{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T05:35:46Z","timestamp":1781242546026,"version":"3.54.1"},"reference-count":28,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2024,6,25]],"date-time":"2024-06-25T00:00:00Z","timestamp":1719273600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To assess the effect of palatoplasty on growth velocity in undernourished and nourished orally fed children with cleft palate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective chart review was conducted using a data query with cleft\u2010associated ICD\u201010 and ICD\u20109 codes to identify children who underwent cleft palate repair between 2006 and 2022 at a tertiary pediatric hospital. Data gathered included demographics, admission variables, weight gain, and weight percentile as per the WHO growth chart data. Inclusion was limited to patients with complete growth data and without parenteral feeding support. Nutritional status was defined as undernourished (\u22643rd percentile) and nourished (&gt;3rd percentile). Between and within\u2010group comparisons were made using nonparametric tests.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 192 patients met the study criteria. Among undernourished patients, the median pre\u2010 and postsurgical weekly weight gain was 0.09\u2009kg and 0.05\u2009kg (<jats:italic>p<\/jats:italic>\u2009=\u2009&lt;0.0001), and the median growth percentiles were 0.67% and 1.1%, respectively (<jats:italic>p<\/jats:italic>\u2009=\u20090.03). Among nourished patients, the median pre\u2010 and postsurgical weekly weight gain was 0.12\u2009kg and 0.07\u2009kg (<jats:italic>p<\/jats:italic>\u2009=\u2009&lt;0.0001), and the median growth percentiles were 25.4% and 29.5%, respectively (<jats:italic>p<\/jats:italic>\u2009=\u2009&lt;0.0001). The postsurgical reduction in weight gain per week was similar across nutritional status (<jats:italic>p<\/jats:italic>\u2009=\u20090.43), however, the nourished group demonstrated a larger increase in median growth percentile (3.3% vs. 0.23%; <jats:italic>p<\/jats:italic>\u2009=\u20090.03).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study demonstrates that palatoplasty does not independently improve growth velocity in children who were able to maintain an oral preoperative diet. In the case of undernourished children, there was no clinically significant improvement in postoperative growth percentiles.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>3 <jats:italic>Laryngoscope<\/jats:italic>, 134:5145\u20135151, 2024<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.31593","type":"journal-article","created":{"date-parts":[[2024,6,25]],"date-time":"2024-06-25T09:30:49Z","timestamp":1719307849000},"page":"5145-5151","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The Effect of Palatoplasty on Growth"],"prefix":"10.1002","volume":"134","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-2226-0201","authenticated-orcid":false,"given":"Abdiasis","family":"Abdilahi","sequence":"first","affiliation":[{"name":"University of Minnesota Medical School\u2010Twin Cities  Minneapolis Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seth","family":"Ramin","sequence":"additional","affiliation":[{"name":"Geisel School of Medicine Dartmouth College  Hanover New Hampshire U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cassandra","family":"Meyer","sequence":"additional","affiliation":[{"name":"Children's Minnesota Pediatric Otolaryngology &amp; Facial Plastic Surgery  Minneapolis Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sivakumar","family":"Chinnadurai","sequence":"additional","affiliation":[{"name":"Children's Minnesota Pediatric Otolaryngology &amp; Facial Plastic Surgery  Minneapolis Minnesota U.S.A."},{"name":"Department of Otolaryngology\u2010Head and Neck Surgery University of Minnesota  Minneapolis Minnesota U.S.A."},{"name":"Department of Otolaryngology Bahir Dar University College of Health Sciences  Bahir Dar Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noelle","family":"Morrell","sequence":"additional","affiliation":[{"name":"Children's Minnesota Pediatric Otolaryngology &amp; Facial Plastic Surgery  Minneapolis Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Tibesar","sequence":"additional","affiliation":[{"name":"Children's Minnesota Pediatric Otolaryngology &amp; Facial Plastic Surgery  Minneapolis Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7244-3247","authenticated-orcid":false,"given":"Brianne","family":"Roby","sequence":"additional","affiliation":[{"name":"Children's Minnesota Pediatric Otolaryngology &amp; 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