Pediatricians’ Knowledge and Awareness on Presurgical Orthopedics in Newborns with Cleft Lip and Palate

INTRODUCTION: The purpose of this study was to determine the level of knowledge and awareness of pediatricians regarding nasoalveolar molding (NAM) and presurgical orthopedic treatment of newborns with cleft lip and/or palate (CL/P).
METHODS: We conducted a 10-item questionnaire and sent emails to 600 pediatricians in XXX. The participants were queried about title, years in practice, workplace, and knowledge of CL/P and NAM.
RESULTS: One-hundred twelve pediatricians responded to the questionnaire. There was a statistically significant number of pediatricians who had examined newborns with CL/P and knew about NAM therapy (p<0.001). There was a statistically significant difference in knowledge regarding preoperative treatment of newborns with CL/P between experienced and inexperienced pediatricians (p<0.05). All pediatricians reported referring newborns with CL/P to at least one specialist (orthodontist, dentist, or plastic surgeon). There was a linear regression between the number of cases seen and years of experience.
DISCUSSION AND CONCLUSION: Our results indicate that pediatricians do not have enough knowledge of NAM and its purpose. It is important to increase awareness and knowledge regarding treatment alternatives for patients with CL/P, including NAM and presurgical orthopedic treatment.