{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:33:27Z","timestamp":1777523607730,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T00:00:00Z","timestamp":1730764800000},"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":[[2025,12]]},"abstract":"\n Objective<\/jats:title>\n To evaluate whether having a cleft palate with or without cleft lip (CP\u2009\u00b1\u2009L) influences the performance of a child on a wind instrument.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Cross-sectional.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n This study was conducted at Asociaci\u00f3n San Lucas (Peru), which has a multidisciplinary care program for children with CP\u2009\u00b1\u2009L. Free recorder lessons are offered to all patients aged 6\u20138 years. After that, the children can switch to flute, clarinet, violin, viola, or cello. For a fee, children without CP\u2009\u00b1\u2009L can also participate in the music program.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n All children with and without CP\u2009\u00b1\u2009L who were participating in the music program and were able to play the recorder, flute, or clarinet (N\u2009=\u200943).<\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measures<\/jats:title>\n Quantitative and qualitative performance exercises: maximum blowing duration, highest note, lowest note, diminuendo, crescendo, and sound quality.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n No significant differences in performance were found between children with and without CP\u2009\u00b1\u2009L. Older children and children with more experience on their instrument demonstrated a significantly longer blowing duration and better sound quality. Within the CP\u2009\u00b1\u2009L group, those with a satisfactory surgery result had a significantly longer blowing duration than those with a partly satisfactory result (eg, presence of a fistula, palatal surgery revisions, or (need of) pharingoplasty). Furthermore, children with bilateral cleft lip and palate performed diminuendo significantly less smoothly than those with the unilateral type.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Children with and without CP\u2009\u00b1\u2009L demonstrated equally good performances on the recorder, flute, and clarinet. Therefore, families and caregivers should not discourage children with CP\u2009\u00b1\u2009L from learning to play these wind instruments.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/10556656241290432","type":"journal-article","created":{"date-parts":[[2024,11,6]],"date-time":"2024-11-06T01:59:01Z","timestamp":1730858341000},"page":"2006-2015","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Influence of Cleft Lip and Palate on Children's Recorder, Flute, and Clarinet Performance"],"prefix":"10.1177","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7078-8142","authenticated-orcid":false,"given":"F.N.","family":"van der Weijden","sequence":"first","affiliation":[{"name":"Academic Centre of Dentistry Amsterdam, Amsterdam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Mego Hern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Alberto Hurtado, University Peruana Cayetano Heredia, Lima, Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.A.M.","family":"Schopman","sequence":"additional","affiliation":[{"name":"Principal flutist of Het Promenade Orkest, Amsterdam, The Netherlands"},{"name":"Flute teacher at Het Klooster, Woerden, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0423-7649","authenticated-orcid":false,"given":"P.E.","family":"Rossell Perry","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Peruvian Union University, Lima, Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.H.","family":"van Essen","sequence":"additional","affiliation":[{"name":"Asociaci\u00f3n San Lucas, Moyobamba, San Mart\u00edn, Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,11,5]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00056-018-0128-2"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.21091\/mppa.2016.4038"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41415-023-5510-9"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/1029864914561709"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41415-023-5570-x"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2014.07.014"},{"key":"e_1_3_3_8_2","volume-title":"Qualitative methods for health research","author":"Green J","year":"2018","unstructured":"Green J, Thorogood N. Qualitative methods for health research. Fourth edition. Sage; 2018."},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.2319\/111214-812.1"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1044\/jshd.1203.281"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1042-3699(02)00046-8"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.2307\/3345140"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41415-022-4292-9"},{"issue":"6","key":"e_1_3_3_14_2","first-page":"384","article-title":"The effects of orthodontic appliances on wind-instrument players","volume":"40","author":"Raney NA","unstructured":"Raney NA. The effects of orthodontic appliances on wind-instrument players. J Clin Orthod. 2006 Jun;40(6):384-387.","journal-title":"J Clin Orthod"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/1055665619857000"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656241290432","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10556656241290432","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656241290432","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:21:26Z","timestamp":1777393286000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10556656241290432"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,5]]},"references-count":14,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1177\/10556656241290432"],"URL":"https:\/\/doi.org\/10.1177\/10556656241290432","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,5]]}}}