{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:33:52Z","timestamp":1777523632520,"version":"3.51.4"},"reference-count":53,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2021,4,23]],"date-time":"2021-04-23T00:00:00Z","timestamp":1619136000000},"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":[[2022,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study sought to investigate the association between maxillary growth and speech outcomes for children with a repaired unilateral cleft lip and palate (UCLP) at 5 years of age.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>In all, 521 children (180 females and 341 males) with a nonsyndromic complete UCLP, born between 2007 and 2012 in England, Wales, and Northern Ireland were included in this study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome Measures:<\/jats:title>\n                    <jats:p>Maxillary growth was analyzed using dental models scored by the 5-Year-Olds\u2019 index, and perceptual speech analyses were scored by the Cleft Audit Protocol for Speech\u00a0\u2013 Augmented rating.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Forty-one percent of the children achieved good maxillary growth (scores 1 and 2 on 5-Year-Old\u2019 index). Fifty percent of the children achieved normal speech (achieving UK speech standard 1). Maxillary growth was not found to have an impact on speech outcome when described by the 3 UK National Cleft Lip and Palate Speech Audit Outcome Standards. Analysis according to individual speech parameters showed dentalizations to be less prevalent in children with\n                      <jats:italic>good<\/jats:italic>\n                      maxillary growth compared to\n                      <jats:italic>fair<\/jats:italic>\n                      and\n                      <jats:italic>poor<\/jats:italic>\n                      growth (\n                      <jats:italic>P<\/jats:italic>\n                      = .001). The remaining speech parameters within resonance, nasal airflow, and articulation categories were not significantly associated with maxillary growth.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>\n                      The findings from this study suggest that children with a history of complete UCLP, who have\n                      <jats:italic>poor<\/jats:italic>\n                      maxillary growth, are not at a higher risk of having major speech errors compared to children with\n                      <jats:italic>good<\/jats:italic>\n                      or\n                      <jats:italic>fair<\/jats:italic>\n                      maxillary growth at 5 years of age.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656211010620","type":"journal-article","created":{"date-parts":[[2021,4,23]],"date-time":"2021-04-23T03:19:54Z","timestamp":1619147994000},"page":"453-461","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["The Relationship Between Maxillary Growth and Speech in Children With a Unilateral Cleft Lip and Palate at 5 Years of Age"],"prefix":"10.1177","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7776-2877","authenticated-orcid":false,"given":"Matthew","family":"Fell","sequence":"first","affiliation":[{"name":"North Bristol NHS Trust, Bristol, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jibby","family":"Medina","sequence":"additional","affiliation":[{"name":"Clinical Effectiveness Unit, Royal College of Surgeons, London, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate","family":"Fitzsimons","sequence":"additional","affiliation":[{"name":"Clinical Effectiveness Unit, Royal College of Surgeons, London, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miriam","family":"Seifert","sequence":"additional","affiliation":[{"name":"University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Roberts","sequence":"additional","affiliation":[{"name":"University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig","family":"Russell","sequence":"additional","affiliation":[{"name":"Royal Hospital for Children, Glasgow, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott","family":"Deacon","sequence":"additional","affiliation":[{"name":"University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,4,23]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2020.02.002"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/ocr.12109"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_1997_034_0242_anifas_2.3.co_2"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/1055665620923925"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1597\/13-121"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1597\/05-001.1"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1597\/06-244"},{"key":"e_1_3_3_9_1","unstructured":"Cleft Registry and Audit Network (CRANE). 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