Evidence map›Paper›PMID 33665684›Full record

ArticleClinical oral investigations2021

NAM-help or burden? Intercultural evaluation of parental stress caused by nasoalveolar molding: a retrospective multi-center study.

Maximilian Roth, Daniel Lonic, Florian D Grill, Lucas M Ritschl, Denys J Loeffelbein, Klaus-Dietrich Wolff, Lien-Shin Niu, Betty Chien-Jung Pai, Lukas Prantl, Andreas Kehrer and 3 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Clinical oral investigations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 22 citations in OpenAlex.

  1. Caring for a Child with a Cleft Lip and/or Palate: A Narrative Review.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2025
    Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 2 countries.

Maximilian RothDepartment of Oro-Maxillofacial Surgery, University Hospital rechts der Isar, Technical University of Munich, Munich, Germany. maximilian.roth@ukr.de.ORCID http://orcid.org/0000-0002-6361-2675
Daniel LonicCentre of Plastic, Aesthetic, Hand and Reconstructive Surgery, University Hospital Regensburg, Regensburg, Germany.
Florian D GrillDepartment of Oro-Maxillofacial Surgery, University Hospital rechts der Isar, Technical University of Munich, Munich, Germany.
Lucas M RitschlDepartment of Oro-Maxillofacial Surgery, University Hospital rechts der Isar, Technical University of Munich, Munich, Germany.
Denys J LoeffelbeinDepartment of Oro-Maxillofacial Surgery, University Hospital rechts der Isar, Technical University of Munich, Munich, Germany.
Klaus-Dietrich WolffDepartment of Oro-Maxillofacial Surgery, University Hospital rechts der Isar, Technical University of Munich, Munich, Germany.
Lien-Shin NiuCraniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan.
Betty Chien-Jung PaiDepartment of Craniofacial Orthodontics and Craniofacial Research Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Lukas PrantlCentre of Plastic, Aesthetic, Hand and Reconstructive Surgery, University Hospital Regensburg, Regensburg, Germany.
Andreas KehrerCentre of Plastic, Aesthetic, Hand and Reconstructive Surgery, University Hospital Regensburg, Regensburg, Germany.
Paul I HeidekrügerCentre of Plastic, Aesthetic, Hand and Reconstructive Surgery, University Hospital Regensburg, Regensburg, Germany.
Andrea RauDepartment of Oral and Cranio-Maxillofacial Surgery, University Hospital Erlangen, Erlangen, Germany.
Lun-Jou LoDepartment of Plastic and Reconstructive Surgery and Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University, 5, Fu-Shin Street, Kwei Shan, Taoyuan, Taiwan, 333. lunjoulo@cgmh.org.tw.
TUM Klinikum · DEChang Gung University · TWUniversity Hospital Regensburg · DEChang Gung Memorial Hospital · TWUniversitätsklinikum Erlangen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesNasoalveolar molding (NAM) was developed to facilitate easier treatment and better outcomes for cleft lip and palate (CLP) patients. The aim of this study was to investigate the parental burden and possible intercultural differences of this treatment modality, which is often argued to burden parents to an extraordinary amount. MATERIALS AND

methodsStandardized questionnaires (available in English, Mandarin, and German) with 15 non-specific and 14 NAM-specific items to be retrospectively answered by Likert scales by parents of unilateral CLP patients with completed NAM treatment.

resultsThe parents of 117 patients from two treatment centers in Taiwan and Germany were included. A very high level of overall satisfaction was found in both countries with significant intercultural differences in prenatal parent information, feeding problems, dealing with 3rd party's perception, and experienced personal effort.

conclusionNAM is an effective treatment tool for children's CLP deformities and their caregivers in overcoming the feeling of helplessness. Intercultural differences may be due to infrastructural reasons, cultural attitudes and habits, or different public medical education. CLINICAL RELEVANCE: In addition to facilitating easier surgical treatment, NAM can be seen as a powerful coping strategy for parents dealing with a CLP deformity of their child and does not seem to burden them extraordinarily.

Indexed as

Cleft LipCleft PalateAlveolar ProcessChildHumansInfantNasoalveolar MoldingNoseParentsRetrospective StudiesBurdenCleft lip palateIntercultural evaluationNasoalveolar moldingParental stressQuestionnaire

Identifiers

PMID33665684
PMCPMC8370945
OpenAlexW3135110354

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.