."},{"key":"i0003-3219-82-6-1115-b06","series-title":"Int J Oral Maxillofac Surg","first-page":"14","article-title":"A meta-analysis of cleft maxillary osteotomy and distraction osteogenesis.","volume":"35","author":"Cheung, L. K.","year":"2006","unstructured":"Cheung, L. K. and H. D.Chua. A meta-analysis of cleft maxillary osteotomy and distraction osteogenesis.Int J Oral Maxillofac Surg2006. 35:14\u201324."},{"key":"i0003-3219-82-6-1115-b07","series-title":"J Clin Epidemiol","first-page":"e1","article-title":"The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration.","volume":"62","author":"Liberati, A.","year":"2009","unstructured":"Liberati, A., D. G.Altman, J.Tetzlaff, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration.J Clin Epidemiol2009. 62:e1\u201334."},{"key":"i0003-3219-82-6-1115-b08","series-title":"Angle Orthod","first-page":"1046","article-title":"Long-term skeletal changes with rapid maxillary expansion: a systematic review.","volume":"75","author":"Lagravere, M. O.","year":"2005","unstructured":"Lagravere, M. O., P. W.Major, and C.Flores-Mir. Long-term skeletal changes with rapid maxillary expansion: a systematic review.Angle Orthod2005. 75:1046\u20131052."},{"key":"i0003-3219-82-6-1115-b09","series-title":"J Oral Maxillofac Surg","first-page":"254","article-title":"Skeletal and dental stability after maxillary distraction with a rigid external device in adult cleft lip and palate patients.","volume":"68","author":"Aksu, M.","year":"2010","unstructured":"Aksu, M., B.Saglam-Aydinatay, C. A.Akcan, H.El, T.Taner, I.Kocadereli, G.Tuncbilek, and M. E.Mavili. Skeletal and dental stability after maxillary distraction with a rigid external device in adult cleft lip and palate patients.J Oral Maxillofac Surg2010. 68:254\u2013259."},{"key":"i0003-3219-82-6-1115-b10","series-title":"J Oral Maxillofac Surg","first-page":"1480","article-title":"Midfacial changes through distraction osteogenesis using a rigid external distraction system with retention plates in cleft lip and palate patients.","volume":"68","author":"Daimaruya, T.","year":"2010","unstructured":"Daimaruya, T., Y.Imai, S.Kochi, M.Tachi, and T.Takano-Yamamoto. Midfacial changes through distraction osteogenesis using a rigid external distraction system with retention plates in cleft lip and palate patients.J Oral Maxillofac Surg2010. 68:1480\u20131486."},{"key":"i0003-3219-82-6-1115-b11","series-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod","first-page":"803","article-title":"Cleft maxillary distraction versus orthognathic surgery-which one is more stable in 5\u00a0years?","volume":"109","author":"Chua, H. D. P.","year":"2010","unstructured":"Chua, H. D. P., M. B.H\u00e4gg, and L. K.Cheung. Cleft maxillary distraction versus orthognathic surgery-which one is more stable in 5\u00a0years?Oral Surg Oral Med Oral Pathol Oral Radiol Endod2010. 109:803\u2013814."},{"key":"i0003-3219-82-6-1115-b12","series-title":"J Oral Maxillofac Surg","first-page":"2402","article-title":"Nonunion of the external maxillary distraction in cleft lip and palate: analysis of possible reasons.","volume":"68","author":"He, D.","year":"2010","unstructured":"He, D., D. G.Genecov, and R.Barcelo. Nonunion of the external maxillary distraction in cleft lip and palate: analysis of possible reasons.J Oral Maxillofac Surg2010. 68:2402\u20132411."},{"key":"i0003-3219-82-6-1115-b13","series-title":"J Oral Maxillofac Surg","first-page":"744","article-title":"Five-year follow-up of maxillary distraction osteogenesis on the dentofacial structures of children with cleft lip and palate.","volume":"68","author":"G\u00fcrsoy, S.","year":"2010","unstructured":"G\u00fcrsoy, S., J.Hukki, and K.Hurmerinta. Five-year follow-up of maxillary distraction osteogenesis on the dentofacial structures of children with cleft lip and palate.J Oral Maxillofac Surg2010. 68:744\u2013750."},{"key":"i0003-3219-82-6-1115-b14","series-title":"Cleft Palate Craniofac J","first-page":"274","article-title":"Long-term follow-up after maxillary distraction osteogenesis in growing children with cleft lip and palate.","volume":"44","author":"Huang, C. S.","year":"2007","unstructured":"Huang, C. S., P.Harikrishnan, Y. F.Liao, E. W.Ko, E. J.Liou, and P. K.Chen. Long-term follow-up after maxillary distraction osteogenesis in growing children with cleft lip and palate.Cleft Palate Craniofac J2007. 44:274\u2013277."},{"key":"i0003-3219-82-6-1115-b15","series-title":"Plast Reconstr Surg","first-page":"2399","article-title":"Distraction osteogenesis in maxillary deficiency using a rigid external distraction device.","volume":"117","author":"Rachmiel, A.","year":"2006","unstructured":"Rachmiel, A., D.Aizenbud, and M.Peled. Distraction osteogenesis in maxillary deficiency using a rigid external distraction device.Plast Reconstr Surg2006. 117:2399\u20132406."},{"key":"i0003-3219-82-6-1115-b16","series-title":"Plast Reconstr Surg","first-page":"1499","article-title":"Improved outcomes in cleft patients with severe maxillary deficiency after Le Fort I internal distraction.","volume":"117","author":"Kumar, A.","year":"2006","unstructured":"Kumar, A., J. S.Gabbay, R.Nikjoo, et al. Improved outcomes in cleft patients with severe maxillary deficiency after Le Fort I internal distraction.Plast Reconstr Surg2006. 117:1499\u20131509."},{"key":"i0003-3219-82-6-1115-b17","series-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod","first-page":"292","article-title":"Long-term maxillomandibular skeletal and dental changes in children with cleft lip and palate after maxillary distraction.","volume":"102","author":"Harada, K.","year":"2006","unstructured":"Harada, K., M.Sato, and K.Omura. Long-term maxillomandibular skeletal and dental changes in children with cleft lip and palate after maxillary distraction.Oral Surg Oral Med Oral Pathol Oral Radiol Endod2006. 102:292\u2013299."},{"key":"i0003-3219-82-6-1115-b18","series-title":"Plast Reconstr Surg","first-page":"1201","article-title":"Distraction osteogenesis of the hypoplastic midface using a rigid external distraction system: the results of a one- to six-year follow-up.","volume":"118","author":"Cho, B. C.","year":"2006","unstructured":"Cho, B. C. and H. M.Kyung. Distraction osteogenesis of the hypoplastic midface using a rigid external distraction system: the results of a one- to six-year follow-up.Plast Reconstr Surg2006. 118:1201\u20131212."},{"key":"i0003-3219-82-6-1115-b19","series-title":"Int J Oral Maxillofac Surg","first-page":"473","article-title":"Long-term results in maxillary deficiency using intraoral devices.","volume":"34","author":"Rachmiel, A.","year":"2005","unstructured":"Rachmiel, A., D.Aizenbud, and M.Peled. Long-term results in maxillary deficiency using intraoral devices.Int J Oral Maxillofac Surg2005. 34:473\u2013479."},{"key":"i0003-3219-82-6-1115-b20","series-title":"J Med Dent Sci","first-page":"27","article-title":"Longitudinal dento-skeletal changes in UCLP patients following maxillary distraction osteogenesis using RED system.","volume":"51","author":"Suzuki, E. Y.","year":"2004","unstructured":"Suzuki, E. Y., N.Motohashi, and K.Ohyama. Longitudinal dento-skeletal changes in UCLP patients following maxillary distraction osteogenesis using RED system.J Med Dent Sci2004. 51:27\u201333."},{"key":"i0003-3219-82-6-1115-b21","series-title":"Facial Plast Surg","first-page":"467","article-title":"Distraction osteogenesis of the cleft maxilla.","volume":"24","author":"Wong, G. B.","year":"2008","unstructured":"Wong, G. B., F. S.Ciminello, and B. L.Padwa. Distraction osteogenesis of the cleft maxilla.Facial Plast Surg2008. 24:467\u2013471."},{"key":"i0003-3219-82-6-1115-b22","series-title":"Plast Reconstr Surg","first-page":"996","article-title":"Cleft maxillary distraction versus orthognathic surgery: clinical morbidities and surgical relapse.","volume":"118","author":"Cheung, L. K.","year":"2006","unstructured":"Cheung, L. K., H. D.Chua, and M. B.H\u00e4gg. Cleft maxillary distraction versus orthognathic surgery: clinical morbidities and surgical relapse.Plast Reconstr Surg2006. 118:996\u20131008."},{"key":"i0003-3219-82-6-1115-b23","series-title":"Plast Reconstr Surg","first-page":"51","article-title":"Internal midface distraction in correction of severe maxillary hypoplasia secondary to cleft lip and palate.","volume":"116","author":"Wang, X. X.","year":"2005","unstructured":"Wang, X. X., X.Wang, B.Yi, Z. L.Li, C.Liang, and Y.Lin. Internal midface distraction in correction of severe maxillary hypoplasia secondary to cleft lip and palate.Plast Reconstr Surg2005. 116:51\u201360."},{"key":"i0003-3219-82-6-1115-b24","series-title":"Zhonghua Yi Xue Za Zhi","first-page":"699","article-title":"Application of distraction osteogenesis in severe maxillary hypoplasia secondary to cleft palate [in Chinese].","volume":"82","author":"Fan, H.","year":"2002","unstructured":"Fan, H., X.Wang, Y.Lin, Y.Zhou, B.Yi, and Z.Li. Application of distraction osteogenesis in severe maxillary hypoplasia secondary to cleft palate [in Chinese].Zhonghua Yi Xue Za Zhi2002. 82:699\u2013702."},{"key":"i0003-3219-82-6-1115-b25","series-title":"Int J Adult Orthodon Orthognath Surg","first-page":"193","article-title":"Stability of maxillary advancement using rigid fixation and porous-block hydroxyapatite grafting: cleft palate versus non-cleft patients.","volume":"16","author":"Mehra, P.","year":"2001","unstructured":"Mehra, P., L. M.Wolford, J. K.Hopkin, V.Castro, and R.Frietas. Stability of maxillary advancement using rigid fixation and porous-block hydroxyapatite grafting: cleft palate versus non-cleft patients.Int J Adult Orthodon Orthognath Surg2001. 16:193\u2013199."},{"key":"i0003-3219-82-6-1115-b26","series-title":"Br J Oral Maxillofac Surg","first-page":"301","article-title":"Skeletal stability after correction of maxillary hypoplasia by the Glasgow extra-oral distraction (GED) device.","volume":"44","author":"Jayade, C. V.","year":"2006","unstructured":"Jayade, C. V., A. F.Ayoub, B. S.Khambay, F. S.Walker, K.Gopalakrishnan, N. A.Malik, D.Srivastava, and R.Pradhan. Skeletal stability after correction of maxillary hypoplasia by the Glasgow extra-oral distraction (GED) device.Br J Oral Maxillofac Surg2006. 44:301\u2013307."},{"key":"i0003-3219-82-6-1115-b27","series-title":"J Craniofac Surg","first-page":"1209","article-title":"Comparison of treatment outcome and stability between distraction osteogenesis and LeFort I osteotomy in cleft patients with maxillary hypoplasia.","volume":"18","author":"Baek, S. H.","year":"2007","unstructured":"Baek, S. H., J. K.Lee, J. H.Lee, M. J.Kim, and J. R.Kim. Comparison of treatment outcome and stability between distraction osteogenesis and LeFort I osteotomy in cleft patients with maxillary hypoplasia.J Craniofac Surg2007. 18:1209\u20131215."},{"issue":"suppl","key":"i0003-3219-82-6-1115-b28","series-title":"Indian J Plast Surg","first-page":"S168","article-title":"External frame distraction osteogenesis of the midface in the cleft patient.","volume":"42","author":"Hussain, S. A.","year":"2009","unstructured":"Hussain, S. A.\n          \n          External frame distraction osteogenesis of the midface in the cleft patient.\n          Indian J Plast Surg\n          2009. 42 (suppl):S168\u2013S173."},{"key":"i0003-3219-82-6-1115-b29","article-title":"Rigid external distraction in cleft lip and palate patient.","author":"Lee, J.","unstructured":"Lee, J. and M.Park. Rigid external distraction in cleft lip and palate patient.Bone. 2009;44:S307."},{"key":"i0003-3219-82-6-1115-b30","series-title":"Plast Reconstr Surg","first-page":"1768","article-title":"Midmaxillary internal distraction osteogenesis: ideal surgery for the mature cleft patient.","volume":"121","author":"Bevilacqua, R. G.","year":"2008","unstructured":"Bevilacqua, R. G., E. L.Ritoli, C.Kang, K.Mabry, and C. L.Castiglione. 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J Craniofac Surg.2008. 19:184\u2013186."},{"key":"i0003-3219-82-6-1115-b33","series-title":"Stomatologiia (Mosk)","first-page":"66","article-title":"Distraction method of maxillary retrognathism treatment in patients with congenital cleft of upper lip and palate [in Russian].","volume":"87","author":"Vodolatskii, M. P.","year":"2008","unstructured":"Vodolatskii, M. P. and V. M.Vodolatskii. Distraction method of maxillary retrognathism treatment in patients with congenital cleft of upper lip and palate [in Russian].Stomatologiia (Mosk)2008. 87:66\u201369."},{"key":"i0003-3219-82-6-1115-b34","series-title":"Orthod Craniofac Res","first-page":"167","article-title":"Management of the severe cleft and syndromic midface hypoplasia.","volume":"10","author":"Figueroa, A. A.","year":"2007","unstructured":"Figueroa, A. A. and J. W.Polley. Management of the severe cleft and syndromic midface hypoplasia.Orthod Craniofac Res2007. 10:167\u2013179."},{"key":"i0003-3219-82-6-1115-b35","series-title":"Int J Oral Maxillofac Surg","first-page":"885","article-title":"Trans-sinusal maxillary distraction for correction of midfacial hypoplasia: long-term clinical results.","volume":"35","author":"Nadjmi, N.","year":"2006","unstructured":"Nadjmi, N., F.Schutyser, and R.Van Erum. Trans-sinusal maxillary distraction for correction of midfacial hypoplasia: long-term clinical results.Int J Oral Maxillofac Surg2006. 35:885\u2013896."},{"key":"i0003-3219-82-6-1115-b36","series-title":"J Craniofac Surg","first-page":"1199","article-title":"Distraction osteogenesis in the management of severe maxillary hypoplasia in cleft lip and palate patients.","volume":"19","author":"Scolozzi, P.","year":"2008","unstructured":"Scolozzi, P.\n          \n          Distraction osteogenesis in the management of severe maxillary hypoplasia in cleft lip and palate patients.\n          J Craniofac Surg\n          2008. 19:1199\u20131214."},{"key":"i0003-3219-82-6-1115-b37","series-title":"Cleft Palate Craniofac J","first-page":"237","article-title":"Long-term results after maxillary advancement in patients with clefts.","volume":"30","author":"Hochban, W.","year":"1993","unstructured":"Hochban, W., C.Ganss, and K. H.Austermann. 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Long-term skeletal stability after maxillary advancement with distraction osteogenesis using a rigid external distraction device in cleft maxillary deformities.Plast Reconstr Surg2004. 114:1382\u20131392."},{"key":"i0003-3219-82-6-1115-b03","series-title":"J Craniofac Surg","first-page":"662","article-title":"Le Fort I in cleft patients: 20\u00a0years' experience.","volume":"15","author":"Iannetti, G.","year":"2004","unstructured":"Iannetti, G., P.Cascone, A.Saltarel, and G.Ettaro. Le Fort I in cleft patients: 20\u00a0years' experience.J Craniofac Surg2004. 15:662\u2013669."},{"key":"i0003-3219-82-6-1115-b04","series-title":"J Craniofac Surg","first-page":"181","article-title":"Management of severe maxillary deficiency in childhood and adolescence through distraction osteogenesis with an external, adjustable, rigid distraction device.","volume":"8","author":"Polley, J. W.","year":"1997","unstructured":"Polley, J. W. and A. A.Figueroa. Management of severe maxillary deficiency in childhood and adolescence through distraction osteogenesis with an external, adjustable, rigid distraction device.J Craniofac Surg1997. 8:181\u2013185."},{"key":"i0003-3219-82-6-1115-b05","series-title":"J Craniofac Surg","first-page":"1199","article-title":"Distraction osteogenesis in the management of severe maxillary hypoplasia in cleft lip and palate patients.","volume":"19","author":"Scolozzi, P.","year":"2008","unstructured":"Scolozzi, P.\n          \n          Distraction osteogenesis in the management of severe maxillary hypoplasia in cleft lip and palate patients.\n          J Craniofac Surg\n          2008. 19:1199\u20131214."},{"key":"i0003-3219-82-6-1115-b06","series-title":"Int J Oral Maxillofac Surg","first-page":"14","article-title":"A meta-analysis of cleft maxillary osteotomy and distraction osteogenesis.","volume":"35","author":"Cheung, L. K.","year":"2006","unstructured":"Cheung, L. K. and H. D.Chua. A meta-analysis of cleft maxillary osteotomy and distraction osteogenesis.Int J Oral Maxillofac Surg2006. 35:14\u201324."},{"key":"i0003-3219-82-6-1115-b07","series-title":"J Clin Epidemiol","first-page":"e1","article-title":"The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration.","volume":"62","author":"Liberati, A.","year":"2009","unstructured":"Liberati, A., D. G.Altman, J.Tetzlaff, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration.J Clin Epidemiol2009. 62:e1\u201334."},{"key":"i0003-3219-82-6-1115-b08","series-title":"Angle Orthod","first-page":"1046","article-title":"Long-term skeletal changes with rapid maxillary expansion: a systematic review.","volume":"75","author":"Lagravere, M. O.","year":"2005","unstructured":"Lagravere, M. O., P. W.Major, and C.Flores-Mir. Long-term skeletal changes with rapid maxillary expansion: a systematic review.Angle Orthod2005. 75:1046\u20131052."},{"key":"i0003-3219-82-6-1115-b09","series-title":"J Oral Maxillofac Surg","first-page":"254","article-title":"Skeletal and dental stability after maxillary distraction with a rigid external device in adult cleft lip and palate patients.","volume":"68","author":"Aksu, M.","year":"2010","unstructured":"Aksu, M., B.Saglam-Aydinatay, C. A.Akcan, H.El, T.Taner, I.Kocadereli, G.Tuncbilek, and M. E.Mavili. Skeletal and dental stability after maxillary distraction with a rigid external device in adult cleft lip and palate patients.J Oral Maxillofac Surg2010. 68:254\u2013259."},{"key":"i0003-3219-82-6-1115-b10","series-title":"J Oral Maxillofac Surg","first-page":"1480","article-title":"Midfacial changes through distraction osteogenesis using a rigid external distraction system with retention plates in cleft lip and palate patients.","volume":"68","author":"Daimaruya, T.","year":"2010","unstructured":"Daimaruya, T., Y.Imai, S.Kochi, M.Tachi, and T.Takano-Yamamoto. Midfacial changes through distraction osteogenesis using a rigid external distraction system with retention plates in cleft lip and palate patients.J Oral Maxillofac Surg2010. 68:1480\u20131486."},{"key":"i0003-3219-82-6-1115-b11","series-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod","first-page":"803","article-title":"Cleft maxillary distraction versus orthognathic surgery-which one is more stable in 5\u00a0years?","volume":"109","author":"Chua, H. D. P.","year":"2010","unstructured":"Chua, H. D. P., M. B.H\u00e4gg, and L. K.Cheung. Cleft maxillary distraction versus orthognathic surgery-which one is more stable in 5\u00a0years?Oral Surg Oral Med Oral Pathol Oral Radiol Endod2010. 109:803\u2013814."},{"key":"i0003-3219-82-6-1115-b12","series-title":"J Oral Maxillofac Surg","first-page":"2402","article-title":"Nonunion of the external maxillary distraction in cleft lip and palate: analysis of possible reasons.","volume":"68","author":"He, D.","year":"2010","unstructured":"He, D., D. G.Genecov, and R.Barcelo. Nonunion of the external maxillary distraction in cleft lip and palate: analysis of possible reasons.J Oral Maxillofac Surg2010. 68:2402\u20132411."},{"key":"i0003-3219-82-6-1115-b13","series-title":"J Oral Maxillofac Surg","first-page":"744","article-title":"Five-year follow-up of maxillary distraction osteogenesis on the dentofacial structures of children with cleft lip and palate.","volume":"68","author":"G\u00fcrsoy, S.","year":"2010","unstructured":"G\u00fcrsoy, S., J.Hukki, and K.Hurmerinta. Five-year follow-up of maxillary distraction osteogenesis on the dentofacial structures of children with cleft lip and palate.J Oral Maxillofac Surg2010. 68:744\u2013750."},{"key":"i0003-3219-82-6-1115-b14","series-title":"Cleft Palate Craniofac J","first-page":"274","article-title":"Long-term follow-up after maxillary distraction osteogenesis in growing children with cleft lip and palate.","volume":"44","author":"Huang, C. S.","year":"2007","unstructured":"Huang, C. S., P.Harikrishnan, Y. F.Liao, E. W.Ko, E. J.Liou, and P. K.Chen. Long-term follow-up after maxillary distraction osteogenesis in growing children with cleft lip and palate.Cleft Palate Craniofac J2007. 44:274\u2013277."},{"key":"i0003-3219-82-6-1115-b15","series-title":"Plast Reconstr Surg","first-page":"2399","article-title":"Distraction osteogenesis in maxillary deficiency using a rigid external distraction device.","volume":"117","author":"Rachmiel, A.","year":"2006","unstructured":"Rachmiel, A., D.Aizenbud, and M.Peled. Distraction osteogenesis in maxillary deficiency using a rigid external distraction device.Plast Reconstr Surg2006. 117:2399\u20132406."},{"key":"i0003-3219-82-6-1115-b16","series-title":"Plast Reconstr Surg","first-page":"1499","article-title":"Improved outcomes in cleft patients with severe maxillary deficiency after Le Fort I internal distraction.","volume":"117","author":"Kumar, A.","year":"2006","unstructured":"Kumar, A., J. S.Gabbay, R.Nikjoo, et al. Improved outcomes in cleft patients with severe maxillary deficiency after Le Fort I internal distraction.Plast Reconstr Surg2006. 117:1499\u20131509."},{"key":"i0003-3219-82-6-1115-b17","series-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod","first-page":"292","article-title":"Long-term maxillomandibular skeletal and dental changes in children with cleft lip and palate after maxillary distraction.","volume":"102","author":"Harada, K.","year":"2006","unstructured":"Harada, K., M.Sato, and K.Omura. Long-term maxillomandibular skeletal and dental changes in children with cleft lip and palate after maxillary distraction.Oral Surg Oral Med Oral Pathol Oral Radiol Endod2006. 102:292\u2013299."},{"key":"i0003-3219-82-6-1115-b18","series-title":"Plast Reconstr Surg","first-page":"1201","article-title":"Distraction osteogenesis of the hypoplastic midface using a rigid external distraction system: the results of a one- to six-year follow-up.","volume":"118","author":"Cho, B. 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Midmaxillary internal distraction osteogenesis: ideal surgery for the mature cleft patient.Plast Reconstr Surg2008. 121:1768\u20131778."},{"key":"i0003-3219-82-6-1115-b31","series-title":"J Oral Maxillofac Surg","first-page":"675","article-title":"Internal maxillary distraction with a new bimalar device.","volume":"66","author":"Kahn, D. M.","year":"2008","unstructured":"Kahn, D. M., J.Broujerdi, and S. A.Schendel. Internal maxillary distraction with a new bimalar device.J Oral Maxillofac Surg2008. 66:675\u2013683."},{"key":"i0003-3219-82-6-1115-b32","first-page":"184","article-title":"An audit on orthognathic surgery: a single surgeon's experience. J Craniofac Surg.","volume":"19","author":"Kok-Leng Yeow, V.","year":"2008","unstructured":"Kok-Leng Yeow, V. and Y.Por. An audit on orthognathic surgery: a single surgeon's experience. 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Long-term results after maxillary advancement in patients with clefts.Cleft Palate Craniofac J1993. 30:237\u2013243."}],"container-title":["The Angle Orthodontist"],"original-title":[],"link":[{"URL":"https:\/\/angle-orthodontist.kglmeridian.com\/view\/journals\/angl\/82\/6\/article-p1115.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/angle-orthodontist.kglmeridian.com\/downloadpdf\/journals\/angl\/82\/6\/article-p1115.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/angle-orthodontist.kglmeridian.com\/downloadpdf\/journals\/angl\/82\/6\/article-p1115.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T15:58:06Z","timestamp":1780070286000},"score":1,"resource":{"primary":{"URL":"https:\/\/angle-orthodontist.kglmeridian.com\/view\/journals\/angl\/82\/6\/article-p1115.xml"}},"subtitle":["A systematic review"],"short-title":[],"issued":{"date-parts":[[2012,11]]},"references-count":74,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.2319\/011212-27.1","relation":{},"ISSN":["0003-3219","1945-7103"],"issn-type":[{"value":"0003-3219","type":"print"},{"value":"1945-7103","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,11]]}}}