{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T07:07:25Z","timestamp":1791443245678,"version":"4.3.3"},"reference-count":30,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2017,11,1]],"date-time":"2017-11-01T00:00:00Z","timestamp":1509494400000},"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":[[2017,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The purpose of this study was to assess the effect of ventilation tube (VT) placement on long-term hearing outcomes in children with cleft palate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Case series with chart review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Genetic and dysmorphology database at Rady Children's Hospital\u2013San Diego (RCHSD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients<\/jats:title>\n                    <jats:p>Children with cleft palate diagnosis who underwent surgery at RCHSD between 1995 and 2002.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure<\/jats:title>\n                    <jats:p>The primary outcome studied was hearing acuity at 10 years of age. Independent variables studied included gender, age at palate repair and first VT placement, total number of VTs, number of complications, and presence of tympanic membrane perforation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>An increased number of tubes was associated with a greater incidence of hearing loss at age 10, even after adjusting for total number of otologic complications. The timing of initial tube placement did not have a significant effect on long-term hearing outcome in this study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>While children with worse middle ear disease are more likely to receive more tubes and have long-term conductive hearing loss as a result of ear disease, the results of this study suggest that multiple tube placements may not contribute to improved long-term hearing outcomes. Further research focusing on long-term outcomes is needed to establish patient-centered criteria guiding decision making for ventilation tube placement in children with cleft palate.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1597\/15-349","type":"journal-article","created":{"date-parts":[[2016,7,21]],"date-time":"2016-07-21T17:34:09Z","timestamp":1469122449000},"page":"650-655","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":25,"title":["Evaluation of Ventilation Tube Placement and Long-term Audiologic Outcome in Children with Cleft Palate"],"prefix":"10.1177","volume":"54","author":[{"given":"Elissa","family":"Kim","sequence":"first","affiliation":[{"name":"University of California, San Diego School of Medicine, La Jolla, California."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa D.","family":"Kanack","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, University of California, Irvine, Orange, California."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milan D.","family":"Dang-Vu","sequence":"additional","affiliation":[{"name":"Branch Health Clinic Iwakuni-Japan, Medical Corps, United States Navy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Department of Surgery, Rady Children's Hospital\u2013San Diego, San Diego, California, Division of Otolaryngology\/Head and Neck Surgery, Department of Surgery, University of California, San Diego, San Diego, California."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marilyn C.","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of California, San Diego, San Diego, California, Genetics and Dysmorphology, Rady Children's Hospital\u2013San Diego, San Diego, California."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda A.","family":"Gosman","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery, University of California, San Diego, San Diego, California, Rady Children's Hospital\u2013San Diego, San Diego, California."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,11,1]]},"reference":[{"key":"bibr1-15-349","doi-asserted-by":"publisher","DOI":"10.1177\/000348947508400308"},{"key":"bibr2-15-349","unstructured":"Centers for Disease Control and Prevention. Early hearing detection and intervention (EHDI) recommendations and guidelines. Available at http:\/\/www.cdc.gov\/ncbddd\/hearingloss\/recommendations.html. 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