Evidence map›Paper›PMID 41042441›Full record

ArticleClinical oral investigations2025

Three-dimensional longitudinal assessment of nasal development with and without Nasoalveolar molding therapy in cleft lip and palate patients.

Lucas M Ritschl, Klaudia Narbekovas, Denys J Loeffelbein, Alex Grabenhorst, Nils Krautkremer, Hannes Singer, Andrea Grandoch, Helena Kram, Klaus-Dietrich Wolff, Florian D Grill

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Article in Clinical oral investigations, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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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

10 authors.

Lucas M RitschlDepartment of Oral and Maxillofacial Surgery, School of Medicine and Health, Technische Universität München, Munich, Germany.
Klaudia NarbekovasDepartment of Oral and Maxillofacial Surgery, School of Medicine and Health, Technische Universität München, Munich, Germany.
Denys J LoeffelbeinDepartment of Oral and Maxillofacial Surgery, School of Medicine and Health, Technische Universität München, Munich, Germany.
Alex GrabenhorstDepartment of Oral and Maxillofacial Surgery, School of Medicine and Health, Technische Universität München, Munich, Germany.
Nils KrautkremerDepartment of Oral and Maxillofacial Surgery, School of Medicine and Health, Technische Universität München, Munich, Germany.
Hannes SingerDepartment of Oral and Maxillofacial Surgery, School of Medicine and Health, Technische Universität München, Munich, Germany.
Andrea GrandochDepartment of Oral and Maxillofacial Surgery, University Clinic of Cologne, Cologne, Germany.
Helena KramDepartment of Oral and Maxillofacial Surgery, School of Medicine and Health, Technische Universität München, Munich, Germany.
Klaus-Dietrich WolffDepartment of Oral and Maxillofacial Surgery, School of Medicine and Health, Technische Universität München, Munich, Germany.
Florian D GrillDepartment of Oral and Maxillofacial Surgery, School of Medicine and Health, Technische Universität München, Munich, Germany. florian.grill@tum.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGrayson-type presurgical nasoalveolar molding (PNAM) is an established method in presurgical infant orthopedics. This study compared PNAM therapy with conventional palatal plates across cleft types, focusing on nasal morphology.

methodsSeventy-two patients with non-syndromic unilateral (UCLP) and bilateral cleft lip and palate (BCLP) were followed from birth to two years. Three-dimensional (3D) models of the perinasal area were obtained via cast-based scans or 3D photographs; right-sided UCLP cases were mirrored to the left. Two independent reviewers analyzed anatomical landmarks with excellent inter-rater reliability (ICC = 0.88). Initial and two-year measurements were compared between PNAM (NAM group) and conventional treatment (non-NAM group).

resultsOf the 72 patients, 46 had UCLP and 26 BCLP. In BCLP, NAM therapy promoted greater columella elongation from 2.1 mm at T

conclusionThis study, using 3D imaging, demonstrates the clinically relevant capability of PNAM to improve nasal morphology compared to conventional treatment, potentially enhancing primary cheiloplasty outcomes. The longitudinal design three-dimensionally tracks preoperative and postoperative changes over two years, with further investigation needed for long-term stability.

Indexed as

Cleft LipCleft PalateImaging, Three-DimensionalNasoalveolar MoldingNoseChild, PreschoolFemaleHumansInfantInfant, NewbornLongitudinal StudiesMaleTreatment OutcomeCleft lip and palateConventional palatal plate treatmentNasal symmetryPresurgical nasoalveolar molding

Identifiers

PMID41042441
PMCPMC12494676

What Socratic holds

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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 Socratic graph.