{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:35:11Z","timestamp":1777523711229,"version":"3.51.4"},"reference-count":51,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2021,2,4]],"date-time":"2021-02-04T00:00:00Z","timestamp":1612396800000},"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":[[2021,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To investigate subannular tube (SAT) placement as an alternative treatment of chronic middle ear disease in children with cleft palate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>All children with cleft palate with intractable otitis media with effusion and\/or with tympanic membrane retraction, operated for insertion of 1 or more sets of transtympanic tubes followed by SAT in a tertiary center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures:<\/jats:title>\n                    <jats:p>Audiological outcomes, average duration of tubes, and postoperative complications were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>This study included 21 children with cleft palate, aged 3 to 14 years. A total of 38 ears was evaluated. The median time of follow-up was 42 months. During follow-up, 69.2% of the patients had no complications. Observed complications were otorrhea (13.5%) and tube obstruction (7.7%). In 7.9% of the cases, otitis media with effusion relapsed after tube extrusion. By the end of the study, 76.3% of the tubes remained in situ and 68.4% of the tympanic membranes had the SAT in place and had no significant alterations. The mean duration of SATs was 16 months, which was significantly superior to transtympanic tube duration. A significant sustained improvement in the hearing of children with SATs was observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Subannular tube insertion results in hearing improvement to normal range and tympanic retraction pockets reversion in children with cleft palate with persistent otitis media with effusion and tympanic retraction\/atelectasis. This surgery appears to be safe and provides long-term efficient middle ear aeration. Strict postoperative follow-up is crucial for the success of the treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1055665621990178","type":"journal-article","created":{"date-parts":[[2021,2,9]],"date-time":"2021-02-09T01:45:27Z","timestamp":1612835127000},"page":"1482-1489","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Subannular Tubes in Children With Cleft Palate"],"prefix":"10.1177","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5163-6816","authenticated-orcid":false,"given":"S\u00f3nia Pires","family":"Martins","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Centro Hospitalar Universit\u00e1rio S\u00e3o Jo\u00e3o, Oporto, Portugal"},{"name":"Department of Surgery and Physiology, Faculty of Medicine of University of Oporto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7579-3733","authenticated-orcid":false,"given":"Pedro Lopes","family":"Alexandre","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Centro Hospitalar Universit\u00e1rio S\u00e3o Jo\u00e3o, Oporto, Portugal"},{"name":"Department of Surgery and Physiology, Faculty of Medicine of University of Oporto, Portugal"}]},{"given":"Margarida","family":"Santos","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Centro Hospitalar Universit\u00e1rio S\u00e3o Jo\u00e3o, Oporto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7291-6163","authenticated-orcid":false,"given":"Carla Pinto","family":"Moura","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Centro Hospitalar Universit\u00e1rio S\u00e3o Jo\u00e3o, Oporto, Portugal"},{"name":"Department of Genetics, Centro Hospitalar Universit\u00e1rio S\u00e3o Jo\u00e3o, Faculty of Medicine of University of Oporto, Portugal"},{"name":"I3S, Instituto de Investiga\u00e7\u00e3o e Inova\u00e7\u00e3o em 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