{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T17:46:44Z","timestamp":1782755204692,"version":"3.54.5"},"reference-count":21,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T00:00:00Z","timestamp":1782432000000},"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"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate caregiver experiences with presurgical lip, alveolus, and nose approximation (PLANA) therapy, including adherence, burden, support, and perceived effectiveness in infants with cleft lip and\/or palate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional survey study using an anonymous, voluntary questionnaire administered via Research Electronic Data Capture. Descriptive statistics were used to summarize responses, and qualitative responses were analyzed for common themes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Single tertiary care academic institution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients, Participants<\/jats:title>\n                    <jats:p>Caregivers of infants with cleft lip and\/or palate undergoing PLANA therapy were identified through institutional records. Of 48 eligible caregivers, 23 unique responses were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>PLANA therapy utilizing the NoseAlign device with concurrent lip taping, applied at home with periodic clinical follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure(s)<\/jats:title>\n                    <jats:p>Caregiver-reported adherence, training satisfaction, infant tolerance, caregiver burden, perceived support, and perceived effectiveness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Caregivers reported high satisfaction with training (73.9% very satisfied) and high adherence, with 87.0% reporting consistent use and 100% reporting daily wear. Most reported no feeding interference (86.4%) and good infant tolerance (73.9% comfortable or very comfortable). Caregiver burden was low, with 60.9% reporting minimal impact on daily routines and 78.3% reporting confidence in application. Perceived support from the medical team was uniformly high (100%). Overall, 90.9% were satisfied with outcomes, and 95.7% would recommend PLANA therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>PLANA therapy demonstrates high caregiver satisfaction, strong adherence, and favorable perceived outcomes. Its simplified design may reduce caregiver burden while maintaining effectiveness. Further studies are needed to evaluate long-term outcomes and cost-effectiveness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656261464291","type":"journal-article","created":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T13:19:22Z","timestamp":1782479962000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Caregiver Experiences With Infant PLANA Therapy for Cleft Lip and\/or Palate: A Cross-Sectional Survey Study"],"prefix":"10.1177","author":[{"given":"Chloe","family":"Ricke","sequence":"first","affiliation":[{"name":"NYU Langone Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6582-3003","authenticated-orcid":false,"given":"Lucas R.","family":"Perez Rivera","sequence":"additional","affiliation":[{"name":"NYU Langone Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David A.","family":"Staffenberg","sequence":"additional","affiliation":[{"name":"NYU Langone Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3817-313X","authenticated-orcid":false,"given":"Roberto L.","family":"Flores","sequence":"additional","affiliation":[{"name":"NYU Langone Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9910-5667","authenticated-orcid":false,"given":"Pradip R.","family":"Shetye","sequence":"additional","affiliation":[{"name":"NYU Langone Health"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,26]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000000483"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0181768"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0045-1806806"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000008790"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656241293682"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/1055665617718550"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000009960"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/1055665620929224"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000012359"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000010107"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1037\/hea0000262"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656231153026"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1597\/14-113"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clp.2018.07.006"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-10005-2899"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_2001_038_0193_pnomip_2.0.co_2"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000006090"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.3390\/children12091231"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000012100"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.3390\/children9071054"},{"key":"e_1_3_2_22_2","article-title":"A comparative assessment of surgeon appraisal of presurgical infant orthopedics outcomes using PLANA and NAM","volume":"6","author":"Perez Rivera","unstructured":"Perez Rivera, Tanikawa, Chong, Flores, Shetye . A comparative assessment of surgeon appraisal of presurgical infant orthopedics outcomes using PLANA and NAM. J Craniofac Surg. 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