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Evaluation of the Clinical Effectiveness of Naso-alveolar Molding (NAM) Versus Computer Aided Design NAM (CAD/NAM) in Infants With Bilateral Cleft Lip and Palate: A Randomized Clinical Trial

Primary Purpose

Cleft Lip and Palate

Status
Completed
Phase
Not Applicable
Locations
Egypt
Study Type
Interventional
Intervention
Naso-alveolar molding (NAM)
Computer aided design NAM (CAD/NAM)
Sponsored by
Cairo University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cleft Lip and Palate

Eligibility Criteria

7 Days - 60 Days (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

• Bilateral cleft lip and palate

Exclusion Criteria:

Patients without cleft palate Unilateral cleft lip Patients having systemic medical problems that contraindicate NAM treatment Patients with history of previous presurgical infant orthopedics Patients with history of any surgical procedures (ex: lip adhesion)

Sites / Locations

  • Faculty of Oral and Dental Medicine, Cairo University

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

Naso-alveolar molding (NAM)

Computer aided design NAM (CAD/NAM)

Arm Description

Active plates and nasal stents (Grayson method)

Computer aided design active plates and nasal stents

Outcomes

Primary Outcome Measures

Alveolar alignment
Reference points,lines and planes on digital models recording the symmetry and alignment of maxillary arch segments

Secondary Outcome Measures

Nasal and labial esthetics
Reference points, lines and planes on standardized photos recording the collumellar length, symmetry of nostrils and interlabial gap

Full Information

First Posted
August 24, 2016
Last Updated
December 1, 2019
Sponsor
Cairo University
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1. Study Identification

Unique Protocol Identification Number
NCT02881606
Brief Title
Evaluation of the Clinical Effectiveness of Naso-alveolar Molding (NAM) Versus Computer Aided Design NAM (CAD/NAM) in Infants With Bilateral Cleft Lip and Palate: A Randomized Clinical Trial
Study Type
Interventional

2. Study Status

Record Verification Date
December 2019
Overall Recruitment Status
Completed
Study Start Date
December 2016 (undefined)
Primary Completion Date
March 2019 (Actual)
Study Completion Date
May 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Cairo University

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Bilateral cleft lip and palate neonates will be randomly assigned to one of two groups: (gp1 presurgical Naso-alveolar molding (NAM) using Grayson method, gp 2 computer aided design NAM (CAD/NAM). The aim of the study is to compare between short term clinical effects of both interventions as regards alveolar alignment, nasal esthetics and interlabial gap.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cleft Lip and Palate

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Care ProviderOutcomes Assessor
Masking Description
Blinding was done for the plastic surgeon (care provider) during lip repair and for the outcome assessor
Allocation
Randomized
Enrollment
28 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Naso-alveolar molding (NAM)
Arm Type
Active Comparator
Arm Description
Active plates and nasal stents (Grayson method)
Arm Title
Computer aided design NAM (CAD/NAM)
Arm Type
Active Comparator
Arm Description
Computer aided design active plates and nasal stents
Intervention Type
Device
Intervention Name(s)
Naso-alveolar molding (NAM)
Intervention Type
Device
Intervention Name(s)
Computer aided design NAM (CAD/NAM)
Primary Outcome Measure Information:
Title
Alveolar alignment
Description
Reference points,lines and planes on digital models recording the symmetry and alignment of maxillary arch segments
Time Frame
5-6 months
Secondary Outcome Measure Information:
Title
Nasal and labial esthetics
Description
Reference points, lines and planes on standardized photos recording the collumellar length, symmetry of nostrils and interlabial gap
Time Frame
5-6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
7 Days
Maximum Age & Unit of Time
60 Days
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: • Bilateral cleft lip and palate Exclusion Criteria: Patients without cleft palate Unilateral cleft lip Patients having systemic medical problems that contraindicate NAM treatment Patients with history of previous presurgical infant orthopedics Patients with history of any surgical procedures (ex: lip adhesion)
Facility Information:
Facility Name
Faculty of Oral and Dental Medicine, Cairo University
City
Cairo
Country
Egypt

12. IPD Sharing Statement

Plan to Share IPD
Yes

Learn more about this trial

Evaluation of the Clinical Effectiveness of Naso-alveolar Molding (NAM) Versus Computer Aided Design NAM (CAD/NAM) in Infants With Bilateral Cleft Lip and Palate: A Randomized Clinical Trial

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