Extraoral Nasal Molding in a Newborn with Unilateral Cleft Lip and Palate: A Case Report

Doruk, Cenk; Kiliç, Banu

doi:10.1597/04-134r.1

Cited by 27 publications

(17 citation statements)

References 8 publications

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“…3,9,5,6,10,11,12,13,14 At birth, there is a high level of hyaluronic acid in the infant, which begins to fall off after 6 weeks of age. 15,16,[17][18][19][20][21][22][23] The presence of hyaluronic acid in the body makes molding the tissue and bone more easy. This facilitates the- Active reduction of the cleft parts.…”

Section: Discussion Of Managementmentioning

confidence: 99%

“…The nasoalveolar orthopaedic plate was used in newborns with complete unilateral cleft of the lip and palate to correct osseous as well as soft tissue deformities. 17,18,19,20,21,22,23 Nasoalveolar molding plate improves alveolar position, i.e. approximation of the cleft alveolar segments, nasal symmetry, nasal septum alignment and nasal tip projection were achieved.…”

Section: Final Diagnosismentioning

confidence: 99%

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Case Report- Management of Unilateral CLCP Patient by Nasoalveolar Molding

Bora¹,

Chakraborty²

2017

jebmh

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Clefts of the lip and palate unfortunately are by far the most common major facial malformations in mankind. Fortunately, as a result of technical advancements in the fields of medicine and their families for treatment, much can be done and achieved for them. The orthodontist by virtue of having gained in depth knowledge of the craniofacial complex, its growth and development and expertise in tooth movement has to play a role of prime importance in making critical decisions, planning treatment and rendering care to these patients. Nasoalveolar Molding (NAM) is a tissue-expansion procedure performed by dentists prior to a surgical repair for cleft lip and palate. 1 The NAM technique allows the paediatric dentist and surgeon to mold the abnormallyformed nasal cartilage into a more optimal relationship prior to surgery. 2 The carefully-controlled tissue expansion created by the NAM allows for the creation of a more normalappearing nose at the time of surgery for the lip closure than compared to traditional treatment by secondary alveolar bone grafting. Creating a symmetrical nose from the deficient columella and deformed nasal cartilage in cleft patients is a great challenge. The lower lateral alar cartilage in patients with unilateral cleft lip and palate is depressed and concave in the alar rim. It separates from the non-cleft-side lateral alar cartilage resulting in depression and displacement of the nasal tip. The columella is shorter on the cleft side and is inclined over the cleft with the base deviated toward the non-cleft side. Presurgical nasal molding also has been introduced as an adjunctive neonatal management for preoperative correction of nasal deformities by utilising the malleability of alar cartilage shortly after birth. Grayson et al proposed the combination of presurgical orthopaedics and nasal molding as a new technique called presurgical nasoalveolar molding for approximating the alveolar cleft and improving the nasal deformities preoperatively.

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Section: Discussion Of Managementmentioning

confidence: 99%

Section: Final Diagnosismentioning

confidence: 99%

Case Report- Management of Unilateral CLCP Patient by Nasoalveolar Molding

Bora¹,

Chakraborty²

2017

jebmh

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“…Therefore, he emphasized the importance of nasal molding before surgery in the early neonatal period. In addition, some other appliances for nasal molding have been reported [42]. However, the permanence of the improvement in nasal symmetry and appearance using PNAM remains controversial; however, there is a trend towards a positive effect.…”

Section: Passive Appliancesmentioning

confidence: 99%

Presurgical Infant Orthopedics for Cleft Lip and Palate: A Review

Esenlik¹

2015

Surgery

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“…They are modifi ed muscle-activated maxillary orthopedic appliance used by Suri and Tompson [19] in NAM therapy; Retnakumari et al [17] described alveolar molding appliance with expansion screw; dynamic presurgical nasal remodeling intraoral appliance designed by Bennun and Figueroa; [20] extra-oral nasal molding appliance by Doruk and Kiliç [21] and self-retentive appliance with orthodontic wire used by Singh et al [22] and Ijaz [23] in presurgical infant orthopedics.…”

Section: Modifi Cationsmentioning

confidence: 99%

Nasoalveolar molding: A review

Laxmikanth¹,

Karagi²,

Shetty³

et al. 2014

JCRI

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Cleft lip and palate (CLP) is the most common congenital defect of the oral cavity which possesses a serious socioeconomic trouble. It varies in form and severity. In these patients who have defi cient hard and soft tissue structures presented a major task to bring about a functional and cosmetic outcome. Recently, nasoalveolar molding (NAM) has gained more attention as it improves facial appearance and function. The objectives of presurgical NAM involves correcting lip segments, lower lateral alar cartilages, and alveolar cleft segments. Results of NAM are promising for CLP, hence are encouraged to be used promptly after the birth and continued till further specifi c corrective surgeries are performed.

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Extraoral Nasal Molding in a Newborn with Unilateral Cleft Lip and Palate: A Case Report

Cited by 27 publications

References 8 publications

Case Report- Management of Unilateral CLCP Patient by Nasoalveolar Molding

Case Report- Management of Unilateral CLCP Patient by Nasoalveolar Molding

Presurgical Infant Orthopedics for Cleft Lip and Palate: A Review

Nasoalveolar molding: A review

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