{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:22:44Z","timestamp":1777522964466,"version":"3.51.4"},"reference-count":62,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2018,3,21]],"date-time":"2018-03-21T00:00:00Z","timestamp":1521590400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>The aim of the current study was to assess voice quality among adults treated for unilateral cleft lip and palate (UCLP), after one- or two-stage palate closure, and compare it to a noncleft control group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Cross-sectional study of patients with UCLP with long-term follow-up and noncleft controls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>Patients with UCLP born between 1960 and 1987, treated at Uppsala University Hospital, Sweden, were examined (n = 73) at a mean of 35 years after primary surgery. Forty-seven (64%) patients had been treated with 1-stage palate closure and 26 with 2-stage closure (36%). The noncleft control group consisted of 63 age-matched volunteers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures:<\/jats:title>\n                    <jats:p>Ratings of perceptual voice characteristics from blinded voice recordings with Swedish Voice Evaluation Approach method. Acoustic voice analysis including pitch and spectral measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among the patients, the mean values for the 12 evaluated variables on a visual analog scale (0 = no abnormality, 100 = maximal abnormality) ranged between 0.1 and 17, and the mean for all was 6 mm. Voice variables were similar between patients and controls, except the total mean of all the perceptual voice variables, as well as \u201cvocal fry\u201d; both slightly lower among patients ( P = .018 and P = .009). There was no difference in any variable between patients treated with 1-stage and 2-stage palate closure. No clear relationship was found between velopharyngeal insufficiency and dysphonia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The voice characteristics among adults treated for UCLP in childhood are not different from those of individuals without cleft.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1055665618764521","type":"journal-article","created":{"date-parts":[[2018,3,21]],"date-time":"2018-03-21T14:57:12Z","timestamp":1521644232000},"page":"1103-1114","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Voice Quality in Adults Treated for Unilateral Cleft Lip and Palate"],"prefix":"10.1177","volume":"55","author":[{"given":"Staffan","family":"Mor\u00e9n","sequence":"first","affiliation":[{"name":"Otorhinolaryngology and Head and Neck Surgery, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Per \u00c5ke","family":"Lindestad","sequence":"additional","affiliation":[{"name":"Department of Clinical Science, Intervention and Technology, Division of Ear, Nose and Throat Diseases, Karolinska Institute, Karolinska University Hospital, Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mats","family":"Holmstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Clinical Science, Intervention and Technology, Division of Ear, Nose and Throat Diseases, Karolinska Institute, Karolinska University Hospital, Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Mani","sequence":"additional","affiliation":[{"name":"Plastic Surgery, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,3,21]]},"reference":[{"issue":"6","key":"bibr1-1055665618764521","first-page":"759","volume":"30","author":"Abdelli-Beruh NB","year":"2016","journal-title":"J Voice"},{"key":"bibr2-1055665618764521","volume-title":"Clinical Voice Disorders","author":"Aronson AE","year":"2009"},{"key":"bibr3-1055665618764521","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2015.10.007"},{"key":"bibr4-1055665618764521","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2014.11.001"},{"issue":"4","key":"bibr5-1055665618764521","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1159\/000452948","volume":"68","author":"Behrman A","year":"2016","journal-title":"Folia Phoniatr Logop"},{"key":"bibr6-1055665618764521","unstructured":"Boersma P, Weenink D. 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