{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:32:11Z","timestamp":1777523531617,"version":"3.51.4"},"reference-count":58,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2020,12,23]],"date-time":"2020-12-23T00:00:00Z","timestamp":1608681600000},"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":[[2021,9]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Oronasal fistulae following palatoplasty may affect patients\u2019 quality of life by impacting their ability to eat, speak, and maintain oral hygiene. We aimed to quantify the impact of previous oronasal fistula repair on patients\u2019 quality of life using patient-reported outcome psychometric tools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A cross-sectional study of 8- to 9-year-old patients with cleft palate and\/or lip was completed. Patients who had a cleft team clinic between September 2018 and August 2019 were recruited. Participants were divided into 2 groups (no fistula, prior fistula repair). Differences in the individual CLEFT-Q and Child Oral Health Impact Profile-Short Form 19 (COHIP-SF 19) Oral Health scores between the 2 groups were evaluated using a multivariate analysis controlling for Veau classification and syndromic diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Sixty patients with a history of cleft palate were included. Forty-two (70%) patients had an associated cleft lip. Thirty-two (53.3%) patients had no history of fistula and 28 (46.7%) patients had undergone a fistula repair. CLEFT-Q Dental, Jaw, and Speech Function were all higher in patients without a history of a fistula repair; however, none of these differences were statistically significant. The COHIP-SF 19 Oral Health score demonstrated a significantly lower score in the fistula group, indicating poorer oral health ( P = .05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>One would expect that successful repair of a fistula would result in improved function and patient satisfaction, but the consistent trend toward lower CLEFT-Q scores and significantly increased COHIP-SF 19 Oral Health scores in our study group suggests that residual effects linger and that the morbidity of a fistula may not be completely treated with a secondary correction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1055665620981331","type":"journal-article","created":{"date-parts":[[2020,12,23]],"date-time":"2020-12-23T04:49:07Z","timestamp":1608698947000},"page":"1142-1149","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Patients With a History of Oronasal Fistula Repair Exhibit Lower Oral Health Measured With Patient-Centric Outcomes Measures"],"prefix":"10.1177","volume":"58","author":[{"given":"Alyssa","family":"Fritz","sequence":"first","affiliation":[{"name":"Child Development and Rehabilitation Center, Johns Hopkins All Children\u2019s Hospital, St. Petersburg, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8812-5147","authenticated-orcid":false,"given":"Diana S.","family":"Jodeh","sequence":"additional","affiliation":[{"name":"Department of General Surgery, University of Pittsburg Medical Center Pinnacle, Harrisburg, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6035-5706","authenticated-orcid":false,"given":"Fatima","family":"Qamar","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Johns Hopkins All Children\u2019s Hospital, St. Petersburg, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James J.","family":"Cray","sequence":"additional","affiliation":[{"name":"Department of Biomedical Education & Anatomy, The Ohio State University College of Medicine, Columbus, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7209-1966","authenticated-orcid":false,"given":"S. Alex","family":"Rottgers","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Johns Hopkins All Children\u2019s Hospital, St. Petersburg, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,12,23]]},"reference":[{"key":"bibr1-1055665620981331","doi-asserted-by":"publisher","DOI":"10.1001\/jamafacial.2014.1436"},{"key":"bibr2-1055665620981331","doi-asserted-by":"publisher","DOI":"10.1016\/0278-2391(88)90044-4"},{"key":"bibr3-1055665620981331","first-page":"S1","volume":"309","author":"American Cleft Palate-Craniofacial Association","year":"1993","journal-title":"Cleft Palate Craniofac J"},{"key":"bibr4-1055665620981331","doi-asserted-by":"publisher","DOI":"10.1586\/erp.10.52"},{"key":"bibr5-1055665620981331","doi-asserted-by":"publisher","DOI":"10.1177\/003335490912400315"},{"key":"bibr6-1055665620981331","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2007.00401.x"},{"key":"bibr7-1055665620981331","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2007.0002.x"},{"key":"bibr8-1055665620981331","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.2012.00338.x"},{"key":"bibr9-1055665620981331","doi-asserted-by":"publisher","DOI":"10.1597\/14-127"},{"key":"bibr10-1055665620981331","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199508000-00003"},{"key":"bibr11-1055665620981331","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199106000-00005"},{"key":"bibr12-1055665620981331","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-2391(97)90579-6"},{"issue":"6","key":"bibr13-1055665620981331","first-page":"529","volume":"30","author":"Diah E","year":"2007","journal-title":"Chang Gung Med J"},{"key":"bibr14-1055665620981331","first-page":"425","volume-title":"Multidisciplinary Management of Cleft Lip and Palate","volume":"1","author":"Dufresne CR.","year":"1990"},{"key":"bibr15-1055665620981331","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2007.00404.x"},{"key":"bibr16-1055665620981331","doi-asserted-by":"publisher","DOI":"10.1597\/10-146"},{"key":"bibr17-1055665620981331","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199705010-00010"},{"key":"bibr18-1055665620981331","doi-asserted-by":"publisher","DOI":"10.1159\/000351693"},{"key":"bibr151-1055665620981331","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000001826"},{"key":"bibr19-1055665620981331","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000000548"},{"key":"bibr20-1055665620981331","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000001826"},{"key":"bibr21-1055665620981331","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"bibr22-1055665620981331","doi-asserted-by":"publisher","DOI":"10.1159\/000265858"},{"key":"bibr23-1055665620981331","unstructured":"International Consortium for Health Outcomes Measurement. 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