{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T14:40:34Z","timestamp":1793716834327,"version":"4.6.1"},"reference-count":23,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T00:00:00Z","timestamp":1784764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2026,12]]},"abstract":"<jats:sec>\n                    <jats:title>\n                      <jats:italic toggle=\"yes\">Objective<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>To compare columellar lengthening, alveolar cleft gap reduction, alveolar molding stage duration, other arch width measurements, and parents\u2019 cooperation between modified nasoalveolar molding (MPNAM) and conventional PNAM in infants with unilateral cleft lip and palate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:italic toggle=\"yes\">Design<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>Prospective, randomized controlled trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:italic toggle=\"yes\">Setting<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>Pediatric Dentistry Department Clinic, Faculty of Dentistry, Mansoura University.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:italic toggle=\"yes\">Patients\/Participants<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>Twenty-five nonsyndromic infants with unilateral cleft lip and palate, aged 14 to 30 days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:italic toggle=\"yes\">Interventions<\/jats:italic>\n                      :\n                      <jats:italic toggle=\"yes\">Group A (PNAM)<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>Alveolar molding plate and lip taping; nasal stents added after alveolar cleft gap \u22646\u2005mm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:italic toggle=\"yes\">Group B (MPNAM)<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>Lip taping only until alveolar cleft gap \u22646\u2005mm, then plate and nasal stents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:italic toggle=\"yes\">Main Outcome Measures<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>Columellar length (C), alveolar cleft gap (A-A\u2019), Alveolar molding stage duration, Parents\u2019 cooperation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:italic toggle=\"yes\">Results<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>Modified nasoalveolar molding demonstrated greater columellar lengthening compared with conventional PNAM. Alveolar gap reduction was comparable. Alveolar molding stage duration was less in MPNAM. Parents\u2019 cooperation showed better scores with MPNAM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:italic toggle=\"yes\">Conclusions<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>Modified nasoalveolar molding appears to improve columellar lengthening compared with conventional PNAM, although further studies are required to confirm these findings, and it may also be associated with higher parental cooperation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656261441331","type":"journal-article","created":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T13:45:39Z","timestamp":1784814339000},"page":"4052-4062","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Effect of a Modified Nasoalveolar Molding Protocol Using a Novel Fabrication Method in Infants With Unilateral Cleft Lip and Palate"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0258-4380","authenticated-orcid":false,"given":"Hassan Ibrahim","family":"Elkalla","sequence":"first","affiliation":[{"name":"Mansoura University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed Said","family":"Elsherbiny","sequence":"additional","affiliation":[{"name":"Mansoura University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abeer Mostafa","family":"Abdellatif","sequence":"additional","affiliation":[{"name":"Mansoura University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,23]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"crossref","unstructured":"Vinson LW Huebener DV Jones JE Flores RL Dean JA. 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