{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T17:52:10Z","timestamp":1773424330762,"version":"3.50.1"},"reference-count":38,"publisher":"S. Karger AG","license":[{"start":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T00:00:00Z","timestamp":1770076800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"},{"start":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T00:00:00Z","timestamp":1770076800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Folia Phoniatr Logop"],"abstract":"<jats:p>Introduction: This study examined ear and hearing outcomes in Filipino individuals with a cleft palate with\/without a cleft lip and investigated whether age at palatal closure is associated with the presence or absence of hearing loss. Methods: Participants were individuals with a repaired cleft palate with\/without a cleft lip recruited from the Tebow CURE hospital (Davao, Philippines). An anamnestic interview assessed the presence of hearing-related symptoms. Otoscopic examination and pure-tone audiometry were performed bilaterally to evaluate external ear anatomy and hearing sensitivity, respectively. A binary logistic regression analysis was conducted to determine whether age at palatal closure (in years) predicted the presence or absence of hearing loss. Results: The study included 52 participants (21 males, 31 females; mean age = 17.8 years). One-third (33.3%) demonstrated hearing loss (pure-tone average \u226525 dB HL). Nearly half (42.3%) reported a previous experience of tinnitus, with 9.0% describing it as bothersome. Age at palatal closure was not a significant predictor of the presence or absence of hearing loss. Conclusion: While age at palatal closure was not significantly associated with hearing loss, the study highlights the prevalence of ear and hearing problems, including tinnitus, among Filipino individuals with a cleft palate with\/without a cleft lip. These findings emphasize the urgent need for improved access to ear and hearing care services in this population.<\/jats:p>","DOI":"10.1159\/000550819","type":"journal-article","created":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T17:01:58Z","timestamp":1770138118000},"page":"1-10","source":"Crossref","is-referenced-by-count":0,"title":["Timing Matters? Investigating the Impact of Age at Palatal Closure on Hearing in Filipino Individuals with Cleft Palate"],"prefix":"10.1159","author":[{"given":"Katrien","family":"Kestens","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cassandra","family":"Alighieri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Hodges","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jolien","family":"Verbeke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rica","family":"Albite","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raphaelle","family":"May Tan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristiane M.","family":"Van Lierde","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2026,2,3]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60695-4"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jormas.2021.05.008"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1002\/lary.28103"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-016-1828-x"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1177\/0194599817707514"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.17647"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1080\/136828298247776"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-0628"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.fsc.2014.07.002"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcomdis.2017.06.010"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1177\/10556656251319649"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000010391"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/0007-1226(86)90081-0"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199608000-00005"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1177\/1055665618754632"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000005219"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1597\/13-009"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1111\/1460-6984.13146"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000011345"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1080\/14015439.2025.2453134"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1159\/000540308"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1016\/bs.pbr.2020.12.002"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2022.104787"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.5365\/wpsar.2020.11.1.014"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1080\/17441692.2022.2053734"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1177\/10556656231178437"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1177\/0194599816640485"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2021.110718"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000007071"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.31128\/AJGP-12-17-4420"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(13)70160-1"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.3109\/14992027.2010.540584"},{"key":"ref33","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2018.09.027"},{"key":"ref34","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000010392"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.1258\/0022215011907668"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.1016\/0165-5876(96)01412-7"},{"key":"ref37","doi-asserted-by":"publisher","DOI":"10.1177\/10556656251360598"},{"key":"ref38","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2021.110820"}],"container-title":["Folia Phoniatrica et Logopaedica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/article-pdf\/doi\/10.1159\/000550819","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T17:01:01Z","timestamp":1773421261000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000550819"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,3]]},"references-count":38,"URL":"https:\/\/doi.org\/10.1159\/000550819","archive":["Portico"],"relation":{},"ISSN":["1021-7762","1421-9972"],"issn-type":[{"value":"1021-7762","type":"print"},{"value":"1421-9972","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,3]]}}}