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Speech and Surgical Outcomes in Children With Veau Types III and IV Cleft Palate

Overview of attention for article published in Cleft Palate Craniofacial Journal, December 2017
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Title
Speech and Surgical Outcomes in Children With Veau Types III and IV Cleft Palate
Published in
Cleft Palate Craniofacial Journal, December 2017
DOI 10.1177/1055665617735109
Pubmed ID
Authors

Mitchell A. Pet, Ryan Dodge, Babette Siebold, Sara Kinter, Jonathan Perkins, Raymond W. Tse

Abstract

This study compares speech and surgical outcomes in internationally adopted and nonadopted patients undergoing cleft palate repair, and examines the influence of age at initial palatoplasty. Retrospective cohort study setting: Tertiary Care Children's Hospital. 70 international adoptees and 211 nonadoptees with Veau type III and IV clefts (without associated syndrome) repaired at our institution. Outcomes included VPI, compensatory misarticulations, intelligibility, nasal air emission, oronasal fistula, and secondary speech surgery. Speech evaluations completed near 5 years of age were gathered from a prospectively collected database. Adoptees underwent palatoplasty 5.2 months after arrival, a mean of 10.4 months later than nonadoptees. Adoptees were significantly more likely to develop moderate/severe VPI and trended toward more frequent need for secondary speech surgery. Oronasal fistula occurred at similar rates. Increased age at initial palatoplasty was a significant predictor of moderate to severe VPI, and need for secondary speech surgery. International adoptees undergo palatoplasty 10.4 months later than nonadoptees and are significantly more likely to develop moderate/severe VPI, with a trend toward increased secondary speech surgery. An association between treatment delay and moderate/severe VPI and secondary speech surgery has been demonstrated. While a causal relationship between delayed repair and inferior outcomes in international adoptees has not been proven, this data suggests that surgical intervention upon unrepaired cleft palates soon after adoption may be beneficial. The opportunity for a change in practice exists, as half of the 10.4-month relative delay in palate repair occurs postadoption.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 34 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 34 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 5 15%
Student > Master 5 15%
Student > Ph. D. Student 5 15%
Researcher 3 9%
Student > Doctoral Student 3 9%
Other 4 12%
Unknown 9 26%
Readers by discipline Count As %
Medicine and Dentistry 16 47%
Nursing and Health Professions 1 3%
Computer Science 1 3%
Linguistics 1 3%
Psychology 1 3%
Other 3 9%
Unknown 11 32%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 12 May 2018.
All research outputs
#19,951,180
of 25,382,440 outputs
Outputs from Cleft Palate Craniofacial Journal
#831
of 1,379 outputs
Outputs of similar age
#320,049
of 443,624 outputs
Outputs of similar age from Cleft Palate Craniofacial Journal
#189
of 252 outputs
Altmetric has tracked 25,382,440 research outputs across all sources so far. This one is in the 18th percentile – i.e., 18% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,379 research outputs from this source. They receive a mean Attention Score of 3.7. This one is in the 22nd percentile – i.e., 22% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 443,624 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 23rd percentile – i.e., 23% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 252 others from the same source and published within six weeks on either side of this one. This one is in the 11th percentile – i.e., 11% of its contemporaries scored the same or lower than it.