{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T11:46:13Z","timestamp":1780487173774,"version":"3.54.1"},"reference-count":31,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2011,7,1]],"date-time":"2011-07-01T00:00:00Z","timestamp":1309478400000},"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":[[2011,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Cleft palate increases the risk of chronic middle ear disease and hearing loss. The goal of this report was to determine which of two palate surgeries and which timing of palate surgery were associated with better otologic and audiologic outcomes in children with unilateral cleft lip and palate at 5 to 6 years of age.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Subjects were randomly assigned to the von Langenbeck with intravelar veloplasty or Furlow palate repair, to palate surgery at 9 to 12 months or 15 to 18 months of age, and to the Spina or Millard lip repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Centralized, tertiary care craniofacial treatment center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients<\/jats:title>\n                    <jats:p>A total of 673 infants with unilateral cleft lip and palate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>Palate and lip were repaired using established techniques. Serial otoscopic and audiometric evaluations were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Hearing and otoscopic findings at 5 to 6 years old.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were 370 children available for analysis. Hearing and need for tympanostomy tube placement did not differ by palatoplasty, age at palatoplasty, cheiloplasty, or surgeon. Risk of developing cholesteatoma or perforation was higher with Millard cheiloplasty (odds ratio = 5.1, 95% confidence interval = 1.44 to 18.11, p = .012). Type and age at palatoplasty were not significantly associated with either the rate of developing these sequelae or the rate of achieving bilaterally normal hearing and ear examinations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Type of palatoplasty did not influence otologic and audiologic outcomes in 5- to 6-year-olds with unilateral cleft lip and palate. The potential influence of lip repair on otologic outcomes warrants further investigation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1597\/10-009","type":"journal-article","created":{"date-parts":[[2010,6,10]],"date-time":"2010-06-10T18:25:32Z","timestamp":1276194332000},"page":"412-418","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":36,"title":["Otologic and Audiologic Outcomes with the Furlow and von Langenbeck with Intravelar Veloplasty Palatoplasties in Unilateral Cleft Lip and Palate"],"prefix":"10.1177","volume":"48","author":[{"given":"Patrick J.","family":"Antonelli","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, University of Florida, Gainesville, Florida."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 C.","family":"Jorge","sequence":"additional","affiliation":[{"name":"Hospital de Reabilita\u00e7\u00e3o de Anomalias Craniofaciais, Universidade de S\u00e3o Paulo (University of S\u00e3o Paulo Hospital for Rehabilitation of Craniofacial Anomalies), Bauru, S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariza R.","family":"Feniman","sequence":"additional","affiliation":[{"name":"Hospital de Reabilita\u00e7\u00e3o de Anomalias Craniofaciais, Universidade de S\u00e3o Paulo (University of S\u00e3o Paulo Hospital for Rehabilitation of Craniofacial Anomalies), Bauru, S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00edlvia H.A.","family":"Piazentin-Penna","sequence":"additional","affiliation":[{"name":"Hospital de Reabilita\u00e7\u00e3o de Anomalias Craniofaciais, Universidade de S\u00e3o Paulo (University of S\u00e3o Paulo Hospital for Rehabilitation of Craniofacial Anomalies), Bauru, S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeniffer C.R.","family":"Dutka-Souza","sequence":"additional","affiliation":[{"name":"University of Florida, Gainesville, Florida, and Hospital de Reabilita\u00e7\u00e3o de Anomalias Craniofaciais, Universidade de S\u00e3o Paulo, Bauru, S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Brent","family":"Seagle","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Florida, Gainesville, Florida."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William N.","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Oral Biology, University of Florida, Gainesville, Florida."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John A.","family":"Nackashi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Florida, Gainesville, Florida."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steve","family":"Boggs","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology, University of Florida, Gainesville, Florida."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria I.G.","family":"Graciano","sequence":"additional","affiliation":[{"name":"Hospital de Reabilita\u00e7\u00e3o de Anomalias Craniofaciais, Universidade de S\u00e3o Paulo, Bauru, S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Telma V.","family":"Souza","sequence":"additional","affiliation":[{"name":"Hospital de Reabilita\u00e7\u00e3o de Anomalias Craniofaciais, Universidade de S\u00e3o Paulo, Bauru, S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 S.M.","family":"Neto","sequence":"additional","affiliation":[{"name":"Hospital de Reabilita\u00e7\u00e3o de Anomalias Craniofaciais, Universidade de S\u00e3o Paulo, Bauru, S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis A.","family":"Garla","sequence":"additional","affiliation":[{"name":"Hospital de Reabilita\u00e7\u00e3o de Anomalias Craniofaciais, Universidade de S\u00e3o Paulo, Bauru, S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcos L.N.","family":"Silva","sequence":"additional","affiliation":[{"name":"Hospital de Reabilita\u00e7\u00e3o de Anomalias Craniofaciais, Universidade de S\u00e3o Paulo, Bauru, S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilza L.","family":"Marques","sequence":"additional","affiliation":[{"name":"Hospital de Reabilita\u00e7\u00e3o de Anomalias Craniofaciais, Universidade de S\u00e3o Paulo, Bauru, S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hilton C.","family":"Borgo","sequence":"additional","affiliation":[{"name":"Hospital de Reabilita\u00e7\u00e3o de Anomalias Craniofaciais, Universidade de S\u00e3o Paulo, Bauru, S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.M.C. Martinelli","family":"\u00c2ngela","sequence":"additional","affiliation":[{"name":"Hospital de Reabilita\u00e7\u00e3o de Anomalias Craniofaciais, Universidade de S\u00e3o Paulo, Bauru, S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan J.","family":"Shuster","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Health Policy Research, University of Florida, Gainesville, Florida."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria C.M.","family":"Pimentel","sequence":"additional","affiliation":[{"name":"Hospital de Reabilita\u00e7\u00e3o de Anomalias Craniofaciais, Universidade de S\u00e3o Paulo, Bauru, S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria C.","family":"Zimmermann","sequence":"additional","affiliation":[{"name":"Hospital de Reabilita\u00e7\u00e3o de Anomalias Craniofaciais, Universidade de S\u00e3o Paulo, Bauru, S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina G.A.","family":"Bento-Gon\u00e7alves","sequence":"additional","affiliation":[{"name":"Hospital de Reabilita\u00e7\u00e3o de Anomalias Craniofaciais, Universidade de S\u00e3o Paulo, Bauru, S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F. Joseph","family":"Kemker","sequence":"additional","affiliation":[{"name":"Department of Communicative Disorders, University of Florida, Gainesville, Florida."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan P.","family":"McGorray","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Health Policy Research, University of Florida, Gainesville, Florida."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria I.","family":"Pegoraro-Krook","sequence":"additional","affiliation":[{"name":"Hospital de Reabilita\u00e7\u00e3o de Anomalias Craniofaciais, Universidade de S\u00e3o Paulo and Department of Speech\/Language and Audiology, College of Dentistry, Bauru, S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2011,7,1]]},"reference":[{"key":"bibr1-10-009","first-page":"583","volume-title":"Pediatric Otolaryngology.","volume":"1","author":"Bluestone 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