{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T14:19:32Z","timestamp":1788877172083,"version":"build-2803163510"},"reference-count":19,"publisher":"Cambridge University Press (CUP)","issue":"9","license":[{"start":{"date-parts":[[2007,6,29]],"date-time":"2007-06-29T00:00:00Z","timestamp":1183075200000},"content-version":"unspecified","delay-in-days":5414,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[1992,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Otitis media with effusion (OME) is almost universal in children born with a cleft palate. Early placement of a ventilation tube to alleviate hearing problems is common. A retrospective study has been carried out to assess whether the practice of tube placement only for definite clinical indications is successful in terms of subsequent hearing levels and speech and language development. This was assessed by a case note review, analysis of speech therapy data and by means of a special follow-up clinic.<\/jats:p><jats:p>There was no difference in speech development between those treated with tube insertion for OME and those untreated. Audiological thresholds were worse in the treated group. A similar number in each group required regular speech therapy. More abnormal otological findings were present at follow up in those who had tubes inserted, some of these were directly attributable to the presence of tubes.<\/jats:p><jats:p>A conservative management of OME in cleft palate children, with tube insertion for only definite clinical indications, is an appropriate management, and will lead to fewer otological complications of tube insertion.<\/jats:p>","DOI":"10.1017\/s0022215100120894","type":"journal-article","created":{"date-parts":[[2007,11,30]],"date-time":"2007-11-30T10:17:40Z","timestamp":1196417860000},"page":"788-792","source":"Crossref","is-referenced-by-count":60,"title":["A conservative approach to the management of otitis media with effusion in cleft palate children"],"prefix":"10.1017","volume":"106","author":[{"given":"A. K.","family":"Robson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. D.","family":"Blanshard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Jones","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E. H.","family":"Albery","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I. M.","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. R.","family":"Maw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2007,6,29]]},"reference":[{"key":"S0022215100120894_ref008","doi-asserted-by":"publisher","DOI":"10.1136\/adc.63.2.176"},{"key":"S0022215100120894_ref011","first-page":"282","volume-title":"Recent Advances in Otitis Media","author":"Maw","year":"1988"},{"key":"S0022215100120894_ref018","first-page":"99","article-title":"Unexpected ear disease in infants with cleft palate","volume":"4","author":"Stool","year":"1967","journal-title":"Cleft Palate Journal"},{"key":"S0022215100120894_ref006","doi-asserted-by":"publisher","DOI":"10.1177\/00034894800890S311"},{"key":"S0022215100120894_ref013","first-page":"35","article-title":"The universality of otitis media in 50 infants with cleft palate","volume":"44","author":"Paradise","year":"1969","journal-title":"Pediatrics 1969"},{"key":"S0022215100120894_ref003","first-page":"463","article-title":"Rational management of middle ear effusions in the cleft palate patient","volume":"5","author":"Crysdale","year":"1976","journal-title":"Journal of Otolaryngology"},{"key":"S0022215100120894_ref005","doi-asserted-by":"publisher","DOI":"10.1177\/014107688808101209"},{"key":"S0022215100120894_ref014","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1542\/peds.53.1.48","article-title":"Early treatment of the universal otitis media of infants with cleft palate","volume":"53","author":"Paradise","year":"1974","journal-title":"Pediatrics"},{"key":"S0022215100120894_ref004","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1986.tb00098.x"},{"key":"S0022215100120894_ref015","unstructured":"Reynell J. K. (1987) Reynell Developmental Language Scales. (second revision, Huntly M.) NFER-Nelson."},{"key":"S0022215100120894_ref017","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1991.tb00927.x"},{"key":"S0022215100120894_ref002","volume-title":"Paediatric Otolaryngology","author":"Bluestone","year":"1983"},{"key":"S0022215100120894_ref012","first-page":"291","article-title":"Otitis Media in the cleft palate patient","volume":"65","author":"Moore","year":"1986","journal-title":"Ear Nose and Throat Journal"},{"key":"S0022215100120894_ref019","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198903000-00003"},{"key":"S0022215100120894_ref009","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100107108"},{"key":"S0022215100120894_ref016","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100096791"},{"key":"S0022215100120894_ref007","doi-asserted-by":"publisher","DOI":"10.1016\/0165-5876(88)90066-3"},{"key":"S0022215100120894_ref010","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198506133122401"},{"key":"S0022215100120894_ref001","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197207000-00011"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215100120894","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,19]],"date-time":"2024-02-19T21:20:24Z","timestamp":1708377624000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215100120894\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1992,9]]},"references-count":19,"journal-issue":{"issue":"9","published-print":{"date-parts":[[1992,9]]}},"alternative-id":["S0022215100120894"],"URL":"https:\/\/doi.org\/10.1017\/s0022215100120894","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[1992,9]]}}}