Scholarlink

Purpose <p>This study investigates factors influencing the use of Nasoalveolar Molding (NAM) and Feeder Prostheses (FP) in infants with cleft lip and palate (CLP) across five countries: Saudi Arabia, Egypt, Jordan, United Arab Emirates and Pakistan.</p> Methods <p>Data were collected through structured phone interviews with parents, covering sociodemographic characteristics, medical attention-seeking behavior, and healthcare accessibility. Healthcare accessibility was assessed using a previously validated questionnaire.</p> Results <p>Higher family income and the presence of associated anomalies were significantly associated with increased NAM use (<i>P</i> = 0.02 and <i>P</i> = 0.013, respectively). Both NAM and FP were more commonly used in infants with unilateral complete CLP, though statistical significance was observed only for FP (<i>P</i> 0.025). Family members with CLP (AOR = 3.035; <i>P</i> = 0.025) and mothers with a mean age (AOR = 1.119; <i>P</i> = 0.001) have a significantly increased AOR of NAM use. Mean severity score significantly increased the AOR of FP use (AOR = 1.529, 95% CI: 1.128–2.072, <i>P</i> = 0.006). On the other hand, a low family income (AOR = 0.133; <i>P</i> = 0.009) significantly decreased the AOR of NAM use, while other factors, including associated anomalies and accessibility, did not show a significant impact on NAM or FP use.</p> Conclusion <p>These findings highlight the role of socioeconomic and family history in determining treatment modalities for CLP infants. Enhancing early healthcare and financial support ensures equitable care through specialized intervention.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Factors affecting the use of nasoalveolar molding and feeding appliances among nonsyndromic cleft lip and palate in five countries: a cross-sectional study

  • 期刊论文

  • 发表日期：

    2025年12月22日

查看全文
  • Narmin M. Helal,
  • Sari M. Rabah,
  • Alya AlZabin,
  • Ola B. Al-Batayneh,
  • Shaimaa Mohsen Refahee,
  • Mohamed Koraitim,
  • Mohammed Sadeq Kasem Albadani,
  • Muhammad Asjad Khan,
  • Muhammad Abrar Yousaf,
  • Ebtesam Almajed,
  • Razan A. Albrahim,
  • Reema A. Aldawish,
  • Lara S. Alyahiwi,
  • Rand A. Alshabnan,
  • Ruba M. Odeh,
  • Mohammad A. Albatayneh,
  • Tamara Al Halasa,
  • Yousef S. Khader,
  • Heba Jafar Sabbagh

摘要

Purpose

This study investigates factors influencing the use of Nasoalveolar Molding (NAM) and Feeder Prostheses (FP) in infants with cleft lip and palate (CLP) across five countries: Saudi Arabia, Egypt, Jordan, United Arab Emirates and Pakistan.

Methods

Data were collected through structured phone interviews with parents, covering sociodemographic characteristics, medical attention-seeking behavior, and healthcare accessibility. Healthcare accessibility was assessed using a previously validated questionnaire.

Results

Higher family income and the presence of associated anomalies were significantly associated with increased NAM use (P = 0.02 and P = 0.013, respectively). Both NAM and FP were more commonly used in infants with unilateral complete CLP, though statistical significance was observed only for FP (P 0.025). Family members with CLP (AOR = 3.035; P = 0.025) and mothers with a mean age (AOR = 1.119; P = 0.001) have a significantly increased AOR of NAM use. Mean severity score significantly increased the AOR of FP use (AOR = 1.529, 95% CI: 1.128–2.072, P = 0.006). On the other hand, a low family income (AOR = 0.133; P = 0.009) significantly decreased the AOR of NAM use, while other factors, including associated anomalies and accessibility, did not show a significant impact on NAM or FP use.

Conclusion

These findings highlight the role of socioeconomic and family history in determining treatment modalities for CLP infants. Enhancing early healthcare and financial support ensures equitable care through specialized intervention.