{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T07:48:40Z","timestamp":1782805720109,"version":"3.54.5"},"reference-count":56,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:00:00Z","timestamp":1777852800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jprasurg.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Plastic, Reconstructive &amp; Aesthetic Surgery"],"published-print":{"date-parts":[[2026,7]]},"DOI":"10.1016\/j.bjps.2026.04.033","type":"journal-article","created":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T16:29:40Z","timestamp":1778084980000},"page":"99-110","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Psychosocial outcomes of velopharyngeal insufficiency treatment in patients with cleft palate: A systematic review"],"prefix":"10.1016","volume":"118","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8951-5083","authenticated-orcid":false,"given":"Justin","family":"Lee","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-4984-585X","authenticated-orcid":false,"given":"Steven","family":"Doctorman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noah","family":"Alter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8529-9694","authenticated-orcid":false,"given":"Julia","family":"Isber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5125-0064","authenticated-orcid":false,"given":"Ruoying","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa C.","family":"Henry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"De Vries","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Stone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Powell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2938-8331","authenticated-orcid":false,"given":"Izabela","family":"Galdyn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Golinko","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8560-2646","authenticated-orcid":false,"given":"Stephane","family":"Braun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2329-9899","authenticated-orcid":false,"given":"Matthew E.","family":"Pontell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"3","key":"10.1016\/j.bjps.2026.04.033_bib1","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1016\/j.otc.2012.03.005","article-title":"A review of the evaluation and management of velopharyngeal insufficiency in children","volume":"45","author":"Ruda","year":"2012","journal-title":"Otolaryngol Clin North Am"},{"issue":"6","key":"10.1016\/j.bjps.2026.04.033_bib2","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1097\/MOO.0b013e328316bd68","article-title":"Velopharyngeal insufficiency: current concepts in diagnosis and management","volume":"16","author":"Rudnick","year":"2008","journal-title":"Curr Opin Otolaryngol Head Neck Surg"},{"issue":"3","key":"10.1016\/j.bjps.2026.04.033_bib3","doi-asserted-by":"crossref","first-page":"1008","DOI":"10.1097\/SCS.0000000000009822","article-title":"Diagnosing and managing velopharyngeal insufficiency in patients with cleft palate after primary palatoplasty","volume":"36","author":"Pitkanen","year":"2025","journal-title":"J Craniofac Surg"},{"key":"10.1016\/j.bjps.2026.04.033_bib4","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijporl.2021.110846","article-title":"Adenoidectomy and persistent velopharyngeal insufficiency: considerations, risk factors, and treatment","volume":"149","author":"Lambert","year":"2021","journal-title":"Int J Pediatr Otorhinolaryngol"},{"issue":"6","key":"10.1016\/j.bjps.2026.04.033_bib5","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1097\/MOO.0000000000000494","article-title":"Velopharyngeal incompetence: role in paediatric swallowing deficits","volume":"26","author":"Swibel Rosenthal","year":"2018","journal-title":"Curr Opin Otolaryngol Head Neck Surg"},{"issue":"3","key":"10.1016\/j.bjps.2026.04.033_bib6","doi-asserted-by":"crossref","first-page":"786","DOI":"10.1097\/SCS.0000000000010605","article-title":"Demystifying velopharyngeal dysfunction for plastic surgery trainees\u2014Part 1: anatomy and physiology","volume":"36","author":"MacIsaac","year":"2025","journal-title":"J Craniofac Surg"},{"issue":"6","key":"10.1016\/j.bjps.2026.04.033_bib7","doi-asserted-by":"crossref","first-page":"1713","DOI":"10.1097\/SCS.0000000000006463","article-title":"Velopharyngeal insufficiency impact and nasopharngoscopy discomfort and cooperation: patient, parent, and provider perspectives","volume":"31","author":"Johns","year":"2020","journal-title":"J Craniofac Surg"},{"issue":"3","key":"10.1016\/j.bjps.2026.04.033_bib8","doi-asserted-by":"crossref","first-page":"1516","DOI":"10.1002\/lary.70189","article-title":"Quality of life impact of velopharyngeal insufficiency: the role of social determinants of health","volume":"136","author":"Allen","year":"2026","journal-title":"Laryngoscope"},{"issue":"3","key":"10.1016\/j.bjps.2026.04.033_bib9","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1001\/archotol.133.3.224","article-title":"Quality of life in children with velopharyngeal insufficiency","volume":"133","author":"Barr","year":"2007","journal-title":"Arch Otolaryngol Neck Surg"},{"key":"10.1016\/j.bjps.2026.04.033_bib10","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijporl.2019.109643","article-title":"Quality of life outcomes following velopharyngeal insufficiency surgery","volume":"127","author":"Li","year":"2019","journal-title":"Int J Pediatr Otorhinolaryngol"},{"issue":"12","key":"10.1016\/j.bjps.2026.04.033_bib11","doi-asserted-by":"crossref","first-page":"1114","DOI":"10.1001\/jamapediatrics.2014.1600","article-title":"Validity and responsiveness of the Pediatric Quality of Life inventory (PedsQL) 4.0 generic core scales in the pediatric inpatient setting","volume":"168","author":"Desai","year":"2014","journal-title":"JAMA Pediatr"},{"issue":"2","key":"10.1016\/j.bjps.2026.04.033_bib12","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1097\/00005650-199902000-00003","article-title":"The PedsQL\u2122: measurement model for the pediatric quality of life inventory","volume":"37","author":"Varni","year":"1999","journal-title":"Med Care"},{"issue":"1","key":"10.1016\/j.bjps.2026.04.033_bib13","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1001\/jama.293.1.70","article-title":"Health-Related quality of life of overweight and obese children","volume":"293","author":"Williams","year":"2005","journal-title":"JAMA"},{"issue":"7","key":"10.1016\/j.bjps.2026.04.033_bib14","doi-asserted-by":"crossref","first-page":"1975","DOI":"10.1007\/s00405-012-2215-0","article-title":"Acute isolated velopharyngeal insufficiency in children: case report and systematic review of the literature","volume":"270","author":"Walter","year":"2013","journal-title":"Eur Arch Otorhinolaryngol"},{"issue":"5","key":"10.1016\/j.bjps.2026.04.033_bib15","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1597\/15-292","article-title":"A standard set of outcome measures for the comprehensive appraisal of cleft care","volume":"54","author":"Allori","year":"2017","journal-title":"Cleft Palate Craniofac\u00a0J"},{"issue":"4","key":"10.1016\/j.bjps.2026.04.033_bib16","article-title":"Establishing content validity of the CLEFT-Q: a new patient-reported outcome instrument for cleft lip\/palate","volume":"5","author":"Tsangaris","year":"2017","journal-title":"Plast Reconstr Surg - Glob Open"},{"issue":"10","key":"10.1016\/j.bjps.2026.04.033_bib17","doi-asserted-by":"crossref","first-page":"929","DOI":"10.1001\/2013.jamaoto.122","article-title":"Modification and evaluation of a velopharyngeal insufficiency quality-of-life instrument","volume":"138","author":"Skirko","year":"2012","journal-title":"Arch Otolaryngol Neck Surg"},{"issue":"2","key":"10.1016\/j.bjps.2026.04.033_bib18","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1177\/0194599813486081","article-title":"Validity and responsiveness of VELO: a velopharyngeal insufficiency quality of life measure","volume":"149","author":"Skirko","year":"2013","journal-title":"Otolaryngol Neck Surg"},{"key":"10.1016\/j.bjps.2026.04.033_bib19","article-title":"Ecuadorian Spanish translation and validation of the VELO quality of life instrument","volume":"138","author":"Ridgell","year":"2020","journal-title":"Int J Pediatr\u00a0Otorhinolaryngol"},{"issue":"9","key":"10.1016\/j.bjps.2026.04.033_bib20","doi-asserted-by":"crossref","first-page":"1195","DOI":"10.1177\/1055665619846763","article-title":"Measuring patient-reported health-related quality of life in velopharyngeal insufficiency: reliability and validity of the Brazilian Portuguese version of the VELO instrument","volume":"56","author":"Denadai","year":"2019","journal-title":"Cleft Palate Craniofac\u00a0J"},{"key":"10.1016\/j.bjps.2026.04.033_bib21","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.ijporl.2017.04.049","article-title":"Health-related quality of life in patients with cleft palate: validity and reliability of the VPI Effects on Life Outcomes (VELO) questionnaire translated to Dutch","volume":"98","author":"Bruneel","year":"2017","journal-title":"Int J Pediatr Otorhinolaryngol"},{"issue":"5","key":"10.1016\/j.bjps.2026.04.033_bib22","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1177\/0194599815591159","article-title":"Change in quality of life with velopharyngeal insufficiency surgery","volume":"153","author":"Skirko","year":"2015","journal-title":"Otolaryngol Neck Surg"},{"issue":"1","key":"10.1016\/j.bjps.2026.04.033_bib23","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1001\/archpediatrics.2011.694","article-title":"Health-related quality of life in pediatric minor injury: reliability, validity, and responsiveness of the pediatric quality of life inventory in the emergency department","volume":"166","author":"Stevens","year":"2012","journal-title":"Arch Pediatr Adolesc Med"},{"issue":"9","key":"10.1016\/j.bjps.2026.04.033_bib24","doi-asserted-by":"crossref","first-page":"2311","DOI":"10.1007\/s11136-020-02519-0","article-title":"Health-related quality of life scores of typically developing children and adolescents around the world: a meta-analysis with meta-regression","volume":"29","author":"Ow","year":"2020","journal-title":"Qual Life Res"},{"issue":"12","key":"10.1016\/j.bjps.2026.04.033_bib25","doi-asserted-by":"crossref","DOI":"10.1001\/jamapediatrics.2016.2900","article-title":"Association of persistent postconcussion symptoms with pediatric quality of life","volume":"170","author":"Novak","year":"2016","journal-title":"JAMA Pediatr"},{"issue":"5","key":"10.1016\/j.bjps.2026.04.033_bib26","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1111\/j.1524-4733.2008.00487.x","article-title":"The linkage between pediatric quality of life and health conditions: establishing clinically meaningful cutoff scores for the PedsQL","volume":"12","author":"Huang","year":"2009","journal-title":"Value Health"},{"issue":"2","key":"10.1016\/j.bjps.2026.04.033_bib27","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1097\/MPH.0000000000000177","article-title":"Clinically meaningful interpretation of pediatric health-related quality of life in sickle cell disease","volume":"37","author":"Beverung","year":"2015","journal-title":"J Pediatr Hematol Oncol"},{"issue":"11","key":"10.1016\/j.bjps.2026.04.033_bib28","doi-asserted-by":"crossref","first-page":"E395","DOI":"10.1002\/lary.27792","article-title":"Validation of the Chinese velopharyngeal insufficiency effects on life outcomes instrument","volume":"129","author":"Huang","year":"2019","journal-title":"Laryngoscope"},{"issue":"8","key":"10.1016\/j.bjps.2026.04.033_bib29","doi-asserted-by":"crossref","first-page":"1024","DOI":"10.1177\/10556656211034107","article-title":"Quality of life in patients with velopharyngeal insufficiency in West China","volume":"59","author":"Lu","year":"2022","journal-title":"Cleft Palate Craniofac\u00a0J"},{"issue":"8","key":"10.1016\/j.bjps.2026.04.033_bib30","doi-asserted-by":"crossref","first-page":"2308","DOI":"10.1097\/SCS.0000000000005679","article-title":"Brazilian-Portuguese linguistic validation of the velopharyngeal insufficiency effects on life outcome instrument","volume":"30","author":"Denadai","year":"2019","journal-title":"J Craniofac Surg"},{"key":"10.1016\/j.bjps.2026.04.033_bib31","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1016\/j.ijporl.2019.02.018","article-title":"The relationship between health-related quality of life and speech in patients with cleft palate","volume":"120","author":"Bruneel","year":"2019","journal-title":"Int J Pediatr Otorhinolaryngol"},{"issue":"4","key":"10.1016\/j.bjps.2026.04.033_bib32","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1016\/j.jcomdis.2013.05.002","article-title":"A comprehensive description of functioning and disability in children with velopharyngeal insufficiency","volume":"46","author":"Dzioba","year":"2013","journal-title":"J Commun Disord"},{"key":"10.1016\/j.bjps.2026.04.033_bib33","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1016\/j.bjps.2025.02.048","article-title":"The qualitative assessment of velopharyngeal surgery on patients and primary caregivers using VELO-P score in older children","volume":"103","author":"Singh","year":"2025","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"9","key":"10.1016\/j.bjps.2026.04.033_bib34","article-title":"Quality of life and psychosocial outcomes among children with cleft differences","volume":"16","author":"Materne","year":"2024","journal-title":"Cureus"},{"key":"10.1016\/j.bjps.2026.04.033_bib35","doi-asserted-by":"crossref","DOI":"10.1177\/10556656251400870","article-title":"Predicting communication-related quality of life in children with velopharyngeal dysfunction","author":"Fujiki","year":"2025","journal-title":"Cleft Palate Craniofac\u00a0J"},{"issue":"8","key":"10.1016\/j.bjps.2026.04.033_bib36","doi-asserted-by":"crossref","first-page":"2151","DOI":"10.1093\/annonc\/mdt128","article-title":"Assessment of needs, health-related quality of life, and satisfaction with care in breast cancer patients to better target supportive care","volume":"24","author":"Br\u00e9dart","year":"2013","journal-title":"Ann Oncol"},{"key":"10.1016\/j.bjps.2026.04.033_bib37","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1016\/j.psychres.2017.04.031","article-title":"The associations between quality of life and clinical symptoms in individuals with an at-risk mental state and first-episode psychosis","volume":"254","author":"Ohmuro","year":"2017","journal-title":"Psychiatry Res"},{"issue":"12","key":"10.1016\/j.bjps.2026.04.033_bib38","doi-asserted-by":"crossref","first-page":"2213","DOI":"10.1016\/j.ijporl.2015.10.007","article-title":"Surgery for velopharyngeal insufficiency: the outcomes of the University Hospitals Leuven","volume":"79","author":"Samoy","year":"2015","journal-title":"Int J Pediatr Otorhinolaryngol"},{"issue":"7","key":"10.1016\/j.bjps.2026.04.033_bib39","doi-asserted-by":"crossref","first-page":"2067","DOI":"10.1097\/SCS.0000000000001967","article-title":"Sphincterplasty for velopharyngeal insufficiency in the child without a cleft-palate: etiologies and speech outcomes","volume":"26","author":"Golinko","year":"2015","journal-title":"J Craniofac Surg"},{"issue":"8","key":"10.1016\/j.bjps.2026.04.033_bib40","doi-asserted-by":"crossref","first-page":"2925","DOI":"10.1097\/SCS.0000000000011313","article-title":"Diagnosis and treatment of speech disorders in children with a cleft (lip and) palate: a state-of-the-art overview","volume":"36","author":"Alighieri","year":"2025","journal-title":"J Craniofac Surg"},{"issue":"2","key":"10.1016\/j.bjps.2026.04.033_bib41","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1097\/SCS.0000000000008926","article-title":"Speech symptoms of velopharyngeal insufficiency and the incidence of secondary speech surgery in 10-year-old children with unilateral cleft lip and palate: comparison of 2 randomized surgical methods for primary palatal surgery","volume":"34","author":"Alaluusua","year":"2023","journal-title":"J Craniofac Surg"},{"issue":"2","key":"10.1016\/j.bjps.2026.04.033_bib42","doi-asserted-by":"crossref","first-page":"868","DOI":"10.1044\/2024_AJSLP-24-00349","article-title":"Does successful surgical treatment of velopharyngeal insufficiency aid in the remediation of compensatory misarticulation errors?","volume":"34","author":"Chee-Williams","year":"2025","journal-title":"Am J Speech Lang Pathol"},{"issue":"7","key":"10.1016\/j.bjps.2026.04.033_bib43","doi-asserted-by":"crossref","first-page":"2518","DOI":"10.1044\/2022_JSLHR-21-00679","article-title":"Compensatory articulation errors in patients with velopharyngeal dysfunction and palatal anomalies","volume":"65","author":"Nachmani","year":"2022","journal-title":"J Speech Lang Hear Res"},{"issue":"1-2","key":"10.1016\/j.bjps.2026.04.033_bib44","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/0165-5876(95)01245-1","article-title":"Surgical correction of velopharyngeal insufficiency with and without compensatory articulation","volume":"34","author":"Pamplona","year":"1996","journal-title":"Int J Pediatr Otorhinolaryngol"},{"issue":"6","key":"10.1016\/j.bjps.2026.04.033_bib45","doi-asserted-by":"crossref","first-page":"1766","DOI":"10.1097\/SCS.0000000000009570","article-title":"Speech outcomes and velopharyngeal function in children undergoing submucous cleft palate repair","volume":"34","author":"\u00c1lvarez Carvajal","year":"2023","journal-title":"J Craniofac Surg"},{"issue":"6","key":"10.1016\/j.bjps.2026.04.033_bib46","doi-asserted-by":"crossref","first-page":"2105","DOI":"10.1002\/ohn.1218","article-title":"Longitudinal speech changes in velopharyngeal function in submucous cleft palate","volume":"172","author":"Eljamri","year":"2025","journal-title":"Otolaryngol Neck Surg"},{"issue":"5","key":"10.1016\/j.bjps.2026.04.033_bib47","doi-asserted-by":"crossref","first-page":"804","DOI":"10.1097\/00001665-200409000-00020","article-title":"The effect of timing of surgery for velopharyngeal dysfunction on speech","volume":"15","author":"Becker","year":"2004","journal-title":"J Craniofac Surg"},{"issue":"6","key":"10.1016\/j.bjps.2026.04.033_bib48","doi-asserted-by":"crossref","first-page":"1007","DOI":"10.1177\/10556656231154808","article-title":"Speech outcomes following operative management of velopharyngeal dysfunction (VPD) in non-syndromic post-palatoplasty cleft palate patients","volume":"61","author":"Kimia","year":"2024","journal-title":"Cleft Palate Craniofac\u00a0J"},{"issue":"6","key":"10.1016\/j.bjps.2026.04.033_bib49","doi-asserted-by":"crossref","first-page":"1775","DOI":"10.1177\/10556656251344127","article-title":"Long-Term management of velopharyngeal insufficiency and misarticulation in unilateral cleft lip and palate: speech therapy outcomes","volume":"63","author":"Hayakawa","year":"2025","journal-title":"Cleft Palate Craniofac\u00a0J"},{"key":"10.1016\/j.bjps.2026.04.033_bib50","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1016\/j.ijporl.2016.04.025","article-title":"Speech characteristics after articulation therapy in children with cleft palate and velopharyngeal dysfunction \u2013 a single case experimental design","volume":"86","author":"Derakhshandeh","year":"2016","journal-title":"Int J Pediatr Otorhinolaryngol"},{"issue":"3","key":"10.1016\/j.bjps.2026.04.033_bib51","doi-asserted-by":"crossref","first-page":"1001","DOI":"10.1097\/SCS.0000000000010381","article-title":"Cleft palate and velopharyngeal insufficiency\u2014natural history and evolution of treatment options","volume":"36","author":"Mazzola","year":"2025","journal-title":"J Craniofac Surg"},{"issue":"6","key":"10.1016\/j.bjps.2026.04.033_bib52","doi-asserted-by":"crossref","first-page":"1343e","DOI":"10.1097\/PRS.0000000000003335","article-title":"What\u2019s new in cleft palate and velopharyngeal dysfunction management?","volume":"139","author":"Naran","year":"2017","journal-title":"Plast Reconstr Surg"},{"issue":"8","key":"10.1016\/j.bjps.2026.04.033_bib53","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2020-036824","article-title":"Protocol for the development of a core outcome set for reporting outcomes of management of velopharyngeal dysfunction","volume":"10","author":"de Blacam","year":"2020","journal-title":"BMJ Open"},{"issue":"4_2","key":"10.1016\/j.bjps.2026.04.033_bib54","doi-asserted-by":"crossref","first-page":"S84","DOI":"10.1177\/10556656211035026","article-title":"Core outcome set for reporting outcomes of interventions for velopharyngeal dysfunction: final results of the COS-VPD initiative","volume":"59","author":"De Blacam","year":"2022","journal-title":"Cleft Palate Craniofac\u00a0J"},{"issue":"6","key":"10.1016\/j.bjps.2026.04.033_bib55","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1093\/ejo\/cjad023","article-title":"Core outcomes for orofacial clefts: reconciling traditional and ICHOM minimum datasets","volume":"45","author":"Mossey","year":"2023","journal-title":"Eur J Orthod"},{"issue":"12","key":"10.1016\/j.bjps.2026.04.033_bib56","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2023-071571","article-title":"What is the optimal assessment of speech? A multicentre, international evaluation of speech assessment in 2500 patients with a cleft","volume":"13","author":"Ombashi","year":"2023","journal-title":"BMJ Open"}],"container-title":["Journal of Plastic, Reconstructive &amp; Aesthetic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1748681526002524?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1748681526002524?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T07:37:38Z","timestamp":1782805058000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1748681526002524"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":56,"alternative-id":["S1748681526002524"],"URL":"https:\/\/doi.org\/10.1016\/j.bjps.2026.04.033","relation":{},"ISSN":["1748-6815"],"issn-type":[{"value":"1748-6815","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Psychosocial outcomes of velopharyngeal insufficiency treatment in patients with cleft palate: A systematic review","name":"articletitle","label":"Article Title"},{"value":"Journal of Plastic, Reconstructive & Aesthetic Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.bjps.2026.04.033","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons.","name":"copyright","label":"Copyright"}]}}