{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T16:43:11Z","timestamp":1770741791924,"version":"3.49.0"},"reference-count":16,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2022,3,25]],"date-time":"2022-03-25T00:00:00Z","timestamp":1648166400000},"content-version":"vor","delay-in-days":875,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2019,11,15]],"date-time":"2019-11-15T00:00:00Z","timestamp":1573776000000},"content-version":"tdm","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["e-aps.org"],"crossmark-restriction":true},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:p>\n          Background  Anterior palatal repair performed during cleft lip repair using a vomerine flap may assist in recruiting additional soft tissue for subsequent completion of palatoplasty, especially in patients with a wide cleft. We present our early results in the hope of triggering a re-evaluation of this technique regarding its advantages for maxillary growth through further studies of patients with a wide cleft.<\/jats:p><jats:p>\n          Methods  A retrospective analysis of patients with complete unilateral and bilateral cleft lip and palate was performed, including cleft and palatal measurements taken during initial surgery (lip repair together with anterior palate repair) and upon completion of palatoplasty.<\/jats:p><jats:p>\n          Results  In total, 14 patients were included in this study, of whom nine (63.3%) had unilateral cleft lip and palate and five (37.5%) had bilateral cleft. All patients had a wide cleft palate. Lip and anterior palate repair was done at a median age of 3 months, while completion of palatoplasty was done at a median age of 10.5 months. Measurements taken upon completion of palatoplasty showed significant cleft width reduction in the mid-palate and intertubercle regions; however, the palatal arch distances at nearby landmarks showed non-significant marginal changes.<\/jats:p><jats:p>\n          Conclusions  Anterior palate repair using a vomerine flap significantly reduced the remaining cleft width, while the palatal width remained. Further research is warranted to explore the long-term effects of this technique in wide cleft patients in terms of facial growth.<\/jats:p>","DOI":"10.5999\/aps.2019.00227","type":"journal-article","created":{"date-parts":[[2019,11,20]],"date-time":"2019-11-20T00:49:46Z","timestamp":1574210986000},"page":"518-524","update-policy":"https:\/\/doi.org\/10.5999\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Early outcomes of cleft and palatal width following anterior palate repair (vomerine flap) in infants with wide cleft lip and palate"],"prefix":"10.1055","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4003-6783","authenticated-orcid":false,"given":"Arman Zaharil","family":"Mat Saad","sequence":"additional","affiliation":[{"name":"Reconstructive Sciences Unit, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia"},{"name":"Plastic and Reconstructive Surgery Unit, MSU Medical Centre, Management and Science University, Shah Alam, Malaysia"},{"name":"Hospital Universiti Sains Malaysia, Health Campus, Universiti Sains Malaysia, Kota Bharu, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9787-4510","authenticated-orcid":false,"given":"Koh Siang","family":"Chai","sequence":"additional","affiliation":[{"name":"Reconstructive Sciences Unit, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia"},{"name":"Hospital Universiti Sains Malaysia, Health Campus, Universiti Sains Malaysia, Kota Bharu, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0600-9765","authenticated-orcid":false,"given":"Wan Azman","family":"Wan Sulaiman","sequence":"additional","affiliation":[{"name":"Reconstructive Sciences Unit, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia"},{"name":"Hospital Universiti Sains Malaysia, Health Campus, Universiti Sains Malaysia, Kota Bharu, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4120-4918","authenticated-orcid":false,"given":"Siti Fatimah Noor","family":"Mat Johar","sequence":"additional","affiliation":[{"name":"Reconstructive Sciences Unit, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia"},{"name":"Hospital Universiti Sains Malaysia, Health Campus, Universiti Sains Malaysia, Kota Bharu, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8999-6403","authenticated-orcid":false,"given":"Ahmad Sukari","family":"Halim","sequence":"additional","affiliation":[{"name":"Reconstructive Sciences Unit, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia"},{"name":"Hospital Universiti Sains Malaysia, Health Campus, Universiti Sains Malaysia, Kota Bharu, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,3,25]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1097\/SCS.0000000000001355","article-title":"An outcome study of a 2-flap pushback palatoplasty used in the treatment of wide cleft palates","volume":"26","author":"KY Lin","year":"2015","journal-title":"J Craniofac Surg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1597\/06-037.1","article-title":"Maxillary growth controversies after two-stage palatal repair with delayed hard palate closure in unilateral cleft lip and palate patients: perspectives from literature and personal experience","volume":"44","author":"H Friede","year":"2007","journal-title":"Cleft Palate Craniofac J"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"2216","DOI":"10.1097\/PRS.0b013e3181f830eb","article-title":"An evidence-based approach to cleft palate repair","volume":"126","author":"JY Liau","year":"2010","journal-title":"Plast Reconstr Surg"},{"key":"ref4","volume-title":"Book Salyer and Bardach\u2019s atlas of craniofacial and cleft surgery. Vol. II: Cleft lip and palate surgery","author":"J Bardach","year":"1999"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1177\/229255031202000306","article-title":"Islandized mucoperiosteal flaps: a versatile technique for closure of a wide palatal cleft","volume":"20","author":"AM Aboul-Wafa","year":"2012","journal-title":"Can J Plast Surg"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1001\/archotol.1982.00790510019004","article-title":"A new method for achieving complete two-layer closure of a massive palatal cleft","volume":"108","author":"RM Bumsted","year":"1982","journal-title":"Arch Otolaryngol"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1177\/1055665617732781","article-title":"Use of the sphenoid flap in repair of the wide cleft palate","volume":"55","author":"K Khan","year":"2018","journal-title":"Cleft Palate Craniofac J"},{"key":"ref8","first-page":"15","article-title":"Cleft lip and palate in Norway. III. Surgical treatment of CLP patients in Oslo 1954-75","volume":"15","author":"FE Abyholm","year":"1981","journal-title":"Scand J Plast Reconstr Surg"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1597\/11-297","article-title":"Early effect of vomerine flap closure of the hard palate at the time of lip repair on the alveolar gap and other maxillary dimensions","volume":"51","author":"F Maggiulli","year":"2014","journal-title":"Cleft Palate Craniofac J"},{"key":"ref10","first-page":"246","article-title":"Rotation-advancement principle in cleft lip closure","volume":"12","author":"DR Millard Jr","year":"1964","journal-title":"Cleft Palate J"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1097\/00006534-196701000-00006","article-title":"Bilateral cleft lip and a primary forked flap: a preliminary report","volume":"39","author":"DR Millard","year":"1967","journal-title":"Plast Reconstr Surg"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1097\/00006534-196401000-00003","article-title":"Refinements in rotation-advancement cleft lip technique","volume":"33","author":"DR Millard Jr","year":"1964","journal-title":"Plast Reconstr Surg"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1016\/S1071-0949(06)80034-X","article-title":"Two-flap palatoplasty: Bardach\u2019s technique","volume":"2","author":"J Bardach","year":"1995","journal-title":"Oper Tech Plast Reconstr Surg"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"1205","DOI":"10.1177\/1055665618764960","article-title":"Maxillary growth in cleft lip and palate patients, with and without vomerine flap closure of the hard palate at the time of lip repair: a retrospective analysis of prospectively collected nonrandomized data, with 10-year cephalometric outcomes","volume":"55","author":"N Hay","year":"2018","journal-title":"Cleft Palate Craniofac J"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1597\/1545-1569_1991_028_0001_asofgi_2.3.co_2","article-title":"A study of facial growth in patients with unilateral cleft lip and palate treated by the Oslo CLP Team","volume":"28","author":"G Semb","year":"1991","journal-title":"Cleft Palate Craniofac J"},{"key":"ref16","first-page":"383","article-title":"Changes in cleft palate malocclusion after the introduction of improved surgery","author":"O Bergland","year":"1967","journal-title":"Rep Congr Eur Orthod Soc"}],"container-title":["Archives of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/e-aps.org\/upload\/pdf\/aps-2019-00227.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/e-aps.org\/journal\/view.php?doi=10.5999\/aps.2019.00227","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.5999\/aps.2019.00227.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,18]],"date-time":"2024-01-18T09:04:55Z","timestamp":1705568695000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.5999\/aps.2019.00227"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11]]},"references-count":16,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2022,3,25]]},"published-print":{"date-parts":[[2019,11]]}},"URL":"https:\/\/doi.org\/10.5999\/aps.2019.00227","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2234-6163","2234-6171"],"issn-type":[{"value":"2234-6163","type":"print"},{"value":"2234-6171","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,11]]},"assertion":[{"value":"2019-02-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-09-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-11-15","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-11-15","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}