PDF(Pubmed)
Abstract：
BACKGROUND: 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.
METHODS: 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.
RESULTS: 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.
CONCLUSIONS: 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.
METHODS: 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.
RESULTS: 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.
CONCLUSIONS: 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.
摘要：
背景：鼻肺泡成型（NAM）应用是用于唇腭裂（CLP）婴儿的术前管理（PSM）技术之一。它有助于在初次嘴唇修复之前近似the裂并重塑鼻槽复合体。这项研究旨在探讨PSM的类型以及为巴格达CLP婴儿提供的牙科专业服务。评估了NAM使用状况和外科医生对NAM使用的看法。
方法：这是一项横断面的基于纸质的问卷调查研究，收集了外科医生对PSM进行初级唇鼻修复的反应。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（仅对CLP婴儿进行初次修复的外科医生）；两名女性和18名男性。
结果：大多数参与者的回答表明，大多数患有CLP的婴儿被提供了婴儿喂养板和唇带。六名外科医生报告说，他们的患者中有一定比例的人接受了NAM。巴格达的PSM主要由正畸医生和整形外科医生提供，接下来最有可能的提供者是修复医生。82.35％的外科医生发现，NAM的初级手术修复程序比其他婴儿更容易。其余的人没有发现任何差异。
结论：正畸医生，外科医生和修复医生参与提供PSM。婴儿喂养板和唇带是巴格达最常见的PSM，虽然NAM并不少见。大多数外科医生认为，使用NAM使外科手术更容易，并允许预测手术结果。
方法：这是一项横断面的基于纸质的问卷调查研究，收集了外科医生对PSM进行初级唇鼻修复的反应。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（仅对CLP婴儿进行初次修复的外科医生）；两名女性和18名男性。
结果：大多数参与者的回答表明，大多数患有CLP的婴儿被提供了婴儿喂养板和唇带。六名外科医生报告说，他们的患者中有一定比例的人接受了NAM。巴格达的PSM主要由正畸医生和整形外科医生提供，接下来最有可能的提供者是修复医生。82.35％的外科医生发现，NAM的初级手术修复程序比其他婴儿更容易。其余的人没有发现任何差异。
结论：正畸医生，外科医生和修复医生参与提供PSM。婴儿喂养板和唇带是巴格达最常见的PSM，虽然NAM并不少见。大多数外科医生认为，使用NAM使外科手术更容易，并允许预测手术结果。
