Presurgical Presentation of Columellar Features, Nostril Anatomy, and Alveolar Alignment in Bilateral Cleft Lip and Palate after Infant Orthopedics with and without Nasoalveolar Molding

Suri, Sunjay; Disthaporn, Suteeta; Atenafu, Eshetu G.; Fisher, David M.

doi:10.1597/10-204

Cited by 23 publications

(15 citation statements)

References 35 publications

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“…When BCLP cleft subjects treated with NAM‐assisted surgery were compared to those treated with surgery alone there was evidence of significantly improved nasal morphology both in the short‐term and long‐term . More specifically, in BCLP infants, NAM was found to improve the nasal angle, improve nostril height and bialar width, correct columella deviation, lengthen and widen the columella, increase nasal tip protrusion and reduce alar base width . Also in BCLP infants, NAM was seen to increase prolabium length, force the protruded premaxillary segment into alignment with the dental alveolar segments, improve the shape of the maxillary arch, help align the alveolar segments and reduce cleft width before surgery .…”

Section: Discussionmentioning

confidence: 96%

Initial experiences with NAM‐assisted primary repair of the BCLP deformity

Prasad

Ravindran

Radhakrishnan

et al. 2017

Special Care in Dentistry

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Section: Discussionmentioning

confidence: 96%

Initial experiences with NAM‐assisted primary repair of the BCLP deformity

Prasad

Ravindran

Radhakrishnan

et al. 2017

Special Care in Dentistry

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“…According to the systematic review published, there was evidence on the improvement of nasal symmetry in UCLP patients using NAM appliances. [102] Similarly, Suri et al, [65] reported that infants who received NAM presented more symmetric and more ideal alveolar segment approximation, a straighter columella, and greater columellar length than those who received IO only. Shetty et al [103] reported that cleft infants treated with NAM appliance within 1 month of life showed improvement in nasal dome height, columellar height and resembled non cleft patients at 18 months of age.…”

Section: Discussionmentioning

confidence: 96%

Diversities in presurgical orthopedics: A review

Rani¹,

Rajendra²,

Manjula³

et al. 2015

JCRI

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In children with cleft lip and palate, it is essential to maintain harmony among several aspects of treatment such as growth, esthetics, function and psychosocial development since birth. Treatment of infants with cleft lip and palate has been associated with many marked advances in recent years. To obtain the best possible results, these can and should be incorporated into the cleft team treatment protocols. Deformities in cleft lip and palate exhibit diversities in severity and form, as the wider and complete clefts show significant nasolabial deformity. This article reviews the literature on background of early maxillary orthopedics, various appliances, which have been proposed to reduce the initial alveolar cleft defect and molding of the deformed nasal cartilages, benefits, longterm effects of the same.

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“…This parameter is nevertheless known to be positively influenced by NAM treatment, especially in cases of BCLP. 11 , 27 Suri et al 29 reported that infants who received NAM therapy had longer columella and better-aligned alveolar segments than those who received only feeding plate therapy. In their study, other nostril dimensions were not significantly different, comparable to our results.…”

Section: Discussionmentioning

confidence: 99%

Comparative Photographic, Retrospective Analysis of Nonsyndromic Cleft Noses Treated with or without NAM

Wolff

Grill

Ritschl

2020

Plastic and Reconstructive Surgery - Global Open

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Background: Long-term results and efficacy of nasoalveolar molding (NAM) on the perinasal region are reported controversially in the literature. With this study, we demonstrate our experiences, contribute to the ongoing discussion, and describe our decision-making when NAM is indicated or not. Methods: Conventional pre- and postinterventional photographs of patients with nonsyndromic unilateral and bilateral cleft lip and palate (UCLP and BCLP) were analyzed. The 2 independent raters were blinded to therapy (NAM versus non-NAM), and 7 parameters were measured. Intraclass correlation coefficient for intra- and interrater reliability was calculated. The Mann–Whitney U test was performed to compare therapy- and appearance-matched pairs. Finally, 30 specialists in cranio-maxillofacial surgery performed a subjective, blinded rating of matched NAM and non-NAM cases. Results: Thirty-six patients, 16 UCLP and 20 BCLP, were enrolled. The intraclass correlation coefficients for intra- and interrater reliability were excellent for all measurements, except for nasal sill (0.77 intrarater and 0.80 interrater). Height-to-width ratio (P = 0.012) was significantly different in the comparison of non-NAM and NAM-treated severe cases with UCLP. Thirty blinded raters evaluated NAM-treated cases with severe UCLP better than matched non-NAM cases. Non-NAM-treated cases with moderate UCLP and BCLP were rated better than matched NAM cases. Conclusions: Children with severe UCLP may benefit from NAM therapy in the sense of better symmetry and a more homogenous appearance. Patients with moderate UCLP and BCLP did not benefit, and the risk of the burden of care increased.

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Presurgical Presentation of Columellar Features, Nostril Anatomy, and Alveolar Alignment in Bilateral Cleft Lip and Palate after Infant Orthopedics with and without Nasoalveolar Molding

Abstract: Infants who received NAM had longer columellae and better-aligned alveolar segments than those who received only IO. Other nostril dimensions were not significantly different.

Cited by 23 publications

References 35 publications

Initial experiences with NAM‐assisted primary repair of the BCLP deformity

Initial experiences with NAM‐assisted primary repair of the BCLP deformity

Diversities in presurgical orthopedics: A review

Comparative Photographic, Retrospective Analysis of Nonsyndromic Cleft Noses Treated with or without NAM

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