{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:51:32Z","timestamp":1786978292646,"version":"build-2736575974"},"reference-count":26,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2021,6,18]],"date-time":"2021-06-18T00:00:00Z","timestamp":1623974400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives\/Hypothesis<\/jats:title>\n                    <jats:p>The prevalence of tympanostomy tube surgery (TTS) in patients with a cleft deformity was investigated, in relation to cleft width and cleft type.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Retrospective review of medical health records.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective review of medical health records. Seventy\u2010eight patients with non\u2010syndromic cleft deformity of the palate and\/or alveolus and lip between 2003 and 2017 were investigated. All available medical documents were analyzed. The study group was divided into subgroups: 1) patients with isolated cleft palate (CP) and patients with a cleft palate with cleft lip and alveolus (CLP). 2) According to Veau's classification (I\u2013IV), further subgroups were defined. Cleft width was measured using plaster cast models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>TTS was performed in 55% of the patients (n\u00a0=\u00a043). Considering Veau's classification, TTS was conducted as follows: Veau I 65.2% (n\u00a0=\u00a015\/23), Veau II 55.0% (n\u00a0=\u00a011\/20), Veau III 47.6% (n\u00a0=\u00a010\/21), and Veau IV 50.0% (n\u00a0=\u00a07\/14). Cleft classifications, maxillary arch width, and absolute\/relative cleft width had no statistical impact on TTS occurrence. Although no significant correlation could be found, patients in our study group with CP (Veau I and II) underwent TTS more often (60.5%, n\u00a0=\u00a026\/43) than patients with CPL (Veau III and IV; 48.6%, n\u00a0=\u00a017\/35) during a three\u2010year follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>None of the cleft characteristics examined had a significant impact on the proportion of patients who received TTS. Nevertheless, patients with lower Veau classification and CP received tympanostomy tubes more often. Therefore, otolaryngologists and pediatricians treating children with cleft palate should maintain a high level of suspicion for chronic middle ear effusion, even in patients with small clefts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>\n                      3\n                      <jats:italic>Laryngoscope<\/jats:italic>\n                      , 131:E2764\u2013E2769, 2021\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.29602","type":"journal-article","created":{"date-parts":[[2021,6,18]],"date-time":"2021-06-18T07:15:56Z","timestamp":1624000556000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Prevalence of Tympanostomy Tube Placement in Relation to Cleft Width and Type"],"prefix":"10.1002","volume":"131","author":[{"given":"Steffen Jochen","family":"Schwarz","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Freiburg University Medical Centre of the Albert\u2010Ludwigs\u2010University Freiburg  Freiburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4697-5287","authenticated-orcid":false,"given":"Leonard Simon","family":"Brandenburg","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Freiburg University Medical Centre of the Albert\u2010Ludwigs\u2010University Freiburg  Freiburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia Vera","family":"Weingart","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Freiburg University Medical Centre of the Albert\u2010Ludwigs\u2010University Freiburg  Freiburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wiebke","family":"Schupp","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Freiburg University Medical Centre of the Albert\u2010Ludwigs\u2010University Freiburg  Freiburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc Anton","family":"F\u00fcssinger","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Freiburg University Medical Centre of the Albert\u2010Ludwigs\u2010University Freiburg  Freiburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiara\u2010Fabienne","family":"Pantke","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Freiburg University Medical Centre of the Albert\u2010Ludwigs\u2010University Freiburg  Freiburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rainer Linus","family":"Beck","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Freiburg University Medical Centre of the Albert\u2010Ludwigs\u2010University Freiburg  Freiburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc Christian","family":"Metzger","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Freiburg University Medical Centre of the Albert\u2010Ludwigs\u2010University Freiburg  Freiburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,6,18]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1597\/15-130"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940211100609"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1055665617752802"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.28103"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-018-1310-y"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.4103\/0970-0358.57198"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1055665617730361"},{"key":"e_1_2_7_9_1","unstructured":"B\u00f6hmeG.Sprach\u2010 Sprech\u2010 Stimm\u2010 Und Schluckst\u00f6rungen: Band 1: Klinik Von.https:\/\/www.medimops.de\/gerhard-boehme-sprach-sprech-stimm-und-schluckstoerungen-band-1-klinik-taschenbuch-M03437319140.html. Accessed November 13 2020."},{"key":"e_1_2_7_10_1","article-title":"Timing of Tympanostomy tube placement and efficacy of Palatoplasty technique on the resolution of chronic otitis media: a cross\u2010sectional analysis","volume":"15","author":"Brgoch MS","year":"2015","journal-title":"Eplasty"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2018.08.031"},{"key":"e_1_2_7_12_1","volume-title":"Sprachentwicklung","author":"Penner Z","year":"2012"},{"key":"e_1_2_7_13_1","volume-title":"Heilung Der Taubstummheit Erzielt Durch Beseitigung Einer Otorrhoe Und Einer Angeborenen Gaumenspalte","author":"Alt A.","year":"1878"},{"key":"e_1_2_7_14_1","unstructured":"QuanteM EsserG KochH KoggeJ.Mittelohrerg\u00fcsse Als Regelbefund Bei Lippen\u2010Kiefer\u2010Gaumenspalten. Arch."},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000004808"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2018.09.027"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000005219"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2017.03.018"},{"key":"e_1_2_7_19_1","unstructured":"LautermannJ BegallK HilgerG et al.Leitlinie Sero\/Mukotympanon.S2k\u2010Leitlinie 017\u2010004: Seromukotympanon. 2018;(017\/004):6ff."},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-015-1445-0"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_1995_032_0434_lpomoc_2.3.co_2"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.3109\/02844317609012969"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2008.05.048"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2018.11.015"},{"key":"e_1_2_7_25_1","first-page":"1017","article-title":"The effect of tympanostomy tube surgery in cleft palate children with secretory otitis media","volume":"26","author":"Huang M","year":"2012","journal-title":"Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/1055665617736775"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-006-0367-x"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.29602","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lary.29602","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.29602","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T00:06:19Z","timestamp":1693267579000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.29602"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,18]]},"references-count":26,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2021,11]]}},"alternative-id":["10.1002\/lary.29602"],"URL":"https:\/\/doi.org\/10.1002\/lary.29602","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,18]]},"assertion":[{"value":"2020-10-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-04-25","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-06-18","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}