Al-Lami Hadeel Adel, Al-Rudainy Dhelal, Mohammed-Salih Harraa S, Salman Safa M
Orthodontics Department, College of Dentistry, University of Baghdad, Baghdad, Iraq.
Ministry of Health, Baghdad, Iraq.
J Orthod Sci. 2024 Feb 16;13:4. doi: 10.4103/jos.jos_165_23. eCollection 2024.
Nasoalveolar molding (NAM) application is among presurgical management (PSM) techniques used for infants with cleft lip and palate (CLP). It helps to approximate the palatal cleft and to reshape the nasoalveolar complex prior to primary lip repair. This study aimed to explore types of PSM and the dental speciality provision for infants with CLP in Baghdad. The status of NAM usage and surgeons' perceptions toward NAM usage were assessed.
This is a cross-sectional paper-based questionnaire study that collected responses of surgeons perform primary lip and nose repair regarding PSM. The questionnaire was distributed amongst public and private hospitals in Baghdad. Twenty surgeons were enrolled (only those surgeons who perform primary repair for infants with CLP); two females and eighteen males.
The majority of participants' responses suggested that the majority of infants with CLP were provided with baby feeding plates and lip straps. Six surgeons reported that a percentage of their patients who have been provided with NAM. PSM in Baghdad was mostly supplied by orthodontists and plastic surgeons, and the next most likely providers were prosthodontists. 82.35% of the surgeons found that primary surgical repair procedures were easier with NAM than for the other infants. The rest have not perceived any differences.
Orthodontists, surgeons and prosthodontists were involved in providing PSM. Baby feeding plates and lip straps were the most common PSM in Baghdad, although NAM is not uncommon. Most surgeons believe that using NAM made surgical procedures easier and permitted the prediction of surgical outcomes.
鼻牙槽塑形（NAM）应用是用于唇腭裂（CLP）婴儿的术前管理（PSM）技术之一。它有助于在初次唇修复前使腭裂接近并重塑鼻牙槽复合体。本研究旨在探讨巴格达唇腭裂婴儿的术前管理类型及牙科专业服务情况。评估了NAM的使用状况以及外科医生对NAM使用的看法。
这是一项基于纸质问卷的横断面研究，收集了进行初次唇鼻修复的外科医生关于术前管理的回答。问卷在巴格达的公立和私立医院中分发。招募了20名外科医生（仅那些为唇腭裂婴儿进行初次修复的外科医生）；2名女性和18名男性。
大多数参与者的回答表明，大多数唇腭裂婴儿使用了婴儿喂食板和唇带。6名外科医生报告说他们的部分患者使用了NAM。巴格达的术前管理大多由正畸医生和整形外科医生提供，其次最有可能的提供者是修复科医生。82.35%的外科医生发现，使用NAM进行初次手术修复比其他婴儿更容易。其余医生未察觉到任何差异。
正畸医生、外科医生和修复科医生参与提供术前管理。婴儿喂食板和唇带是巴格达最常见的术前管理方式，尽管NAM也并不罕见。大多数外科医生认为使用NAM使手术操作更容易，并有助于预测手术结果。
