CLEFT PALATE-CRANIOFACIAL JOURNAL (CPCJ) 是首屈一指的同行评审、跨学科、国际期刊，致力于在与颅面异常相关的所有领域进行当前的病因学、预防、诊断和治疗研究。 CPCJ 报告旨在更好地阐明裂隙和颅面畸形的发病机制、病理学和最佳治疗方法的基础科学和临床研究。该杂志致力于促进各专业专业人士之间的交流与合作。

The Cleft Palate-Craniofacial Journal (CPCJ) is a leading peer-reviewed, interdisciplinary international journal dedicated to current research in all areas related to craniofacial anomalies, including etiology, prevention, diagnosis, and treatment. CPCJ aims to elucidate the mechanisms of occurrence, pathology, and optimal treatment methods for clefts and craniofacial deformities through both basic science and clinical research. The journal is committed to fostering communication and collaboration among professionals across various specialties.

《Cleft Palate-Craniofacial Journal》（CPCJ）是一本国际同行评审的跨学科期刊，专注于颅面畸形相关领域的最新研究，包括病因学、预防、诊断和治疗。CPCJ的目标是通过基础科学和临床研究，深入探讨裂隙和颅面畸形的发病机制、病理学及最佳治疗方案。该期刊致力于促进各专业人士之间的交流与合作。

Cleft Palate-Craniofacial Journal

Objective Secondary rhinoplasty is a frequently requested revision procedure in patients with a history of cleft lip and palate (CLP). The satisfaction of patients with the esthetic outcome of the procedure has been infrequently studied. Design Adult patients with CLP who had undergone a secondary rhinoplasty between 2009 and 2019 were identified in a cross-sectional cohort that had filled the FACE-Q rhinoplasty module. The effect of the cleft type and the number and timing of the nasal revision surgeries were evaluated. Results Forty participants were included, median age of 26 years (range 18-59 years). Nine (23%) participants had a history of bilateral CLP. The median time form the last nasal operation to the study was 4.5 years (range 16 days to 10 years). The participants reported being satisfied with the appearance of the nose (median score 52, interquartile range [IQR] 44-60) but the satisfaction with the appearance of the nostrils (median score 44, IQR 30-64) was below the normative value for the scale. Patients with a history of bilateral CLP reported worse satisfaction across all the aspects of health-related quality of life assessed ( P &lt; .05 for all). No association was observed between the age at the first open rhinoplasty and satisfaction with the appearance of the nose or the nostrils. Conclusions Following secondary rhinoplasty, adults with CLP are, in general, satisfied with their nose but less so with nostrils. Compared to unilateral CLP, bilateral CLP is associated with a worse health-related quality of life.

Pauliina Homsy

Annemari Grann

Patrik Lassus

The Cleft Palate-Craniofacial Journal

Patient-Reported Esthetic Outcomes Following Secondary Rhinoplasty in Adult Patients with a Cleft lip and Palate

成人唇腭裂患者二次鼻整形术后患者报告的美学效果

To review at 18 years-old the results of surgery and follow-up of children born in our hospital with unilateral cleft lip and palate (uCLP). They were operated at the time by the same surgeon, following the same primary surgical procedure (Malek).

Anthony de Buys Roessingh

Yohann Robert

Josée Despars

Chantal Zbinden-Trichet

Georges Herzog

Martin Broome

Oumama El Ezzi

Unilateral Cleft lip and Palate: Long-Term Results of the Malek Technique

Alar asymmetry in unilateral cleft lip (UCL) nasal deformity is a well-recognized clinical feature. However, there is a lack of comprehensive quantitative analysis of this asymmetry. This study compares the shape, volume, and axis rotation between the cleft and non-cleft ala in skeletally mature patients with UCL.

Lucas M. Harrison

Laura Kenyon

Denzil P. Mathew

Christopher A. Derderian

Rami R. Hallac

Alar Asymmetry in Patients with Unilateral Cleft Lip: Implications for Secondary Rhinoplasty

Velopharyngeal insufficiency (VPI) is common in patients with a repaired cleft palate. 18% to 20% of patients who undergo superiorly based pharyngeal flap for VPI may require a revision procedure due to persistent hypernasality. One solution to persistent VPI is flap revision, but there is a paucity of revision techniques described in the literature. We present a novel technique for pharyngeal flap revision utilizing a V-to-Y procedure to tighten the lateral pharyngeal ports.

David L. Best

Vicky Yau

Victoria Mañon

Shannon Noto

Robert J. Perry

Management of Persistent Hypernasality After Pharyngeal Flap: A Novel V-to-Y Revision Procedure to Tighten the Lateral Ports

咽瓣术后持续性鼻音过重的管理：一种收紧侧孔的新型V-to-Y修正手术

Objective To assess the quality of nasopharyngoscopy video recordings used for velopharyngeal insufficiency (VPI) surgical planning and identify factors that limit evaluation of velopharyngeal closure. Design Prospective observational study. Setting Metropolitan-based hospitals with craniofacial clinics in the United States and Canada. Participants One-hundred and forty-two (142) patients with VPI across 10 hospitals. Assessment(s) Nasopharyngoscopy video recordings used for VPI surgical planning . Main Outcome Measure(s) Ratability of nasopharyngoscopy video recordings, with “ratable” defined as the video (1) visualized the velum, lateral pharyngeal wall, and posterior pharyngeal walls at some point during speech production and (2) contained an oral speech sample at the phrase level or above. Results One-hundred and forty-two (142) nasopharyngoscopy video recordings were obtained from patients undergoing VPI evaluation, of which 59.9% (n=85) were ratable. A multilevel logistic regression model was used to identify factors that influenced the quality of nasopharyngoscopy video recordings. Factors associated with unratable nasopharyngoscopy videos were age ( P=.030), sex ( P=.005*), type of scope camera used ( P=.039), presence of compensatory misarticulations ( P=.008), and a limited speech sample ( P=.040). Conclusions A substantial proportion of nasopharyngoscopy video recordings obtained during VPI evaluation are not sufficient for rating velopharyngeal closure. Lack of ratability could impact the surgery selected to treat VPI. Younger patients, those with limited speech samples, or patients with extensive compensatory articulations may be more successful in completing other VPI imaging techniques, such as videofluoroscopy or magnetic resonance imaging.

Taylor D. Snodgrass

Thomas J. Sitzman

Jessica L. Chee-Williams

Hamy Temkit

Jamie L. Perry

Factors That Limit Evaluation of Velopharyngeal Closure During Nasopharyngoscopy

限制鼻咽镜检查中评估腭咽闭合的因素

This study aimed to investigate how ear shape in adults changes with age and ethnicity among four Chinese minority groups: Buyi, Tibetan, Tu, and Salar. We employed a combined approach using linear measurements and 2D geometric morphometrics to comprehensively assess ear shape variation. Our findings revealed a significant effect of age on ear shape, independent of overall size. Specifically, older adults exhibited a slender helix and antihelix especially in the lower region. Interestingly, the helix showed elongation, while the antihelix became shorter, and the tragus position shifted upwards. While linear measurements increased with age, the overall size (centroid size) remained constant. Although ethnicity displayed greater variability in ear shape compared to age and size, our analysis using Principal Component Analysis and random forest models did not reveal statistically significant differences between the four ethnic groups. This study suggests that genetic factors play a relatively minor role in shaping ear variation, similar to other cranial features.

Haijun Li

Yameng Zhang

Geometric Morphometric Study of ear Shape in Four Chinese Ethnic Minority Populations

中国四个少数民族群体耳形几何形态测量学研究

Objective Nasoalveolar molding (NAM) can optimize aesthetic outcomes in patients with cleft lip and palate (CLP), particularly in those with wider clefts. However, its impact on long-term postoperative sequelae such as midface hypoplasia (MFH) remains unclear. This study analyzed cephalometric data to evaluate NAM's effect on MFH in patients with complete unilateral CLP (UCLP). Design Systematic Review and Meta Analysis. Patients Included studies reported cephalometrics of patients ≥ 7 years old with repaired UCLP who underwent presurgical NAM versus no-NAM (control). Studies of bilateral cases or unoperated clefts were excluded. Main Outcome Measures Main outcomes were cephalometric angles (sella-nasion-A point (SNA), sella-nasion-B point (SNB), and A point-nasion-B point (ANB)) of patients treated with NAM vs. no-NAM. Results Of 2063 articles, three met inclusion criteria. Cephalometrics were reported for 171 patients (89 NAM, 82 no-NAM) at an average age of 8.5 ± 0.9 years. On pooled analysis, compared to the no-NAM cohort, the NAM cohort had insignificantly smaller SNA (78.8°±1.5° vs. 76.7°±1.5°, p = 0.169), SNB (75.5°±1.0° vs. 75.5°±1.0°, p = 0.954), and ANB (3.6°±1.4° vs. 1.23°±1.2°, p = 0.089) angles. Upon meta-analysis, compared to the no-NAM cohort, the NAM cohort had significantly smaller SNA (Mean Difference (MD) −1.96 [−3.31 to −0.61], p = 0.005) and ANB angles (MD −2.22 [−3.20 to −1.24], p &lt; 0.001). Conclusion This meta-analysis revealed that patients with UCLP who underwent presurgical NAM had significantly smaller SNA and ANB angles, possibly indicating worse MFH. Before choosing NAM, clinicians should consider CLP severity, potential sagittal growth restrictions, and feasibility, particularly in low-resource settings.

T. Moshal

I. Roohani

M. Jolibois

S. Lasky

A. Manasyan

P. Naidu

N. C. O. Munabi

M. M. Urata

J. A. Hammoudeh

W. P. Magee

The Impact of Presurgical Nasoalveolar Molding on Midface Growth in Unilateral Cleft Lip and Palate: A Systematic Review and Meta-Analysis

单侧唇腭裂术前鼻牙槽塑形对中面部生长的影响：系统综述与Meta分析

Objective Identify unbundling trends in primary palatoplasty. Design Retrospective study utilizing the American College of Surgeon Pediatric National Surgical Quality Improvement Program (PNSQIP). Setting Records available from 2016 to 2021. Patients All patients with primary CPT (current procedural terminology) code 42200 (palatoplasty for cleft palate, soft and/or hard palate only). Interventions Cohorts compared “unbundled”: additional CPT code 42235 (repair of anterior palate, including vomer flap) vs. “bundled”: 42200 billed alone. Main outcome measures Operative time, surgical specialty, and other perioperative variables. Results In total, 9827 had primary CPT 42200. Of these, 671 (6.8%) were unbundled. Operative time was longer in unbundled (157.08 min vs. 133.16 min; P &lt; .001). Plastic surgeons were less likely to unbundle (6.2% vs. otolaryngology, 9.12%; P &lt; .001). Conclusions Variations in primary palatoplasty billing exist. Longer operative times in unbundled cases suggest added complexity. Undervaluation of craniofacial CPT codes may contribute to non-standard billing practices.

Ashlie A. Elver

Wesley Q. Zhang

Nancy K. Perry

Jamie Lewis

Laura S. Humphries

Ian C. Hoppe

Recognizing Variations in Primary Palatoplasty Billing: A Review of 9827 Cases

识别主要腭成形术计费中的变化：9827例病例回顾

Objective Evaluate the effectiveness of a digital home monitoring program for infants with cleft palate with or without cleft lip (CP ± L), compared to monitoring through in-person clinic visits. Design Retrospective cohort study. Setting One metropolitan pediatric hospital. Patients Eight-eight infants with CP ± L: 41 infants received digital home monitoring and 47 infants were monitored solely through in-person visits. Interventions Beginning in September 2022, all infants with CP ± L were enrolled in a digital home monitoring program, in which caregivers weighed their child weekly at home and submitted those weights, along with subjective evaluations of their child's feeding, using a secure website. Submissions were monitored by the cleft team nurse coordinator. Main Outcome Measures The primary outcome was the incidence of malnutrition at 4 months of age. The secondary outcome was the average number of in-person clinic visits during the first 4 months of life. Results There was not a significant difference ( P = .764) in the incidence of malnutrition between infants monitored in-person compared to infants in the home monitoring program (13% vs 17%). Infants in the home monitoring program had fewer in-person visits with speech–language pathology (5.4 vs 3.9; P &lt; .001). Across groups, malnutrition was associated with Child Protective Services involvement ( P = .001) and presence of a syndrome ( P = .014). Conclusions The digital home monitoring program did not decrease the incidence of malnutrition, but it did reduce the number of speech–language pathology in-person visits. The program appears to distinguish infants who are gaining weight appropriately from those with feeding challenges, but it does not fully address the multifactorial contributors to malnutrition.

Kayla Tymous

Megan Halvorson

Jeanette L. Mazon

Kelly Nett Cordero

Vinay U. Vaidya

Davinder J. Singh

Evaluation of a Digital Home Weight Monitoring Program for Infants With Cleft Palate

评估针对腭裂婴儿的数字化家庭体重监测计划

Abbreviation	Cleft. Palate. Craniofac. J.
Journal Impact	1.04
Quartiles(Global)	SURGERY(Q3)

ISSN	1055-6656, 1545-1569
h-index	91

Publication Information	Publisher: American Cleft Palate Craniofacial Association，Publishing cycle: Bimonthly，Journal Type: journal，Open Access Journals: No
Basic data	Year of publication: 1991，Proportion of original research papers: 87.98%，Self Citation Rate:25.00%， Gold OA Rate: 9.40%
Average recruitment ratio	网友分享经验：容易

Cleft Palate-Craniofacial Journal

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Patient-Reported Esthetic Outcomes Following Secondary Rhinoplasty in Adult Patients with a Cleft lip and Palate

Unilateral Cleft lip and Palate: Long-Term Results of the Malek Technique

Alar Asymmetry in Patients with Unilateral Cleft Lip: Implications for Secondary Rhinoplasty

Management of Persistent Hypernasality After Pharyngeal Flap: A Novel V-to-Y Revision Procedure to Tighten the Lateral Ports

Factors That Limit Evaluation of Velopharyngeal Closure During Nasopharyngoscopy

Geometric Morphometric Study of ear Shape in Four Chinese Ethnic Minority Populations

The Impact of Presurgical Nasoalveolar Molding on Midface Growth in Unilateral Cleft Lip and Palate: A Systematic Review and Meta-Analysis

Recognizing Variations in Primary Palatoplasty Billing: A Review of 9827 Cases

Evaluation of a Digital Home Weight Monitoring Program for Infants With Cleft Palate

Management of Persistent Hypernasality After Pharyngeal Flap: A Novel V-to-Y Revision Procedure to Tighten the Lateral Ports