{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:31:02Z","timestamp":1777523462821,"version":"3.51.4"},"reference-count":55,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,9,22]],"date-time":"2020-09-22T00:00:00Z","timestamp":1600732800000},"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":[[2021,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>It was hypothesized that lip repair protocols in children with bilateral cleft lip and palate (BCLP) would affect development of bilabial consonants \/m\/ \/b\/ \/p\/. This study compared speech outcomes in 2 surgical groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A retrospective case note investigation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>UK Cleft Centre (2000-2009).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients:<\/jats:title>\n                    <jats:p>Forty-nine children with complete BCLP, of whom 26 had a 1-stage and 23 a 2-stage bilateral cleft lip repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions:<\/jats:title>\n                    <jats:p>One-stage cleft lip repair versus a 2-staged cleft lip repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures:<\/jats:title>\n                    <jats:p>Bilabial consonant production at 18 months, 3 and 5 years of age. Cleft Speech Characteristics (CSCs) at age 5.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      At age 18 months, 81% of the 1-stage lip repair group and 4% of the 2-stage lip repair group produced bilabial consonants (\n                      <jats:italic>P<\/jats:italic>\n                      &lt;\u00b70001, Fisher test). At age 3 years, 81% of the 1-stage and 26% of the 2-stage lip repair groups produced bilabial consonants (\n                      <jats:italic>P<\/jats:italic>\n                      =\u00b70133, Fisher test). At age 5 years, both groups had similar bilabial consonant production, but children in the 2-stage lip repair group had more frequent and severe CSCs (\n                      <jats:italic>P<\/jats:italic>\n                      = \u00b70037, \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>A 1-stage lip repair for children with complete BCLP resulted in better bilabial consonant production at 18 months and 3 years of age than a 2-stage lip repair. At age 5 years both groups had bilabial consonants but children in the 2-stage lip repair group had worse CSCs. The surgical protocol for bilateral cleft lip repair affected speech outcome in children with BCLP.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1055665620956872","type":"journal-article","created":{"date-parts":[[2020,9,22]],"date-time":"2020-09-22T05:35:11Z","timestamp":1600752911000},"page":"419-428","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["The Method of Surgical Lip Repair Affects Speech Outcomes in Children With Bilateral Cleft Lip and Palate"],"prefix":"10.1177","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0253-196X","authenticated-orcid":false,"given":"Holly","family":"Peryer","sequence":"first","affiliation":[{"name":"West Midlands Cleft Lip and Palate Centre, Birmingham Children\u2019s Hospital, Birmingham, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rona","family":"Slator","sequence":"additional","affiliation":[{"name":"West Midlands Cleft Lip and Palate Centre, Birmingham Children\u2019s Hospital, Birmingham, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4293-4851","authenticated-orcid":false,"given":"Jenny","family":"Thomson","sequence":"additional","affiliation":[{"name":"Department of Human Communication Sciences, The University of Sheffield, Mushroom Lane, Sheffield, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruce","family":"Richard","sequence":"additional","affiliation":[{"name":"West Midlands Cleft Lip and Palate Centre, Birmingham Children\u2019s Hospital, Birmingham, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,9,22]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.3109\/02844318109103407"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.2147\/CCIDE.S129598"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1055665620923925"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199203000-00004"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1597\/13-121"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_1991_028_0172_votwcl_2.3.co_2"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1044\/1092-4388(2001\/099)"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2014.07.018"},{"key":"e_1_3_2_10_1","unstructured":"Cleft Registry and Audit Network (CRANE) Annual Reports 2015-19. Accessed January 10 2020. www.crane-database.org.uk"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31821e6f92"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/0269920031000111348"},{"key":"e_1_3_2_13_1","volume-title":"Presented at the Craniofacial Society of Great Britain and Ireland Annual Scientific Conference","author":"Fitzpatrick B","year":"2018","unstructured":"Fitzpatrick B, Panagamuwa C, Grunfield B, Moss-Levi L, Rihtman T. The impact of hearing on speech outcomes in 5 year old children with cleft palate +\/- cleft lip. Presented at the Craniofacial Society of Great Britain and Ireland Annual Scientific Conference; April 2018; Birmingham, UK."},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2009.07.015"},{"key":"e_1_3_2_15_1","volume-title":"PACS Toys Screening Assessment","author":"Grunwell P","year":"1985","unstructured":"Grunwell P, Harding A. PACS Toys Screening Assessment. Nfer-Nelson; 1985."},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.3109\/13682828709088685"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/ocr.12184"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.3109\/02699208908985268"},{"key":"e_1_3_2_19_1","volume-title":"St. Andrew\u2019s Plastic Surgery Centre","author":"Harding A","year":"1997","unstructured":"Harding A, Harland K, Razzell R. Cleft Audit Protocol for Speech (CAPS). St. Andrew\u2019s Plastic Surgery Centre; 1997."},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118785065.ch15"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1597\/03-134.1"},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000000548"},{"key":"e_1_3_2_23_1","doi-asserted-by":"publisher","DOI":"10.1597\/06-086.1"},{"key":"e_1_3_2_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118785065.ch9"},{"issue":"2","key":"e_1_3_2_25_1","first-page":"126","article-title":"Strategies in cleft palate speech-with special reference to Danish","volume":"24","author":"Hutters B","year":"1987","unstructured":"Hutters B, Br\u00f8ndsted K. Strategies in cleft palate speech-with special reference to Danish. Cleft Palate J. 1987;24(2):126\u2013136.","journal-title":"Cleft Palate J"},{"key":"e_1_3_2_26_1","doi-asserted-by":"publisher","DOI":"10.1597\/04-141.1"},{"key":"e_1_3_2_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/1055665617732781"},{"key":"e_1_3_2_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/1055665618768541"},{"key":"e_1_3_2_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.12776"},{"key":"e_1_3_2_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118785065.ch4"},{"key":"e_1_3_2_31_1","doi-asserted-by":"publisher","DOI":"10.1080\/028443102321096320"},{"key":"e_1_3_2_32_1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_1994_031_0271_psicwc_2.3.co_2"},{"key":"e_1_3_2_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182910acb"},{"key":"e_1_3_2_34_1","doi-asserted-by":"publisher","DOI":"10.1044\/1092-4388(2001\/054)"},{"key":"e_1_3_2_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e318270fe4d"},{"key":"e_1_3_2_36_1","unstructured":"NHS England. Commissioning for Specialist Services nhs standard contract for cleft lip and\/or palate services including non-cleft velopharyngeal dysfunction (vpd) (all ages) schedule 2\u2014the services a. Service specifications. 2013. Accessed May 10 2020. https:\/\/www.england.nhs.uk\/wp-content\/uploads\/2013\/06\/d07-cleft-lip.pdf"},{"issue":"2","key":"e_1_3_2_37_1","first-page":"122","article-title":"Phonetic analyses of the speech development of babies with cleft palate","volume":"25","author":"O\u2019Gara M","year":"1988","unstructured":"O\u2019Gara M, Logemann J. Phonetic analyses of the speech development of babies with cleft palate. Cleft Palate J. 1988;25(2):122\u2013134.","journal-title":"Cleft Palate J"},{"key":"e_1_3_2_38_1","doi-asserted-by":"publisher","DOI":"10.1177\/1055665619900625"},{"key":"e_1_3_2_39_1","first-page":"17","volume-title":"The Clinician\u2019s Guide to Treating Cleft Palate Speech","author":"Peterson-Falzone SJ","year":"2006","unstructured":"Peterson-Falzone SJ, Trost-Cardamone JE, Karnell P, Hardin-Jones M. Effects of cleft and non-cleft VPI on speech in older children. In: The Clinician\u2019s Guide to Treating Cleft Palate Speech. Mosby; 2006:17\u201339."},{"key":"e_1_3_2_40_1","doi-asserted-by":"publisher","DOI":"10.1044\/1092-4388(2012\/11-0250)"},{"key":"e_1_3_2_41_1","doi-asserted-by":"publisher","DOI":"10.1080\/2000656X.2016.1254646"},{"key":"e_1_3_2_42_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000105332.57124.89"},{"key":"e_1_3_2_43_1","doi-asserted-by":"publisher","DOI":"10.1080\/13682820400016522"},{"key":"e_1_3_2_44_1","doi-asserted-by":"publisher","DOI":"10.3109\/13682829409041477"},{"key":"e_1_3_2_45_1","doi-asserted-by":"publisher","DOI":"10.1080\/136828299247595"},{"key":"e_1_3_2_46_1","doi-asserted-by":"publisher","DOI":"10.1111\/ocr.12112"},{"key":"e_1_3_2_47_1","doi-asserted-by":"publisher","DOI":"10.1111\/ocr.12186"},{"key":"e_1_3_2_48_1","doi-asserted-by":"publisher","DOI":"10.1080\/2000656X.2016.1254644"},{"issue":"2","key":"e_1_3_2_49_1","first-page":"1","article-title":"Range and timing of surgery, and surgical sequences used, in primary repair of complete unilateral cleft lip and palate: the cleft care UK study","volume":"23","author":"Slator R","year":"2019","unstructured":"Slator R, Perisanidou L, Waylen A, Sandy J, Ness A, Wills A. Range and timing of surgery, and surgical sequences used, in primary repair of complete unilateral cleft lip and palate: the cleft care UK study. Orthod Craniofac Res. 2019;23(2):1\u20138.","journal-title":"Orthod Craniofac Res"},{"key":"e_1_3_2_50_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000085599.84458.D2"},{"key":"e_1_3_2_51_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9416(55)90126-3"},{"key":"e_1_3_2_52_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e318192801b"},{"key":"e_1_3_2_53_1","doi-asserted-by":"publisher","DOI":"10.1597\/06-207.1"},{"key":"e_1_3_2_54_1","first-page":"69","volume-title":"Medical Times and Gazette","author":"Von Langenbeck B","year":"1861","unstructured":"Von Langenbeck B. Professor langenbeckon uranoplastics. Medical Times and Gazette; 1861:69."},{"key":"e_1_3_2_55_1","doi-asserted-by":"publisher","DOI":"10.1080\/2000656X.2016.1254647"},{"key":"e_1_3_2_56_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(99)03748-4"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1055665620956872","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1055665620956872","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1055665620956872","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:21:01Z","timestamp":1777393261000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1055665620956872"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,22]]},"references-count":55,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021,4]]}},"alternative-id":["10.1177\/1055665620956872"],"URL":"https:\/\/doi.org\/10.1177\/1055665620956872","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,22]]}}}