Document Detail


Nasoalveolar Molding: Prevalence of Cleft Centers Offering NAM and Who Seeks It.
MedLine Citation:
PMID:  21740168     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Abstract Introduction: Nasoalveolar molding (NAM) is a treatment option available for early cleft care. Despite the growing debate about NAM's efficacy, questions remain regarding its prevalence and demographic characteristics of families undergoing this technique prior to traditional cleft surgery. Objectives: To determine the number of teams currently offering NAM, and to identify salient clinical and sociodemographic variables in infants and families who choose NAM compared with those who choose traditional cleft care across three well-established cleft centers. Results: 89% of US cleft teams contacted using phone surveys reveal that NAM is available at 39% of these centers. Chart reviews and phone correspondence with caregivers indicate that the average distance to the cleft center was 65.5 miles and caregiver age averaged 30.9 (SD=5.7) years. 85% of families who chose NAM received total or partial insurance coverage. No difference in caregiver education, income, or distance to the clinic between treatment groups was found. On average, infants receiving NAM and cleft surgery had larger clefts and had more clinic visits than infants receiving traditional cleft surgery. Infants who were first-born and those who did not have other siblings were more likely to receive NAM than infants who were residing with other siblings. Conclusions: Currently over one-third of US cleft centers offer NAM. While the cleft size was larger in the NAM group, no treatment group differences in education, income, and distance to the clinic were found. KEY WORDS: Nasoalveolar molding, access to care, demographic variables, cleft care, social support, birth order, insurance.
Authors:
Lacey Sischo; Jenny W Chan; Margot Stein; Christie Smith; John A van Aalst; Hillary L Broder
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-7-8
Journal Detail:
Title:  The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association     Volume:  -     ISSN:  1545-1569     ISO Abbreviation:  -     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-7-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9102566     Medline TA:  Cleft Palate Craniofac J     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
a New York University.
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