{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T07:07:24Z","timestamp":1791443244178,"version":"4.3.3"},"reference-count":20,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,5,17]],"date-time":"2016-05-17T00:00:00Z","timestamp":1463443200000},"content-version":"vor","delay-in-days":3638,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2006,6]]},"abstract":"<jats:sec><jats:title>OBJECTIVES<\/jats:title><jats:p>Assess incidence of conductive hearing loss, ear pathology, and associated communicative disorders in cleft palate patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>STUDY DESIGN<\/jats:title><jats:p>Retrospective chart review of 101 patients all treated at a tertiary facility since birth.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>The median patient age was 19 years old (range 8\u201325) at last follow\u2010up, 35% female. Median age of cleft palate repair was 16\u00a0months (range 12\u201360). Median number of myringotomy tubes was 3 (range 1\u20137). Conductive hearing loss (CHL) greater than 20 db PTA was found in 25% of patients at last follow\u2010up. Severity of CHL was mild in 75%, moderate in 21%, and severe in 4%. Cholesteatoma was identified in 5.9%. The mean age at resolution of CHL was 5 years (range 3\u201319). Risk factors associated with CHL at last follow\u2010up included middle ear surgery (<jats:italic>P<\/jats:italic> = 0.016), cholesteatoma (<jats:italic>P<\/jats:italic> = 0.003), and 4 or more myringotomy tube insertions (<jats:italic>P<\/jats:italic> = 0.030). Associations between CHL and age at cleft repair, speech impairment, or learning disabilities were not found.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Children requiring increased number of myringotomy tubes and middle ear surgery and found to have cholesteatoma are at increased risk for long\u2010standing CHL.<\/jats:p><jats:p>EBM rating: C\u20104<\/jats:p><\/jats:sec><jats:sec><jats:title>SIGNIFICANCE<\/jats:title><jats:p>Cleft palate children requiring multiple tube insertions should be monitored closely for CHL.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.otohns.2005.12.020","type":"journal-article","created":{"date-parts":[[2006,5,26]],"date-time":"2006-05-26T07:27:42Z","timestamp":1148628462000},"page":"946-948","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":93,"title":["Conductive Hearing Loss and Otopathology in Cleft Palate Patients"],"prefix":"10.1002","volume":"134","author":[{"given":"Steven","family":"Goudy","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Vanderbilt University Nashville Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Lott","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Cleveland Clinic Cleveland Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Canady","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of Iowa Hospitals and Clinics Iowa City Iowa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard J.H.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of Iowa Hospitals and Clinics Iowa City Iowa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,5,17]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.44.1.35"},{"key":"e_1_2_6_3_1","first-page":"17","article-title":"Middle ear problems associated with cleft palate: An internationally\u2010oriented review","volume":"12","author":"Paradise JL","year":"1975","journal-title":"Cleft Palate J"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/00034894800890S311"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199401000-00014"},{"key":"e_1_2_6_6_1","first-page":"1","article-title":"Eustachian tube obstruction in infants with cleft palate","volume":"80","author":"Bluestone CD","year":"1971","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(87)80348-7"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569(1990)027<0036:HLACPT>2.3.CO;2"},{"key":"e_1_2_6_9_1","first-page":"93","article-title":"Roentgenographic evaluation of the Eustachian tube function in infants with cleft and normal palates","volume":"9","author":"Bluestone CD","year":"1972","journal-title":"Cleft Palate J"},{"key":"e_1_2_6_10_1","first-page":"49","article-title":"Long\u2010term hearing effects in cleft palate patients","volume":"66","author":"Bellis ME","year":"1987","journal-title":"Ear Nose Throat J"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016488109133291"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459989411100406"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1975.00780390019005"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(03)00098-3"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100120894"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1992.tb01827.x"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2273.2002.00607.x"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348948809700614"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569(2003)040<0304:AATFIC>2.0.CO;2"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(99)00243-8"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569(1996)033<0127:COTHHO>2.3.CO;2"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.otohns.2005.12.020","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.otohns.2005.12.020","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.otohns.2005.12.020","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T08:56:29Z","timestamp":1760950589000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.otohns.2005.12.020"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,6]]},"references-count":20,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2006,6]]}},"alternative-id":["10.1016\/j.otohns.2005.12.020"],"URL":"https:\/\/doi.org\/10.1016\/j.otohns.2005.12.020","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,6]]},"assertion":[{"value":"2016-05-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}