{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T08:39:10Z","timestamp":1791967150483,"version":"4.3.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2008,3,1]],"date-time":"2008-03-01T00:00:00Z","timestamp":1204329600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2008,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>We present an audit of primary cleft palate surgery at our unit, including rates of oronasal fistula development, speech outcomes, and rates of velopharyngeal insufficiency requiring secondary surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A retrospective study of patients with all cleft palate types, born between January 1990 and December 2004, who underwent primary palatoplasty at Middlemore Hospital, Auckland, New Zealand.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients:<\/jats:title>\n                    <jats:p>The study included 211 patients, collectively operated on by five different surgeons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The overall rate of true fistula development was 12.8% over a mean follow-up period of 4 years 10 months. The incidence of true fistulae that required surgical repair was 8.1%. Fistula rates were higher for more severe degrees of clefting but were not affected by gender or type of surgical repair. Overall, 31.8% of the study population had some degree of hypernasality following primary palatoplasty. Secondary surgery for velopharyngeal insufficiency was required in 13.3% of patients. Following surgical correction of velopharyngeal insufficiency, no patients were reported to have appreciable hypernasality and 21.7% were reported to have mild hypernasality, a result comparable to previously published audits. The requirement for secondary surgery was higher in patients with more severe clefts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Our results are comparable to other recent studies. We believe that highly coordinated cleft care helps ensure such outcomes. These data provide a benchmark against which we can measure future performance in our attempts to improve outcomes of cleft repair.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1597\/06-205.1","type":"journal-article","created":{"date-parts":[[2008,3,11]],"date-time":"2008-03-11T09:03:31Z","timestamp":1205226211000},"page":"172-178","source":"Crossref","is-referenced-by-count":217,"title":["Incidence of Oronasal Fistulae and Velopharyngeal Insufficiency after Cleft Palate Repair: An Audit of 211 Children Born between 1990 and 2004"],"prefix":"10.1177","volume":"45","author":[{"given":"Yun Shan","family":"Phua","sequence":"first","affiliation":[{"name":"University of Auckland Faculty of Medical and Health Sciences, South Auckland Clinical School, Middlemore Hospital, Auckland, New Zealand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tristan","family":"de Chalain","sequence":"additional","affiliation":[{"name":"Consultant Surgeon, Paediatric Plastic Surgery, Cleft and Craniofacial Surgery Service, Regional Centre for Plastic Surgery at Middlemore Hospital, Auckland, New Zealand."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2008,3,1]]},"reference":[{"key":"bibr1-06-205.1","doi-asserted-by":"publisher","DOI":"10.3109\/02844317909013073"},{"key":"bibr2-06-205.1","doi-asserted-by":"publisher","DOI":"10.1016\/0278-2391(88)90044-4"},{"key":"bibr3-06-205.1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-198403000-00004"},{"key":"bibr4-06-205.1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198402000-00007"},{"key":"bibr5-06-205.1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_2001_038_0038_clapci_2.0.co_2"},{"key":"bibr6-06-205.1","doi-asserted-by":"publisher","DOI":"10.1080\/02844310510006529"},{"key":"bibr7-06-205.1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199412000-00002"},{"key":"bibr8-06-205.1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_2002_039_0226_mttscp_2.0.co_2"},{"key":"bibr9-06-205.1","volume-title":"Cleft Lip and\/or Palate, Report of a CSAG Committee.","author":"Clinical Standards Advisory Group.","year":"1998"},{"key":"bibr10-06-205.1","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-5182(89)80093-9"},{"key":"bibr11-06-205.1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199106000-00005"},{"key":"bibr12-06-205.1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199705010-00010"},{"key":"bibr13-06-205.1","volume-title":"Cleft audit protocol for speech (CAPS).","author":"Harding A.","year":"1997"},{"key":"bibr14-06-205.1","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000218788.44591.f0"},{"key":"bibr15-06-205.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2005.05.019"},{"key":"bibr16-06-205.1","doi-asserted-by":"publisher","DOI":"10.1016\/S1071-0949(06)80043-0"},{"key":"bibr17-06-205.1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199392050-00010"},{"key":"bibr18-06-205.1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200111000-00011"},{"key":"bibr19-06-205.1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199611000-00001"},{"key":"bibr20-06-205.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0094-1298(20)31265-7"},{"key":"bibr21-06-205.1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199608000-00005"},{"key":"bibr22-06-205.1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198678060-00004"},{"key":"bibr23-06-205.1","doi-asserted-by":"publisher","DOI":"10.1054\/bjom.2000.0574"},{"key":"bibr24-06-205.1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200102000-00002"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1597\/06-205.1","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1597\/06-205.1","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:20:41Z","timestamp":1777393241000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1597\/06-205.1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,3]]},"references-count":24,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2008,3]]}},"alternative-id":["10.1597\/06-205.1"],"URL":"https:\/\/doi.org\/10.1597\/06-205.1","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,3]]}}}