{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T15:45:51Z","timestamp":1787931951558,"version":"build-2784847793"},"reference-count":50,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T00:00:00Z","timestamp":1766707200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000055","name":"National Institute on Deafness and Other Communication Disorders","doi-asserted-by":"publisher","award":["T32-DC009401"],"award-info":[{"award-number":["T32-DC009401"]}],"id":[{"id":"10.13039\/100000055","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare cross-linguistic auditory-perceptual nasality ratings and language-specific nasalance scores in Spanish-English bilingual children and adolescents with cleft palate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective case series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Academic, tertiary pediatric hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Spanish- and English-speaking patients with cleft palate who underwent a bilingual resonance and articulation evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions\/Comparisons<\/jats:title>\n                    <jats:p>Auditory-perceptual nasality ratings versus nasalance scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Cross-linguistic ratings of hypernasality, hyponasality, and audible nasal emission; mean and maximum nasalance scores for oral- and nasal-loaded stimuli in each language.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eleven patients\u2019 data were analyzed (six females and five males; mean age, 11.3 years). Oral-loaded mean nasalance strongly reflected perceptual hypernasality in both languages; hyponasality ratings showed no relationship to mean nasalance with nasal-loaded stimuli in either language; and audible nasal emissions were associated with maximum nasalance in Spanish but not English. Repeated-measures analyses revealed no significant effect of phoneme context, language, or their interaction on either mean or maximum nasalance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Oral-loaded mean nasalance measures strongly reflect perceptual hypernasality in both languages. Audible nasal emissions are significantly associated with maximum nasalance scores in Spanish only, suggesting possible language-specific perceptual and acoustic patterns. Further research is needed to determine if these conclusions hold in a larger, prospective cohort.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656251405745","type":"journal-article","created":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T11:52:32Z","timestamp":1766749952000},"page":"362-369","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Agreement Between Hypernasality Ratings and Nasalance Scores in Spanish-English Bilingual Patients with Cleft Palate"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-1223-6356","authenticated-orcid":false,"given":"Jacqueline","family":"Burpee","sequence":"first","affiliation":[{"name":"University of Wisconsin-Madison"},{"name":"The Brain Institute, Nicklaus Children's Hospital, Miami, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evalise","family":"Dexter","sequence":"additional","affiliation":[{"name":"University of Wisconsin-Madison"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-9388-1339","authenticated-orcid":false,"given":"John H.","family":"Munday","sequence":"additional","affiliation":[{"name":"University of Wisconsin-Madison"},{"name":"University of Wisconsin-Madison"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3484-3455","authenticated-orcid":false,"given":"Nathan V.","family":"Welham","sequence":"additional","affiliation":[{"name":"University of Wisconsin-Madison"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,26]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.133.3.224"},{"key":"e_1_3_3_3_2","first-page":"405","volume-title":"Investigations in Clinical Phonetics and Linguistics","author":"Whitehill TL","year":"2012","unstructured":"Whitehill TL, Chun JC. 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