{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T22:23:50Z","timestamp":1791671030820,"version":"4.3.4"},"reference-count":60,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,9]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objectives<\/jats:title>\n To determine the three-dimensional changes of the nasal septum (NS), alveolar width, alveolar cleft volume, and maxillary basal bone following rapid maxillary expansion (RME) in consecutive patients with unilateral cleft lip and palate (UCLP).<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods<\/jats:title>\n A retrospective investigation was conducted based on the analysis of cone-beam computed tomography (CBCT) data of 40 consecutive patients with UCLP (mean age 11.1 \u00b1 2.2 years). Scans were acquired prior to RME (T0) and after removal of the expander (T1) before graft surgery. A three-dimensional analysis of the effects of RME on the nasal septum, alveolar width, alveolar cleft volume, and maxillary basal bone was performed.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n No changes in the NS deviation were observed following RME (\n P<\/jats:italic>\n > .05). Significant increases of the alveolar transverse dimension were found in the anterior (14.2%;\n P<\/jats:italic>\n < .001) and posterior (7.7%;\n P<\/jats:italic>\n < .001) regions as well as in the volume of the alveolar cleft (19.6%;\n P<\/jats:italic>\n < .001). No changes in the basal bone dimensions and morphology were observed (\n P<\/jats:italic>\n > .05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Following RME, no changes were observed in the NS and maxillary basal bones of patients with UCLP despite the significant gain in the anterior and posterior alveolar width and the increase of the alveolar cleft defect. Clinicians should be aware that maxillary changes following RME in patients with UCLP are restricted to the dentoalveolar region.<\/jats:p>\n <\/jats:sec>","DOI":"10.2319\/090719-583.1","type":"journal-article","created":{"date-parts":[[2020,3,26]],"date-time":"2020-03-26T17:52:36Z","timestamp":1585245156000},"page":"672-679","source":"Crossref","is-referenced-by-count":18,"title":["Three-dimensional nasal septum and maxillary changes following rapid maxillary expansion in patients with cleft lip and palate:"],"prefix":"10.2319","volume":"90","author":[{"given":"Nat\u00e1lia Costa","family":"Veloso","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina Morsani","family":"Mordente","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adriana Alckmim","family":"de Sousa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Martin","family":"Palomo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marilia","family":"Yatabe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dauro Douglas","family":"Oliveira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernardo Quiroga","family":"Souki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ildeu","family":"Andrade","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"issue":"(2)","key":"i0003-3219-90-5-672-b01","series-title":"Adv Dent Res","first-page":"247","article-title":"Global oral health inequalities: challenges in the prevention and management of orofacial clefts and potential solutions","volume":"23","author":"Mossey","year":"2011","unstructured":"Mossey\n PA,\n \n \n Shaw\n WC,\n \n \n Munger\n RG,\n \n \n Murray\n JC,\n \n \n Murthy\n J,\n \n \n Little\n J.\n \n \n Global oral health inequalities: challenges in the prevention and management of orofacial clefts and potential solutions.\n\t\t\t\t\tAdv Dent Res.\n\t\t\t\t\t2011;\n\t\t\t\t\t23(2):\n\t\t\t\t\t247\u2013\n\t\t\t\t\t258."},{"issue":"(3)","key":"i0003-3219-90-5-672-b02","series-title":"Am J Orthod Dentofac Orthop","first-page":"418","article-title":"Craniofacial computerized tomography analysis of the midface of patients with repaired complete unilateral cleft lip and palate","volume":"134","author":"Suri","year":"2008","unstructured":"Suri\n S,\n \n \n Utreja\n A,\n \n \n Khandelwal\n N,\n \n \n Mago\n SK.\n \n \n Craniofacial computerized tomography analysis of the midface of patients with repaired complete unilateral cleft lip and palate.\n\t\t\t\t\tAm J Orthod Dentofac Orthop.\n\t\t\t\t\t2008;\n\t\t\t\t\t134(3):\n\t\t\t\t\t418\u2013\n\t\t\t\t\t429."},{"issue":"(4)","key":"i0003-3219-90-5-672-b03","series-title":"Angle Orthod","first-page":"283","article-title":"The influence of unilateral cleft lip and palate on maxillary dental arch morphology","volume":"62","author":"da Silva Filho","year":"1992","unstructured":"da Silva Filho\n OG,\n \n \n Ramos\n AL,\n \n \n Abdo\n RC.\n \n \n The influence of unilateral cleft lip and palate on maxillary dental arch morphology.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t1992;\n\t\t\t\t\t62(4):\n\t\t\t\t\t283\u2013\n\t\t\t\t\t290."},{"issue":"(2)","key":"i0003-3219-90-5-672-b04","series-title":"Angle Orthod","first-page":"174","article-title":"Secondary bone graft and eruption of the permanent canine in patients with alveolar clefts: literature review and case report","volume":"70","author":"da Silva Filho","year":"2000","unstructured":"da Silva Filho\n OG,\n \n \n Teles\n SG,\n \n \n Ozawa\n TO,\n \n \n Filho\n LC.\n \n \n Secondary bone graft and eruption of the permanent canine in patients with alveolar clefts: literature review and case report.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2000;\n\t\t\t\t\t70(2):\n\t\t\t\t\t174\u2013\n\t\t\t\t\t178."},{"issue":"(1)","key":"i0003-3219-90-5-672-b05","series-title":"Angle Orthod","first-page":"12","article-title":"Study of stress distribution and displacement of various craniofacial structures following application of transverse orthopedic forces\u2014a three-dimensional FEM study","volume":"73","author":"Jafari","year":"2003","unstructured":"Jafari\n A,\n \n \n Shetty\n KS,\n \n \n Kumar\n M.\n \n \n Study of stress distribution and displacement of various craniofacial structures following application of transverse orthopedic forces\u2014a three-dimensional FEM study.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2003;\n\t\t\t\t\t73(1):\n\t\t\t\t\t12\u2013\n\t\t\t\t\t20."},{"issue":"(2)","key":"i0003-3219-90-5-672-b06","series-title":"Aust Orthod J","first-page":"141","article-title":"Skeletal and dental changes after rapid maxillary expansion: a computed tomography study","volume":"26","author":"Ghoneima","year":"2010","unstructured":"Ghoneima\n A,\n \n \n Abdel-Fattah\n E,\n \n \n Eraso\n F,\n \n \n Fardo\n D,\n \n \n Kula\n K,\n \n \n Hartsfield\n J.\n \n \n Skeletal and dental changes after rapid maxillary expansion: a computed tomography study.\n\t\t\t\t\tAust Orthod J.\n\t\t\t\t\t2010;\n\t\t\t\t\t26(2):\n\t\t\t\t\t141\u2013\n\t\t\t\t\t148."},{"issue":"(5)","key":"i0003-3219-90-5-672-b07","series-title":"Cleft Palate-Craniofacial J","first-page":"420","article-title":"Cleft width and secondary alveolar bone graft success","volume":"32","author":"Long","year":"1995","unstructured":"Long\n RE,\n \n \n Spangler\n BE,\n \n \n Yow\n M.\n \n \n Cleft width and secondary alveolar bone graft success.\n\t\t\t\t\tCleft Palate-Craniofacial J.\n\t\t\t\t\t1995;\n\t\t\t\t\t32(5):\n\t\t\t\t\t420\u2013\n\t\t\t\t\t427."},{"issue":"(2)","key":"i0003-3219-90-5-672-b08","series-title":"J Craniofac Surg","first-page":"306","article-title":"Effects of orthopedic rapid maxillary expansion on internal nasal dimensions in children with cleft lip and palate assessed by acoustic rhinometry","volume":"21","author":"Trindade","year":"2010","unstructured":"Trindade\n IEK,\n \n \n Castilho\n RL,\n \n \n Sampaio-Teixeira\n ACM,\n \n \n Trindade-Suedam\n IK,\n \n \n Silva-Filho\n OG.\n \n \n Effects of orthopedic rapid maxillary expansion on internal nasal dimensions in children with cleft lip and palate assessed by acoustic rhinometry.\n\t\t\t\t\tJ Craniofac Surg.\n\t\t\t\t\t2010;\n\t\t\t\t\t21(2):\n\t\t\t\t\t306\u2013\n\t\t\t\t\t311."},{"issue":"(2)","key":"i0003-3219-90-5-672-b09","series-title":"Otolaryngol Neck Surg","first-page":"226","article-title":"Analysis of nasal septal deviation in cleft palate and\/or alveolus patients using cone-beam computed tomography","volume":"151","author":"Jiang","year":"2014","unstructured":"Jiang\n M,\n \n \n You\n M,\n \n \n Wang\n S,\n \n \n Wang\n K,\n \n \n Feng\n B,\n \n \n Wang\n H.\n \n \n Analysis of nasal septal deviation in cleft palate and\/or alveolus patients using cone-beam computed tomography.\n\t\t\t\t\tOtolaryngol Neck Surg.\n\t\t\t\t\t2014;\n\t\t\t\t\t151(2):\n\t\t\t\t\t226\u2013\n\t\t\t\t\t231."},{"issue":"(6)","key":"i0003-3219-90-5-672-b10","series-title":"J Laryngol Otol","first-page":"601","article-title":"Results of 310 Cases of rapid maxillary expansion selected for medical reasons","volume":"89","author":"Gray","year":"1975","unstructured":"Gray\n LP.\n \n \n Results of 310 Cases of rapid maxillary expansion selected for medical reasons.\n\t\t\t\t\tJ Laryngol Otol.\n\t\t\t\t\t1975;\n\t\t\t\t\t89(6):\n\t\t\t\t\t601\u2013\n\t\t\t\t\t614."},{"issue":"(2)","key":"i0003-3219-90-5-672-b11","series-title":"Int J Oral Maxillofac Surg","first-page":"129","article-title":"Changes in nasal structures following orthopaedic and surgically assisted rapid maxillary expansion","volume":"39","author":"Altug-Atac","year":"2010","unstructured":"Altug-Atac\n AT,\n \n \n Atac\n MS,\n \n \n Kurt\n G,\n \n \n Karasud\n HA.\n \n \n Changes in nasal structures following orthopaedic and surgically assisted rapid maxillary expansion.\n\t\t\t\t\tInt J Oral Maxillofac Surg.\n\t\t\t\t\t2010;\n\t\t\t\t\t39(2):\n\t\t\t\t\t129\u2013\n\t\t\t\t\t135."},{"issue":"(1)","key":"i0003-3219-90-5-672-b12","series-title":"Dental Press J Orthod","first-page":"47","article-title":"Nasal septum changes in adolescent patients treated with rapid maxillary expansion","volume":"21","author":"Aziz","year":"2016","unstructured":"Aziz\n T,\n \n \n Wheatley\n FC,\n \n \n Ansari\n K,\n \n \n Lagravere\n M,\n \n \n Major\n M,\n \n \n Flores-Mir\n C.\n \n \n Nasal septum changes in adolescent patients treated with rapid maxillary expansion.\n\t\t\t\t\tDental Press J Orthod.\n\t\t\t\t\t2016;\n\t\t\t\t\t21(1):\n\t\t\t\t\t47\u2013\n\t\t\t\t\t53."},{"issue":"(5)","key":"i0003-3219-90-5-672-b13","series-title":"Eur J Orthod","first-page":"463","article-title":"Volumetric upper airway changes after rapid maxillary expansion: a systematic review and meta-analysis","volume":"39","author":"Buck","year":"2016","unstructured":"Buck\n LM,\n \n \n Dalci\n O,\n \n \n Darendeliler\n MA,\n \n \n Papageorgiou\n SN,\n \n \n Papadopoulou\n AK.\n \n \n Volumetric upper airway changes after rapid maxillary expansion: a systematic review and meta-analysis.\n\t\t\t\t\tEur J Orthod.\n\t\t\t\t\t2016;\n\t\t\t\t\t39(5):\n\t\t\t\t\t463\u2013\n\t\t\t\t\t473."},{"issue":"(4)","key":"i0003-3219-90-5-672-b14","series-title":"Angle Orthod","first-page":"617","article-title":"Andrade I. Upper airway assessment using four different maxillary expanders in cleft patients: a cone-beam computed tomography study","volume":"86","author":"Mordente","year":"2016","unstructured":"Mordente\n CM,\n \n \n Palomo\n JM,\n \n \n Horta\n MCR,\n \n \n Souki\n BQ,\n \n \n Oliveira\n DD,\n \n \n Andrade I. Upper airway assessment using four different maxillary expanders in cleft patients: a cone-beam computed tomography study.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2016;\n\t\t\t\t\t86(4):\n\t\t\t\t\t617\u2013\n\t\t\t\t\t624."},{"issue":"(Pt A)","key":"i0003-3219-90-5-672-b15","series-title":"Int J Surg","first-page":"319","article-title":"Preferred reporting of case series in surgery; the PROCESS guidelines","volume":"36","author":"Agha","year":"2016","unstructured":"Agha\n RA,\n \n \n Fowler\n AJ,\n \n \n Rajmohan\n S,\n \n et al.\n\t\t\t\t\t\n Preferred reporting of case series in surgery; the PROCESS guidelines.\n\t\t\t\t\tInt J Surg.\n\t\t\t\t\t2016;\n\t\t\t\t\t36(Pt A):\n\t\t\t\t\t319\u2013\n\t\t\t\t\t323."},{"issue":"(2)","key":"i0003-3219-90-5-672-b16","series-title":"Angle Orthod","first-page":"133","article-title":"The cervical vertebral maturation method: a user's guide","volume":"88","author":"McNamara","year":"2018","unstructured":"McNamara\n JA,\n \n \n Franchi\n L.\n \n \n The cervical vertebral maturation method: a user's guide.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2018;\n\t\t\t\t\t88(2):\n\t\t\t\t\t133\u2013\n\t\t\t\t\t143."},{"issue":"(3)","key":"i0003-3219-90-5-672-b17","series-title":"Angle Orthod","first-page":"423","article-title":"Mandibular and glenoid fossa changes after bone-anchored maxillary protraction therapy in patients with UCLP: a 3-D preliminary assessment","volume":"87","author":"Yatabe","year":"2017","unstructured":"Yatabe\n M,\n \n \n Garib\n D,\n \n \n Faco\n R,\n \n et al.\n\t\t\t\t\t\n Mandibular and glenoid fossa changes after bone-anchored maxillary protraction therapy in patients with UCLP: a 3-D preliminary assessment.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2017;\n\t\t\t\t\t87(3):\n\t\t\t\t\t423\u2013\n\t\t\t\t\t431."},{"issue":"(4)","key":"i0003-3219-90-5-672-b18","series-title":"Eur Arch Otorhinolaryngol","first-page":"727","article-title":"Morphometric analysis of the maxillary sinus in patients with nasal septum deviation","volume":"271","author":"Orhan","year":"2014","unstructured":"Orhan\n I,\n \n \n Ormeci\n T,\n \n \n Aydin\n S,\n \n et al.\n\t\t\t\t\t\n Morphometric analysis of the maxillary sinus in patients with nasal septum deviation.\n\t\t\t\t\tEur Arch Otorhinolaryngol.\n\t\t\t\t\t2014;\n\t\t\t\t\t271(4):\n\t\t\t\t\t727\u2013\n\t\t\t\t\t732."},{"issue":"(1)","key":"i0003-3219-90-5-672-b19","series-title":"Am J Orthod Dentofacial Orthop","first-page":"73","article-title":"Dentoskeletal effects of 3 maxillary expanders in patients with clefts: a cone-beam computed tomography study","volume":"146","author":"Figueiredo","year":"2014","unstructured":"Figueiredo\n DSF,\n \n \n Bartolomeo\n FUC,\n \n \n Romualdo\n CR,\n \n et al.\n\t\t\t\t\t\n Dentoskeletal effects of 3 maxillary expanders in patients with clefts: a cone-beam computed tomography study.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2014;\n\t\t\t\t\t146(1):\n\t\t\t\t\t73\u2013\n\t\t\t\t\t81."},{"issue":"(9)","key":"i0003-3219-90-5-672-b20","series-title":"J Oral Maxillofac Surg","first-page":"1788","article-title":"Found in space: computer-assisted orthognathic alignment of a total face allograft in six degrees of freedom","volume":"72","author":"Dorafshar","year":"2014","unstructured":"Dorafshar\n AH,\n \n \n Brazio\n PS,\n \n \n Mundinger\n GS,\n \n \n Mohan\n R,\n \n \n Brown\n EN,\n \n \n Rodriguez\n ED.\n \n \n Found in space: computer-assisted orthognathic alignment of a total face allograft in six degrees of freedom.\n\t\t\t\t\tJ Oral Maxillofac Surg.\n\t\t\t\t\t2014;\n\t\t\t\t\t72(9):\n\t\t\t\t\t1788\u2013\n\t\t\t\t\t1800."},{"issue":"(6)","key":"i0003-3219-90-5-672-b21","series-title":"J Craniofac Surg","first-page":"1551","article-title":"Optimal timing of alveolar cleft bone grafting for maxillary clefts in the cleft palate population","volume":"29","author":"Kaura","year":"2018","unstructured":"Kaura\n AS,\n \n \n Srinivasa\n DR,\n \n \n Kasten\n SJ.\n \n \n Optimal timing of alveolar cleft bone grafting for maxillary clefts in the cleft palate population.\n\t\t\t\t\tJ Craniofac Surg.\n\t\t\t\t\t2018;\n\t\t\t\t\t29(6):\n\t\t\t\t\t1551\u2013\n\t\t\t\t\t1557."},{"issue":"(6)","key":"i0003-3219-90-5-672-b22","series-title":"Dentomaxillofacial Radiol","first-page":"369","article-title":"Superimposition of 3D cone-beam CT models of orthognathic surgery patients","volume":"34","author":"Cevidanes","year":"2005","unstructured":"Cevidanes\n L,\n \n \n Bailey\n L,\n \n \n Tucker\n G,\n \n et al.\n\t\t\t\t\t\n Superimposition of 3D cone-beam CT models of orthognathic surgery patients.\n\t\t\t\t\tDentomaxillofacial Radiol.\n\t\t\t\t\t2005;\n\t\t\t\t\t34(6):\n\t\t\t\t\t369\u2013\n\t\t\t\t\t375."},{"issue":"(1)","key":"i0003-3219-90-5-672-b23","series-title":"Ann Plast Surg","first-page":"37","article-title":"Airway obstruction and the unilateral cleft lip and palate deformity: contributions by the bony septum","volume":"75","author":"Friel","year":"2015","unstructured":"Friel\n MT,\n \n \n Starbuck\n JM,\n \n \n Ghoneima\n AM,\n \n et al.\n\t\t\t\t\t\n Airway obstruction and the unilateral cleft lip and palate deformity: contributions by the bony septum.\n\t\t\t\t\tAnn Plast Surg.\n\t\t\t\t\t2015;\n\t\t\t\t\t75(1):\n\t\t\t\t\t37\u2013\n\t\t\t\t\t43."},{"key":"i0003-3219-90-5-672-b24","series-title":"Prog Orthod","first-page":"15","article-title":"Effect of non-surgical maxillary expansion on the nasal septum deviation: a systematic review","volume":"16","author":"Aziz","year":"2015","unstructured":"Aziz\n T,\n \n \n Ansari\n K,\n \n \n Lagravere\n MO,\n \n \n Major\n MP,\n \n \n Flores-Mir\n C.\n \n \n Effect of non-surgical maxillary expansion on the nasal septum deviation: a systematic review.\n\t\t\t\t\tProg Orthod.\n\t\t\t\t\t2015;\n\t\t\t\t\t16:\n\t\t\t\t\t15.\n\t\t\t\t\tEpub 2015 Jun 4."},{"issue":"(1)","key":"i0003-3219-90-5-672-b25","series-title":"J Oral Maxillofac Surg","first-page":"104","article-title":"Complications of surgically assisted rapid palatal expansion: review of the literature and report of a case","volume":"60","author":"Lanigan","year":"2002","unstructured":"Lanigan\n DT,\n \n \n Mintz\n SM.\n \n \n Complications of surgically assisted rapid palatal expansion: review of the literature and report of a case.\n\t\t\t\t\tJ Oral Maxillofac Surg.\n\t\t\t\t\t2002;\n\t\t\t\t\t60(1):\n\t\t\t\t\t104\u2013\n\t\t\t\t\t110."},{"issue":"(1)","key":"i0003-3219-90-5-672-b26","series-title":"Am J Orthod","first-page":"39","article-title":"Tomographic assessment of nasal septal changes following surgical-orthodontic rapid maxillary expansion","volume":"87","author":"Schwarz","year":"1985","unstructured":"Schwarz\n GM,\n \n \n Thrash\n WJ,\n \n \n Byrd\n DL,\n \n \n Jacobs\n JD.\n \n \n Tomographic assessment of nasal septal changes following surgical-orthodontic rapid maxillary expansion.\n\t\t\t\t\tAm J Orthod.\n\t\t\t\t\t1985;\n\t\t\t\t\t87(1):\n\t\t\t\t\t39\u2013\n\t\t\t\t\t45."},{"issue":"(2)","key":"i0003-3219-90-5-672-b27","series-title":"Cleft Palate-Craniofacial J","first-page":"149","article-title":"Shen G. biomechanical effects of rapid palatal expansion on the craniofacial skeleton with cleft palate: a three-dimensional finite element analysis","volume":"44","author":"Pan","year":"2007","unstructured":"Pan\n X,\n \n \n Qian\n Y,\n \n \n Yu\n J,\n \n \n Wang\n D,\n \n \n Tang\n Y,\n \n \n Shen G. biomechanical effects of rapid palatal expansion on the craniofacial skeleton with cleft palate: a three-dimensional finite element analysis.\n\t\t\t\t\tCleft Palate-Craniofacial J.\n\t\t\t\t\t2007;\n\t\t\t\t\t44(2):\n\t\t\t\t\t149\u2013\n\t\t\t\t\t154."},{"issue":"(2)","key":"i0003-3219-90-5-672-b28","series-title":"J Oral Surg","first-page":"87","article-title":"Secondary bone grafting of residual alveolar and palatal clefts","volume":"30","author":"Boyne","year":"1972","unstructured":"Boyne\n PJ,\n \n \n Sands\n NR.\n \n \n Secondary bone grafting of residual alveolar and palatal clefts.\n\t\t\t\t\tJ Oral Surg.\n\t\t\t\t\t1972;\n\t\t\t\t\t30(2):\n\t\t\t\t\t87\u2013\n\t\t\t\t\t92."},{"issue":"(1)","key":"i0003-3219-90-5-672-b29","series-title":"J Oral Maxillofac Surg","first-page":"188","article-title":"Use of cone beam computed tomography to volumetrically assess alveolar cleft defects\u2014preliminary results","volume":"70","author":"Quereshy","year":"2012","unstructured":"Quereshy\n FA,\n \n \n Barnum\n G,\n \n \n Demko\n C,\n \n et al.\n\t\t\t\t\t\n Use of cone beam computed tomography to volumetrically assess alveolar cleft defects\u2014preliminary results.\n\t\t\t\t\tJ Oral Maxillofac Surg.\n\t\t\t\t\t2012;\n\t\t\t\t\t70(1):\n\t\t\t\t\t188\u2013\n\t\t\t\t\t191."},{"issue":"(2)","key":"i0003-3219-90-5-672-b30","series-title":"Eur J Orthod","first-page":"186","article-title":"A long-term study of rapid maxillary expansion and bone grafting in cleft lip and palate patients","volume":"11","author":"Nicholson","year":"1989","unstructured":"Nicholson\n PT,\n \n \n Plint\n DA.\n \n \n A long-term study of rapid maxillary expansion and bone grafting in cleft lip and palate patients.\n\t\t\t\t\tEur J Orthod.\n\t\t\t\t\t1989;\n\t\t\t\t\t11(2):\n\t\t\t\t\t186\u2013\n\t\t\t\t\t192."},{"issue":"(2)","key":"i0003-3219-90-5-672-b01","series-title":"Adv Dent Res","first-page":"247","article-title":"Global oral health inequalities: challenges in the prevention and management of orofacial clefts and potential solutions","volume":"23","author":"Mossey","year":"2011","unstructured":"Mossey\n PA,\n \n \n Shaw\n WC,\n \n \n Munger\n RG,\n \n \n Murray\n JC,\n \n \n Murthy\n J,\n \n \n Little\n J.\n \n \n Global oral health inequalities: challenges in the prevention and management of orofacial clefts and potential solutions.\n\t\t\t\t\tAdv Dent Res.\n\t\t\t\t\t2011;\n\t\t\t\t\t23(2):\n\t\t\t\t\t247\u2013\n\t\t\t\t\t258."},{"issue":"(3)","key":"i0003-3219-90-5-672-b02","series-title":"Am J Orthod Dentofac Orthop","first-page":"418","article-title":"Craniofacial computerized tomography analysis of the midface of patients with repaired complete unilateral cleft lip and palate","volume":"134","author":"Suri","year":"2008","unstructured":"Suri\n S,\n \n \n Utreja\n A,\n \n \n Khandelwal\n N,\n \n \n Mago\n SK.\n \n \n Craniofacial computerized tomography analysis of the midface of patients with repaired complete unilateral cleft lip and palate.\n\t\t\t\t\tAm J Orthod Dentofac Orthop.\n\t\t\t\t\t2008;\n\t\t\t\t\t134(3):\n\t\t\t\t\t418\u2013\n\t\t\t\t\t429."},{"issue":"(4)","key":"i0003-3219-90-5-672-b03","series-title":"Angle Orthod","first-page":"283","article-title":"The influence of unilateral cleft lip and palate on maxillary dental arch morphology","volume":"62","author":"da Silva Filho","year":"1992","unstructured":"da Silva Filho\n OG,\n \n \n Ramos\n AL,\n \n \n Abdo\n RC.\n \n \n The influence of unilateral cleft lip and palate on maxillary dental arch morphology.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t1992;\n\t\t\t\t\t62(4):\n\t\t\t\t\t283\u2013\n\t\t\t\t\t290."},{"issue":"(2)","key":"i0003-3219-90-5-672-b04","series-title":"Angle Orthod","first-page":"174","article-title":"Secondary bone graft and eruption of the permanent canine in patients with alveolar clefts: literature review and case report","volume":"70","author":"da Silva Filho","year":"2000","unstructured":"da Silva Filho\n OG,\n \n \n Teles\n SG,\n \n \n Ozawa\n TO,\n \n \n Filho\n LC.\n \n \n Secondary bone graft and eruption of the permanent canine in patients with alveolar clefts: literature review and case report.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2000;\n\t\t\t\t\t70(2):\n\t\t\t\t\t174\u2013\n\t\t\t\t\t178."},{"issue":"(1)","key":"i0003-3219-90-5-672-b05","series-title":"Angle Orthod","first-page":"12","article-title":"Study of stress distribution and displacement of various craniofacial structures following application of transverse orthopedic forces\u2014a three-dimensional FEM study","volume":"73","author":"Jafari","year":"2003","unstructured":"Jafari\n A,\n \n \n Shetty\n KS,\n \n \n Kumar\n M.\n \n \n Study of stress distribution and displacement of various craniofacial structures following application of transverse orthopedic forces\u2014a three-dimensional FEM study.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2003;\n\t\t\t\t\t73(1):\n\t\t\t\t\t12\u2013\n\t\t\t\t\t20."},{"issue":"(2)","key":"i0003-3219-90-5-672-b06","series-title":"Aust Orthod J","first-page":"141","article-title":"Skeletal and dental changes after rapid maxillary expansion: a computed tomography study","volume":"26","author":"Ghoneima","year":"2010","unstructured":"Ghoneima\n A,\n \n \n Abdel-Fattah\n E,\n \n \n Eraso\n F,\n \n \n Fardo\n D,\n \n \n Kula\n K,\n \n \n Hartsfield\n J.\n \n \n Skeletal and dental changes after rapid maxillary expansion: a computed tomography study.\n\t\t\t\t\tAust Orthod J.\n\t\t\t\t\t2010;\n\t\t\t\t\t26(2):\n\t\t\t\t\t141\u2013\n\t\t\t\t\t148."},{"issue":"(5)","key":"i0003-3219-90-5-672-b07","series-title":"Cleft Palate-Craniofacial J","first-page":"420","article-title":"Cleft width and secondary alveolar bone graft success","volume":"32","author":"Long","year":"1995","unstructured":"Long\n RE,\n \n \n Spangler\n BE,\n \n \n Yow\n M.\n \n \n Cleft width and secondary alveolar bone graft success.\n\t\t\t\t\tCleft Palate-Craniofacial J.\n\t\t\t\t\t1995;\n\t\t\t\t\t32(5):\n\t\t\t\t\t420\u2013\n\t\t\t\t\t427."},{"issue":"(2)","key":"i0003-3219-90-5-672-b08","series-title":"J Craniofac Surg","first-page":"306","article-title":"Effects of orthopedic rapid maxillary expansion on internal nasal dimensions in children with cleft lip and palate assessed by acoustic rhinometry","volume":"21","author":"Trindade","year":"2010","unstructured":"Trindade\n IEK,\n \n \n Castilho\n RL,\n \n \n Sampaio-Teixeira\n ACM,\n \n \n Trindade-Suedam\n IK,\n \n \n Silva-Filho\n OG.\n \n \n Effects of orthopedic rapid maxillary expansion on internal nasal dimensions in children with cleft lip and palate assessed by acoustic rhinometry.\n\t\t\t\t\tJ Craniofac Surg.\n\t\t\t\t\t2010;\n\t\t\t\t\t21(2):\n\t\t\t\t\t306\u2013\n\t\t\t\t\t311."},{"issue":"(2)","key":"i0003-3219-90-5-672-b09","series-title":"Otolaryngol Neck Surg","first-page":"226","article-title":"Analysis of nasal septal deviation in cleft palate and\/or alveolus patients using cone-beam computed tomography","volume":"151","author":"Jiang","year":"2014","unstructured":"Jiang\n M,\n \n \n You\n M,\n \n \n Wang\n S,\n \n \n Wang\n K,\n \n \n Feng\n B,\n \n \n Wang\n H.\n \n \n Analysis of nasal septal deviation in cleft palate and\/or alveolus patients using cone-beam computed tomography.\n\t\t\t\t\tOtolaryngol Neck Surg.\n\t\t\t\t\t2014;\n\t\t\t\t\t151(2):\n\t\t\t\t\t226\u2013\n\t\t\t\t\t231."},{"issue":"(6)","key":"i0003-3219-90-5-672-b10","series-title":"J Laryngol Otol","first-page":"601","article-title":"Results of 310 Cases of rapid maxillary expansion selected for medical reasons","volume":"89","author":"Gray","year":"1975","unstructured":"Gray\n LP.\n \n \n Results of 310 Cases of rapid maxillary expansion selected for medical reasons.\n\t\t\t\t\tJ Laryngol Otol.\n\t\t\t\t\t1975;\n\t\t\t\t\t89(6):\n\t\t\t\t\t601\u2013\n\t\t\t\t\t614."},{"issue":"(2)","key":"i0003-3219-90-5-672-b11","series-title":"Int J Oral Maxillofac Surg","first-page":"129","article-title":"Changes in nasal structures following orthopaedic and surgically assisted rapid maxillary expansion","volume":"39","author":"Altug-Atac","year":"2010","unstructured":"Altug-Atac\n AT,\n \n \n Atac\n MS,\n \n \n Kurt\n G,\n \n \n Karasud\n HA.\n \n \n Changes in nasal structures following orthopaedic and surgically assisted rapid maxillary expansion.\n\t\t\t\t\tInt J Oral Maxillofac Surg.\n\t\t\t\t\t2010;\n\t\t\t\t\t39(2):\n\t\t\t\t\t129\u2013\n\t\t\t\t\t135."},{"issue":"(1)","key":"i0003-3219-90-5-672-b12","series-title":"Dental Press J Orthod","first-page":"47","article-title":"Nasal septum changes in adolescent patients treated with rapid maxillary expansion","volume":"21","author":"Aziz","year":"2016","unstructured":"Aziz\n T,\n \n \n Wheatley\n FC,\n \n \n Ansari\n K,\n \n \n Lagravere\n M,\n \n \n Major\n M,\n \n \n Flores-Mir\n C.\n \n \n Nasal septum changes in adolescent patients treated with rapid maxillary expansion.\n\t\t\t\t\tDental Press J Orthod.\n\t\t\t\t\t2016;\n\t\t\t\t\t21(1):\n\t\t\t\t\t47\u2013\n\t\t\t\t\t53."},{"issue":"(5)","key":"i0003-3219-90-5-672-b13","series-title":"Eur J Orthod","first-page":"463","article-title":"Volumetric upper airway changes after rapid maxillary expansion: a systematic review and meta-analysis","volume":"39","author":"Buck","year":"2016","unstructured":"Buck\n LM,\n \n \n Dalci\n O,\n \n \n Darendeliler\n MA,\n \n \n Papageorgiou\n SN,\n \n \n Papadopoulou\n AK.\n \n \n Volumetric upper airway changes after rapid maxillary expansion: a systematic review and meta-analysis.\n\t\t\t\t\tEur J Orthod.\n\t\t\t\t\t2016;\n\t\t\t\t\t39(5):\n\t\t\t\t\t463\u2013\n\t\t\t\t\t473."},{"issue":"(4)","key":"i0003-3219-90-5-672-b14","series-title":"Angle Orthod","first-page":"617","article-title":"Andrade I. Upper airway assessment using four different maxillary expanders in cleft patients: a cone-beam computed tomography study","volume":"86","author":"Mordente","year":"2016","unstructured":"Mordente\n CM,\n \n \n Palomo\n JM,\n \n \n Horta\n MCR,\n \n \n Souki\n BQ,\n \n \n Oliveira\n DD,\n \n \n Andrade I. Upper airway assessment using four different maxillary expanders in cleft patients: a cone-beam computed tomography study.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2016;\n\t\t\t\t\t86(4):\n\t\t\t\t\t617\u2013\n\t\t\t\t\t624."},{"issue":"(Pt A)","key":"i0003-3219-90-5-672-b15","series-title":"Int J Surg","first-page":"319","article-title":"Preferred reporting of case series in surgery; the PROCESS guidelines","volume":"36","author":"Agha","year":"2016","unstructured":"Agha\n RA,\n \n \n Fowler\n AJ,\n \n \n Rajmohan\n S,\n \n et al.\n\t\t\t\t\t\n Preferred reporting of case series in surgery; the PROCESS guidelines.\n\t\t\t\t\tInt J Surg.\n\t\t\t\t\t2016;\n\t\t\t\t\t36(Pt A):\n\t\t\t\t\t319\u2013\n\t\t\t\t\t323."},{"issue":"(2)","key":"i0003-3219-90-5-672-b16","series-title":"Angle Orthod","first-page":"133","article-title":"The cervical vertebral maturation method: a user's guide","volume":"88","author":"McNamara","year":"2018","unstructured":"McNamara\n JA,\n \n \n Franchi\n L.\n \n \n The cervical vertebral maturation method: a user's guide.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2018;\n\t\t\t\t\t88(2):\n\t\t\t\t\t133\u2013\n\t\t\t\t\t143."},{"issue":"(3)","key":"i0003-3219-90-5-672-b17","series-title":"Angle Orthod","first-page":"423","article-title":"Mandibular and glenoid fossa changes after bone-anchored maxillary protraction therapy in patients with UCLP: a 3-D preliminary assessment","volume":"87","author":"Yatabe","year":"2017","unstructured":"Yatabe\n M,\n \n \n Garib\n D,\n \n \n Faco\n R,\n \n et al.\n\t\t\t\t\t\n Mandibular and glenoid fossa changes after bone-anchored maxillary protraction therapy in patients with UCLP: a 3-D preliminary assessment.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2017;\n\t\t\t\t\t87(3):\n\t\t\t\t\t423\u2013\n\t\t\t\t\t431."},{"issue":"(4)","key":"i0003-3219-90-5-672-b18","series-title":"Eur Arch Otorhinolaryngol","first-page":"727","article-title":"Morphometric analysis of the maxillary sinus in patients with nasal septum deviation","volume":"271","author":"Orhan","year":"2014","unstructured":"Orhan\n I,\n \n \n Ormeci\n T,\n \n \n Aydin\n S,\n \n et al.\n\t\t\t\t\t\n Morphometric analysis of the maxillary sinus in patients with nasal septum deviation.\n\t\t\t\t\tEur Arch Otorhinolaryngol.\n\t\t\t\t\t2014;\n\t\t\t\t\t271(4):\n\t\t\t\t\t727\u2013\n\t\t\t\t\t732."},{"issue":"(1)","key":"i0003-3219-90-5-672-b19","series-title":"Am J Orthod Dentofacial Orthop","first-page":"73","article-title":"Dentoskeletal effects of 3 maxillary expanders in patients with clefts: a cone-beam computed tomography study","volume":"146","author":"Figueiredo","year":"2014","unstructured":"Figueiredo\n DSF,\n \n \n Bartolomeo\n FUC,\n \n \n Romualdo\n CR,\n \n et al.\n\t\t\t\t\t\n Dentoskeletal effects of 3 maxillary expanders in patients with clefts: a cone-beam computed tomography study.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2014;\n\t\t\t\t\t146(1):\n\t\t\t\t\t73\u2013\n\t\t\t\t\t81."},{"issue":"(9)","key":"i0003-3219-90-5-672-b20","series-title":"J Oral Maxillofac Surg","first-page":"1788","article-title":"Found in space: computer-assisted orthognathic alignment of a total face allograft in six degrees of freedom","volume":"72","author":"Dorafshar","year":"2014","unstructured":"Dorafshar\n AH,\n \n \n Brazio\n PS,\n \n \n Mundinger\n GS,\n \n \n Mohan\n R,\n \n \n Brown\n EN,\n \n \n Rodriguez\n ED.\n \n \n Found in space: computer-assisted orthognathic alignment of a total face allograft in six degrees of freedom.\n\t\t\t\t\tJ Oral Maxillofac Surg.\n\t\t\t\t\t2014;\n\t\t\t\t\t72(9):\n\t\t\t\t\t1788\u2013\n\t\t\t\t\t1800."},{"issue":"(6)","key":"i0003-3219-90-5-672-b21","series-title":"J Craniofac Surg","first-page":"1551","article-title":"Optimal timing of alveolar cleft bone grafting for maxillary clefts in the cleft palate population","volume":"29","author":"Kaura","year":"2018","unstructured":"Kaura\n AS,\n \n \n Srinivasa\n DR,\n \n \n Kasten\n SJ.\n \n \n Optimal timing of alveolar cleft bone grafting for maxillary clefts in the cleft palate population.\n\t\t\t\t\tJ Craniofac Surg.\n\t\t\t\t\t2018;\n\t\t\t\t\t29(6):\n\t\t\t\t\t1551\u2013\n\t\t\t\t\t1557."},{"issue":"(6)","key":"i0003-3219-90-5-672-b22","series-title":"Dentomaxillofacial Radiol","first-page":"369","article-title":"Superimposition of 3D cone-beam CT models of orthognathic surgery patients","volume":"34","author":"Cevidanes","year":"2005","unstructured":"Cevidanes\n L,\n \n \n Bailey\n L,\n \n \n Tucker\n G,\n \n et al.\n\t\t\t\t\t\n Superimposition of 3D cone-beam CT models of orthognathic surgery patients.\n\t\t\t\t\tDentomaxillofacial Radiol.\n\t\t\t\t\t2005;\n\t\t\t\t\t34(6):\n\t\t\t\t\t369\u2013\n\t\t\t\t\t375."},{"issue":"(1)","key":"i0003-3219-90-5-672-b23","series-title":"Ann Plast Surg","first-page":"37","article-title":"Airway obstruction and the unilateral cleft lip and palate deformity: contributions by the bony septum","volume":"75","author":"Friel","year":"2015","unstructured":"Friel\n MT,\n \n \n Starbuck\n JM,\n \n \n Ghoneima\n AM,\n \n et al.\n\t\t\t\t\t\n Airway obstruction and the unilateral cleft lip and palate deformity: contributions by the bony septum.\n\t\t\t\t\tAnn Plast Surg.\n\t\t\t\t\t2015;\n\t\t\t\t\t75(1):\n\t\t\t\t\t37\u2013\n\t\t\t\t\t43."},{"key":"i0003-3219-90-5-672-b24","series-title":"Prog Orthod","first-page":"15","article-title":"Effect of non-surgical maxillary expansion on the nasal septum deviation: a systematic review","volume":"16","author":"Aziz","year":"2015","unstructured":"Aziz\n T,\n \n \n Ansari\n K,\n \n \n Lagravere\n MO,\n \n \n Major\n MP,\n \n \n Flores-Mir\n C.\n \n \n Effect of non-surgical maxillary expansion on the nasal septum deviation: a systematic review.\n\t\t\t\t\tProg Orthod.\n\t\t\t\t\t2015;\n\t\t\t\t\t16:\n\t\t\t\t\t15.\n\t\t\t\t\tEpub 2015 Jun 4."},{"issue":"(1)","key":"i0003-3219-90-5-672-b25","series-title":"J Oral Maxillofac Surg","first-page":"104","article-title":"Complications of surgically assisted rapid palatal expansion: review of the literature and report of a case","volume":"60","author":"Lanigan","year":"2002","unstructured":"Lanigan\n DT,\n \n \n Mintz\n SM.\n \n \n Complications of surgically assisted rapid palatal expansion: review of the literature and report of a case.\n\t\t\t\t\tJ Oral Maxillofac Surg.\n\t\t\t\t\t2002;\n\t\t\t\t\t60(1):\n\t\t\t\t\t104\u2013\n\t\t\t\t\t110."},{"issue":"(1)","key":"i0003-3219-90-5-672-b26","series-title":"Am J Orthod","first-page":"39","article-title":"Tomographic assessment of nasal septal changes following surgical-orthodontic rapid maxillary expansion","volume":"87","author":"Schwarz","year":"1985","unstructured":"Schwarz\n GM,\n \n \n Thrash\n WJ,\n \n \n Byrd\n DL,\n \n \n Jacobs\n JD.\n \n \n Tomographic assessment of nasal septal changes following surgical-orthodontic rapid maxillary expansion.\n\t\t\t\t\tAm J Orthod.\n\t\t\t\t\t1985;\n\t\t\t\t\t87(1):\n\t\t\t\t\t39\u2013\n\t\t\t\t\t45."},{"issue":"(2)","key":"i0003-3219-90-5-672-b27","series-title":"Cleft Palate-Craniofacial J","first-page":"149","article-title":"Shen G. biomechanical effects of rapid palatal expansion on the craniofacial skeleton with cleft palate: a three-dimensional finite element analysis","volume":"44","author":"Pan","year":"2007","unstructured":"Pan\n X,\n \n \n Qian\n Y,\n \n \n Yu\n J,\n \n \n Wang\n D,\n \n \n Tang\n Y,\n \n \n Shen G. biomechanical effects of rapid palatal expansion on the craniofacial skeleton with cleft palate: a three-dimensional finite element analysis.\n\t\t\t\t\tCleft Palate-Craniofacial J.\n\t\t\t\t\t2007;\n\t\t\t\t\t44(2):\n\t\t\t\t\t149\u2013\n\t\t\t\t\t154."},{"issue":"(2)","key":"i0003-3219-90-5-672-b28","series-title":"J Oral Surg","first-page":"87","article-title":"Secondary bone grafting of residual alveolar and palatal clefts","volume":"30","author":"Boyne","year":"1972","unstructured":"Boyne\n PJ,\n \n \n Sands\n NR.\n \n \n Secondary bone grafting of residual alveolar and palatal clefts.\n\t\t\t\t\tJ Oral Surg.\n\t\t\t\t\t1972;\n\t\t\t\t\t30(2):\n\t\t\t\t\t87\u2013\n\t\t\t\t\t92."},{"issue":"(1)","key":"i0003-3219-90-5-672-b29","series-title":"J Oral Maxillofac Surg","first-page":"188","article-title":"Use of cone beam computed tomography to volumetrically assess alveolar cleft defects\u2014preliminary results","volume":"70","author":"Quereshy","year":"2012","unstructured":"Quereshy\n FA,\n \n \n Barnum\n G,\n \n \n Demko\n C,\n \n et al.\n\t\t\t\t\t\n Use of cone beam computed tomography to volumetrically assess alveolar cleft defects\u2014preliminary results.\n\t\t\t\t\tJ Oral Maxillofac Surg.\n\t\t\t\t\t2012;\n\t\t\t\t\t70(1):\n\t\t\t\t\t188\u2013\n\t\t\t\t\t191."},{"issue":"(2)","key":"i0003-3219-90-5-672-b30","series-title":"Eur J Orthod","first-page":"186","article-title":"A long-term study of rapid maxillary expansion and bone grafting in cleft lip and palate patients","volume":"11","author":"Nicholson","year":"1989","unstructured":"Nicholson\n PT,\n \n \n Plint\n DA.\n \n \n A long-term study of rapid maxillary expansion and bone grafting in cleft lip and palate patients.\n\t\t\t\t\tEur J Orthod.\n\t\t\t\t\t1989;\n\t\t\t\t\t11(2):\n\t\t\t\t\t186\u2013\n\t\t\t\t\t192."}],"container-title":["The Angle 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case-series analysis"],"short-title":[],"issued":{"date-parts":[[2020,9]]},"references-count":60,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.2319\/090719-583.1","relation":{},"ISSN":["0003-3219"],"issn-type":[{"value":"0003-3219","type":"print"}],"subject":[],"published":{"date-parts":[[2020,9]]}}}