Cleft Palate-Craniofacial Journal最新文献

{"title":"Postoperative Opioid Prescribing Following Cleft Lip Repair in 1497 Patients.","authors":"Aidin Gharavi, Jainaha K Srikumar, Dawit Haile, Elizabeth B Habermann, Stephanie F Polites, Samir Mardini, Uldis Bite, Shelagh A Cofer, Waleed Gibreel","doi":"10.1177/10556656251357432","DOIUrl":"https://doi.org/10.1177/10556656251357432","url":null,"abstract":"<p><p>ObjectiveWe sought to characterize the frequency of postoperative opioid prescriptions in patients undergoing cleft lip repair (CLR).DesignThe NSQIP-P 2023 database was queried to identify patients undergoing CLR using CPT codes. Univariable analysis was conducted to identify factors associated with postoperative opioid prescription.SettingA multicenter sample from 157 participating sites.Patients/participantsA total of 1497 cases (1215 unilateral CLR and 282 bilateral CLR) were identified.Main outcomes/measuresThe postoperative outcomes of interest were whether an opioid was prescribed to a patient at discharge and what factors were independently associated with opioid prescribing at discharge.ResultsA total of 44.6% of patients with a mean age of 5.1 ± 1.9 months were prescribed opioids at discharge, most commonly oxycodone (76.3%). Univariable analysis identified an increase in weight (kg) (OR: 1.09, 95% CI: 1.02-1.17, <i>P</i> = .03), American Society of Anesthesiologists (ASA) classification (ordinal) (OR: 1.25, 95% CI: 1.06-1.47, <i>P</i> = .01), anesthesia time (10 min) (OR: 1.02, 95% CI: 1.01-1.04, <i>P</i> = .03), and age (months) (OR: 1.06, 95% CI: 1.00-1.12, <i>P</i> = .04) as being associated with opioid prescription at discharge. Bilateral versus unilateral CLR (<i>P</i> = .49) and outpatient versus inpatient operation (<i>P</i> = .38) were not associated with opioid prescribing.ConclusionOpioid stewardship is important in pediatric care, with our results showing age, weight, anesthesia time, and ASA classifications are predictors of opioid prescription. Further research examining contributors to patient pain following CLR is necessary to optimize opioid prescribing without negatively impacting the patient.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251357432"},"PeriodicalIF":1.1,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cleft Lip and Palate Publishing Trends From Authors in Low- and Middle-Income Countries in Cleft and Craniofacial Journals.","authors":"Ina Lee, Zachary Pierre, Rahul Sharma, Roberto Solis, James Phillips, Ryan Belcher","doi":"10.1177/10556656251357423","DOIUrl":"https://doi.org/10.1177/10556656251357423","url":null,"abstract":"<p><p><b><i>Objective</i></b>We strive to analyze Cleft Lip and Palate repair (CLP) from low-and-middle income countries (LMICs) and understand authorship patterns between different countries.<b><i>Design</i></b>Five high-impact journals were selected for analysis from 2008 to 2024. Articles were initially screened to determine if the study focused on a LMIC according to the World Health Organization and if the study's subject was CLP.<b><i>Setting</i></b>Our study involved reviewing papers from multiple levels of clinical care.<b><i>Patients, Participants</i></b>We categorized the selected studies by their stated diagnoses (cleft lip, cleft palate, CLP, velopharyngeal insufficiency, and other).<b><i>Interventions</i></b>Specific interventions were not recorded due to the nature of the study.<b><i>Main Outcome Measure(s)</i></b>Nationality and gender of first author, nationality and gender of senior author, and country income status (based on World Health Organization classification).<b><i>Results</i></b>Most first authors were male (54%) and from upper-middle-income countries (69%). Kappa scores showed significant agreement for country income classification and the income classification of the country of the first author (K = 0.779, <i>P</i> < .01). There was minimal change in the representation of LMICs over the study's time period (b = -0.0017, SE = 0.008, <i>P</i> = .8429). There were 9 low-income country articles but only 1 (11%) had first author from the represented country.<b><i>Conclusions</i></b>Overall, authors from middle-income countries are well-represented in CLP articles from their countries, but not the case for low-income country authors. Continued scrutiny of equitable publication should be conducted as low-income countries continue to be underrepresented in the literature.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251357423"},"PeriodicalIF":1.1,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Morphometric Comparison of Alveolar Antral Artery in Patients With Cleft Palate/Lip and Control Group Using CBCT Images.","authors":"Salma Tabatabaei, Maryam Paknahad, Mohammad Shamsoddini","doi":"10.1177/10556656251333998","DOIUrl":"https://doi.org/10.1177/10556656251333998","url":null,"abstract":"<p><p>ObjectiveThis study aimed to evaluate the morphometric characteristics of the alveolar antral artery (AAA) using cone beam computed tomography (CBCT) images in individuals with unilateral and bilateral cleft lip/palate (CLP) and noncleft (NC) individuals.MethodsA retrospective cohort study was conducted using CBCT images from 100 patients with CLP (78 unilateral and 22 bilateral) and 100 NC individuals. Coronal images were analyzed to determine the presence and diameter of the AAA, its mediolateral position relative to the lateral wall of the maxillary sinus, and its distances from the alveolar crest (AC) and maxillary sinus floor (MSF) in the regions of the first premolar, second premolar, first molar, and second molar. Statistical analysis was performed using Kruskal-Wallis and Chi-square tests to evaluate differences among the groups.ResultsThe presence of AAA was higher in NC individuals (83.5%) compared to patients with CLP (70.7% in UCLP and 51.7% in BCLP), with no significant difference between unilateral and bilateral CLP groups. No significant differences were found in the AAA diameter among the three groups (<i>P</i> > .60). The AAA was positioned closer to the AC and MSF in individuals with CLP than in NC individuals, with statistically significant differences (<i>P</i> < .05), except in the first premolar region. Additionally, the mediolateral position of the AAA did not differ significantly among the groups, with the intraosseous position being the most common.ConclusionAAA was located closer to the AC and MSF in individuals with CLP. This anatomical variation may have implications for surgical planning, warranting careful preoperative assessment.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251333998"},"PeriodicalIF":1.1,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perinatal Airway Risk for Individuals With Isolated Cleft Spectrum.","authors":"Johanna L Ellefson, Samantha J Barr, Maya N Matabele, Sabrina X Huang, Gisselle A Garcia, Elle C Nuttall, Manasa Venkatesh, Inna M Lobeck, Deborah Kacmarynski, Michael D Puricelli","doi":"10.1177/10556656251350597","DOIUrl":"https://doi.org/10.1177/10556656251350597","url":null,"abstract":"<p><p>ObjectiveCleft spectrum anomalies are sometimes associated with airway obstruction at birth. Modified delivery may facilitate advanced treatment, but there is insufficient data examining its use in patients with isolated cleft lip (iCL), isolated cleft palate (iCP), or cleft lip and palate (CLP). This study aims to address this gap.DesignDeidentified birth hospitalization data were extracted from the Healthcare Cost and Utilization Project Kids' Inpatient Database (2000-2019). Patients were identified using <i>ICD</i> codes and categorized as iCL, iCP, and CLP. Incidence, demographics, airway procedures on day of life (DOL) 0 or 1, complications, and survival were examined. The Rao-Scott chi-square test was used for comparison between unaffected and cleft spectrum groups.ParticipantsThe sample included 26 943 508 individuals, excluding out-of-hospital births, transfers, and individuals with cleft in association with mandibular anomalies or syndromic disorders.ResultsThe weighted incidence for isolated cleft spectrum was 1.3 per 1000 birth visits. Airway intervention on DOL 0 or 1 occurred in 5.0% of the cleft group compared to 1.7% in the unaffected group (<i>P</i> ≤ .01). Preterm delivery occurred more frequently among patients with cleft spectrum but did not account for the elevated rate of airway intervention. Among individuals who received an airway intervention, hypoxic complications or mortality were more frequent in patients with cleft spectrum.ConclusionsIndividuals with isolated cleft spectrum experience higher rates of perinatal airway interventions with poorer outcomes than unaffected individuals. These findings may affect delivery planning, especially regarding the location and availability of neonatal services at delivery.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251350597"},"PeriodicalIF":1.1,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exome Sequencing Studies in Syndromic Patients With Cleft Lip and/or Palate: Systematic Review.","authors":"Diana Cárdenas-Nieto, Ignacio Briceño-Balcázar, Julio Martínez-Lozano, Milena Rondón-Lagos, Maribel Forero-Castro","doi":"10.1177/10556656251355782","DOIUrl":"https://doi.org/10.1177/10556656251355782","url":null,"abstract":"<p><p>ObjectiveThe etiology of syndromic cleft lip and/or cleft palate (CL/P) is multifactorial and polygenic. This study aims to identify genetic variants diagnosed by exome sequencing and present in this type of patients.DesignSystematic review.MethodsA systematic review was performed according to the PRISMA guidelines in the PubMed database including the terms \"cleft palate,\" \"cleft lip,\" \"cleft lip and palate,\" \"syndromic,\" \"sequencing,\" and \"exome.\"Patients and participantsPatients with syndromic CL/P were included.Main outcome measuresGenetic variants present in patients diagnosed by exome sequencing.ResultsA total of 19 articles were included, of which a total of 62 variants were identified in 41 patients. Patients were mainly from Brazil (38.7%, 24/62), the United States (11.3%, 7/62), China (11.3%, 7/62), the United Kingdom (9.7%, 6/62), and Asia (6.5%, 4/62). Regarding variants, 54 variants were identified only once and 4 variants were found twice in different patients. The genes most affected by the variants are: <i>CHD7</i> (4.8%, 3/62), <i>TP63</i> (4.8%, 3/62), <i>MEIS2</i> (6.5%, 4/62), and <i>SATB2</i> (6.5%, 4/62).ConclusionSyndromic CL/P presents a great phenotypic variability, which makes it difficult to associate it with a single genetic cause or known syndrome. Although variants have been identified in some key genes, their impact on embryonic development is still not fully understood. The implementation of advanced genomic sequencing techniques is key to improving diagnosis and clinical care of patients.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251355782"},"PeriodicalIF":1.1,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Changing Face of Craniofacial Surgery: A 12-Year Analysis of Gender Representation and Academic Productivity.","authors":"Julia Isber, Molly F MacIsaac, Deepika Palegar Thuli, S Alex Rottgers, Jordan N Halsey","doi":"10.1177/10556656251352291","DOIUrl":"https://doi.org/10.1177/10556656251352291","url":null,"abstract":"<p><p>ObjectiveTo evaluate trends in gender representation, academic productivity, and training background among craniofacial surgery fellows over the past 12 years and assess changes in the academic expectations for entry into craniofacial fellowship.DesignRetrospective cohort study of craniofacial fellowship graduates (2014-2025).SettingOnline public records review.ParticipantsA total of 194 craniofacial fellows.Main Outcome MeasuresGender distribution, lifetime publication counts (total, first-, second-, senior-author roles), conference presentations, training pathway, and time from medical school to fellowship.ResultsAmong 194 fellows, 35% were women. Female representation increased from 27% in the early cohort (2014-2019) to 43% in the later cohort (2020-2025). Overall, men had more total (30.2 vs 21.3, <i>P</i> = .038), second-author (5.7 vs 3.9, <i>P</i> = .011), and senior-author (4.4 vs 2.9, <i>P</i> = .040) publications. Gender gaps in publication output were not present in the most recent time period (2019-2024). More recent graduates had significantly higher prefellowship publication counts than earlier cohorts. Integrated trainees and U.S.-trained surgeons had higher preresidency publication counts and shorter training durations. Panel presentation rates remained modestly male-dominated in recent years, though overall conference representation showed no gender differences.ConclusionsThe most recent cohort of craniofacial fellows demonstrates encouraging progress toward gender parity in representation, academic productivity, and conference participation. This reflects meaningful progress over the past decade and suggests that equity at the trainee level is emerging. Continued investment in mentorship, visibility, and support will help carry this momentum into faculty advancement and leadership roles.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251352291"},"PeriodicalIF":1.1,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Cleft Adjacent Canine Eruption in Patients With Alveolar Cleft Treated With Early Secondary Alveolar Bone Grafting.","authors":"Jean-Charles Doucet, Manan Harshadray Patel, Kathy A Russell","doi":"10.1177/10556656251356211","DOIUrl":"https://doi.org/10.1177/10556656251356211","url":null,"abstract":"<p><p>ObjectiveEvaluate cleft adjacent canine eruption in patients who underwent early secondary alveolar bone grafting (ABG).DesignRetrospective cohort study.SettingNorth-American cleft center.SubjectsA total of 121 children with nonsyndromic cleft lip and alveolus or cleft lip and palate (unilateral or bilateral).MethodsPatients consecutively treated with early or later secondary ABG during a 10-year period were evaluated. The primary outcome identified the status of cleft adjacent canine eruption through the grafted site. Secondary outcomes included need for regrafting, need for pregraft expansion and status of the cleft lateral incisor. Categorical variables were compared with Pearson's chi-square test and Fisher's exact test, and <i>P</i> < .05 was considered statistically significant.ResultsA total of 152 ABG (125 early and 27 later ABG) were performed in 121 patients. The age at time of ABG differed significantly between the 2 groups with a mean age of 73.5 ± 5.0 months for the early ABG group versus 113.4 ± 32.0 months for the later ABG group (<i>P</i> < .001). None of the patients required pregraft expansion. The cleft diagnosis distribution was similar (<i>P</i> = .686). The overall need for regrafting was 1.3% and did not differ between the groups (1.6% vs 0%; <i>P</i> = .675). The cleft adjacent canine spontaneously erupted in 84.0% for early ABG versus 70.4% for later ABG group. Close to twice as many canines required surgical exposure (9.6% vs 18.5%) or extraction (6.4% vs 11.1%) in the later ABG group, but this difference was not statistically significant (<i>P</i> = .183).<i>Conclusions</i>Early secondary ABG, without pregraft expansion, does not compromise the eruption of the cleft adjacent canine compared to later secondary ABG.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251356211"},"PeriodicalIF":1.1,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multimodality Craniofacial Phenotyping of Congenital Facial Weakness Disorders.","authors":"Konstantinia Almpani, Katelin R Devine, Denise K Liberton, Rashmi Mishra, Carol Bassim, Carol Van Ryzin, Flavia M Facio, Bryn D Webb, Brenda J Barry, Elizabeth C Engle, Ethylin Wang Jabs, Francis S Collins, Irini Manoli, Janice S Lee","doi":"10.1177/10556656251344128","DOIUrl":"https://doi.org/10.1177/10556656251344128","url":null,"abstract":"<p><p><i>Objective</i>Congenital facial weakness (CFW) disorders are a heterogeneous group of rare conditions, that present at birth, with reduced facial movement, and mask-like facies. This study utilized a multimodality approach to examine the craniofacial and intraoral phenotypes among CFW disorders: Moebius syndrome (MBS), Hereditary Congenital Facial Palsy (HCFP), β-tubulin isotype 3 syndrome (CFEOM3A-TUBB3), Carey-Fineman-Ziter syndrome (CFZS), and a group of rarer disorders (Other).<i>Design</i>Prospective cohort study.<i>Setting:</i> Dental clinic.<i>Participants:</i> Sixty individuals (sex ratio 1:1, mean age 26.2 ± 17.5 years) with a diagnosis of CFW.<i>Interventions:</i> Deep clinical craniofacial and dental phenotyping, three-dimensional facial surface and cone-beam computed tomography scans, and cephalometric and geometric morphometric analyses.<i>Results</i>CFEOM3A-TUBB3, MBS, and CFZS groups had the highest prevalence of craniofacial anomalies; HCFP individuals were least affected. CFEOM3A-TUBB3 had a higher prevalence of short lower face (75%), poor oral hygiene (100%)/decay (75%), and Class II malocclusion (87.5%). Moebius syndrome was associated with lagophthalmos (90.9%), tongue fissures (72.4%), tight/small oral orifice (51.7%), and tongue fasciculations (50%). Carey-Fineman-Ziter syndrome had oblong facial shape (100%), downward lip commissures (100%), and abnormal hearing (60%). Moderate-severe decay/gingivitis correlated with restricted oral orifice, common among patients with facial animation/sling surgery. Morphologically, the CFW cohort had a relatively small craniofacial centroid size, anthropometric measurements, and distinct craniofacial shapes for each subtype.<i>Conclusions</i>Congenital facial weakness can result in abnormal craniofacial development in addition to the loss of facial movement. Multimodality phenotypic characterization of CFW disorders elucidated key clinical findings and distinct craniofacial shape segregation among the different groups.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251344128"},"PeriodicalIF":1.1,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stress and Coping Strategies in Malay Parents of Children with Cleft Lip and/or Palate.","authors":"Bachok Norsa'adah, Che Ghazali Nurhazalini-Zayani, Abd Aziz Aniza, Abd Rahman Normastura, Abdullah Ahmad-Burhanudddin","doi":"10.1177/10556656241236011","DOIUrl":"10.1177/10556656241236011","url":null,"abstract":"<p><p>ObjectiveThis study was aimed at describing the level of stress and types of coping strategies used among Malay parents of children with cleft lip and/or palate (CL/P).DesignCross-sectional study.SettingA dental clinic and a general hospital.ParticipantsParents (N = 84) whose children were less than 12 years old with CL/P.MethodsSocio-demographic data and clinical characteristics of CL/P were collected. Self-administered validated Malay versions of the stress scale from the Depressive, Anxiety and Stress Scale-42 (DASS-42) and COPE Inventory questionnaires were used. Descriptive statistics and Multivariate Analysis of Covariance were used for data analysis.ResultsThe prevalence of stress among parents of children with CL/P was 21.4% [95% confidence interval (12.4, 30.4)]. The most common coping strategies were problem-focused (mean 58.15, standard deviation (SD) 7.75), followed by emotion-focused (mean 54.05, SD 4.78). The adjusted mean score for overall coping strategies was significantly different between stressed and non-stressed parents after adjustment for education, number of children, sex of child with CL/P, and cleft type [F (df) = 4.174 (3,74), <i>P </i>= .009]. There was a significant mean difference between stressed and non-stressed parents for avoidant coping strategies [<i>P</i> = .003]. Problem-focused and emotion-focused coping strategies did not differ after Bonferroni correction.ConclusionsAround a fifth of parents caring for children with CL/P experienced stress and avoidant coping strategies were more common among stressed parents. Multi-disciplinary team care should provide social support to parents of children with CL/P.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1127-1133"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139984287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parent's Perception to Early Presurgical Nasoalveolar Molding Treatment in Infants with Cleft lip and Palate: A Qualitative Analysis.","authors":"Shrirang Sevekar, Kriti Sherigar","doi":"10.1177/10556656251352939","DOIUrl":"https://doi.org/10.1177/10556656251352939","url":null,"abstract":"<p><p>ObjectiveTo understand parent's responses, coping mechanisms, and psychosocial adjustment to presurgical nasoalveolar molding (PNAM) therapy.DesignThis qualitative study was conducted with parents of infants with cleft lip and palate (CLP) who had undergone PNAM. Semi-structured interviews were carried out with parents attending PNAM treatment sessions from March 2021 to March 2022.SettingThe study was conducted at the tertiary CLP center.Patients, ParticipantsThe study included 12 parents of CLP infants (n = 12) who attended PNAM therapy. Exclusion criteria included parents of CLP infants who had incomplete PNAM treatment or who were unwilling to participate in the study.InterventionThe interviews were video recorded and transcripts were prepared. Data were analyzed using inductive thematic analysis.Main OutcomeThree primary themes, each with multiple sub-themes, were identified.ResultsTheme 1: \"Challenges for Parents\" discussed various social (stigma)barriers, discomfort experienced by the baby and the difficulties in daily routines during PNAM therapy.Theme2\"Parents' Responses\" addressed psychological responses such as anxiety, self-doubt, and how parents overcame these challenges.Theme3\"Psychological Adjustment (Coping)\" explored social support, focus on problem and problem-solving, and the sense of mastery and satisfaction that parents developed during the process.ConclusionWithin the limitations of the study, a range of psychosocial impacts on parents were identified. Various coping strategies, such as social support from family, other parents with similar conditions, and the healthcare team, had a positive impact on parents. Successful completion led to positive outcomes, including increased empowerment and enhanced bonding with their infants.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251352939"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}