{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T14:33:34Z","timestamp":1790174014451,"version":"4.1.0"},"reference-count":28,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2020,3,1]],"date-time":"2020-03-01T00:00:00Z","timestamp":1583020800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001412","name":"Council of Scientific and Industrial Research","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001412","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To analyze the effects of presurgical nasoalveolar molding (PNAM) in newborns with cleft lip and palate and evaluate its postsurgical stability at 1-year follow-up using a nasal stent.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Prospective clinical trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Department of Orthodontics, Maulana Azad Institute of Dental Sciences, Delhi.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients:<\/jats:title>\n                    <jats:p>Patients with cleft lip and palate of 0 to 6 months. Sample size 25 recruited, 16 satisfactorily completed the procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions:<\/jats:title>\n                    <jats:p>Presurgical nasoalveolar molding done as indicated in all the patients. Postsurgical external nasal stents were given for 1 year to maintain the nasal correction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures:<\/jats:title>\n                    <jats:p>Changes in cleft defect and maxillary arch were recorded pre- and post-PNAM. Changes in nasal morphological parameters assessed pre- and post-PNAM and 1 year after surgical repair following the use of nasal stent.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There was a significant reduction in cleft defect assessed both intraorally ( 4.16\u2009mm) and extra orally ( 4.42\u2009mm) at the end of PNAM therapy (average treatment time 4 months). The nasal morphology improved with an increase in columella height (1.5 mm) and reduction in columella width. Bialar width reduced (2.90 mm) with an increase in nostril height ( 2.10 mm). Better symmetry was achieved in all cases as the nostril height and width difference changed significantly pre- and post-nasoalveolar molding. The percentage increase in columella height was greater for infants less than 6 weeks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Presurgical nasoalveolar molding considerably reduces the cleft gap and improves arch form making surgical union easier along with improved nasal morphology which can be maintained at 1-year postsurgery by use of a postsurgical external nasal stent.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1055665620906293","type":"journal-article","created":{"date-parts":[[2020,3,1]],"date-time":"2020-03-01T21:41:31Z","timestamp":1583098891000},"page":"700-706","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":27,"title":["Assessment of Treatment Outcome of Presurgical Nasoalveolar Molding in Patients With Cleft Lip and Palate and Its Postsurgical Stability"],"prefix":"10.1177","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2956-2624","authenticated-orcid":false,"given":"Neha","family":"Bhutiani","sequence":"first","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopedics, Maulana Azad Institute of Dental Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tulika","family":"Tripathi","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopedics, Maulana Azad Institute of Dental Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahesh","family":"Verma","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics, Maulana Azad Institute of Dental Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Padam Singh","family":"Bhandari","sequence":"additional","affiliation":[{"name":"Department of Burns and Plastic Surgery, Lok Nayak Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priyank","family":"Rai","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopedics, Maulana Azad Institute of Dental Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,3]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000096710.08123.93"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.1927.0190"},{"key":"e_1_3_2_4_1","first-page":"28","volume-title":"Transactions of the International Society of Plastic Surgeons, Second Congress","author":"Burston WR","year":"1959","unstructured":"Burston WR. The pre-surgical orthopedic correction of the maxillary deformity in clefts of both primary and secondary palate. In: Wallace AB, ed. Transactions of the International Society of Plastic Surgeons, Second Congress. London, United Kingdom: E&S Livingston Ltd. Edinburgh and London; 1959. 28\u201336."},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181ec21e4"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-017-10435-6"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1597\/06-009"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_1993_030_0001_aaafot_2.3.co_2"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/ocr.12199"},{"issue":"7","key":"e_1_3_2_10_1","first-page":"1422","article-title":"Preoperative columella lengthening in bilateral cleft lip and palate","volume":"92","author":"Grayson BH","year":"1993","unstructured":"Grayson BH, Cutting C, Wood R. 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