Repair of Cleft Lip with Nonsurgical Correction of Nasal Deformity in the Early Neonatal Period

Matsuo, Kiyoshi; Hirose, Takeshi; Otagiri, Tetsutaro; Norose, N

doi:10.1097/00006534-198901000-00006

Cited by 160 publications

(108 citation statements)

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“…Matsuo et al [15] stated that auricular cartilage is soft and plastic at birth, and hence congenital auricular deformities can easily be corrected non-surgically in the early neonatal period. However, as the infant grows older, the flexibility of the auricle decreases.…”

Section: Discussionmentioning

confidence: 99%

Presurgical Orthopaedic Nasoalveolar Molding in Cleft Lip and Palate Infants: A Comparative Evaluation of Cases Done With and Without Nasal Stents

Punga¹,

Sharma

2012

J. Maxillofac. Oral Surg.

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Addressing the craniofacial anomaly of cleft lip and palate presurgically has been done since more than 50 years now, with a constant improvisation of the treatment protocols from time to time. The present study deals with a modification of the technique devised 16 years ago. The effect of nasal stents attached to a pre-surgical naso-alveolar molding (PNAM) appliance on the nasal morphology achieved prior to primary surgical correction of the cleft lip was to be evaluated. Twenty subjects, infants with cleft lip and palate, less than 2 months of age were selected for presurgical nasoalveolar molding treatment. Impressions were recorded, casts made and PNAM appliance fabricated. Ten infants were given the appliance without nasal stents and to the other ten appliances nasal stents were added. The patients were recalled every 2-3 weeks and a series of 9 measurements were recorded every visit along with adjustments made to the appliance for desirable effects on the lip, alveolus and nose. This was carried out till the patient was taken up for lip repair. The final measurements obtained at the end of the presurgical treatment were recorded. Mann-Whitney test, between study and control group showed that the increase in the columella length was statistically significant (p = 0.0001 and p = 0.033) in the study group as compared to the control group. Also the increase of the nasal tip projection (mean = 1.30 mm) in the study group was found to be statistically significant (p = 0.006) as compared to the control group. We concluded that nasal stents attached to the alveolar molding appliance, yield significant improvement of the nasal morphology and better nasal aesthetics presurgically.

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Section: Discussionmentioning

confidence: 99%

Presurgical Orthopaedic Nasoalveolar Molding in Cleft Lip and Palate Infants: A Comparative Evaluation of Cases Done With and Without Nasal Stents

Punga¹,

Sharma

2012

J. Maxillofac. Oral Surg.

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“…Also secondary correction of the nasal deformity would lead to more surgical scarring and less than ideal results [4].Thus, any form of the nonsurgical treatment to reduce the nasal deformity early in the life is highly desirable. First attempt at the presurgical nasal correction was made by Matsuo et al [5,6].…”

Section: Problems On the Non-cleft Sidementioning

confidence: 99%

Presurgical Nasoalveolar Moulding—An Adjunct to Facilitate Surgical Repair in Infants with Cleft Lip and Palate

Patel¹,

Goyal²,

Puri³

2013

MPS

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Presurgical orthopedics forms an integral part of the treatment of patients with facial clefting. The primary aim of presurgical nasoalveolar moulding (PNAM) is reduction in the soft tissue and cartilaginous deformity to facilitate surgical soft tissue repair in optimal conditions under minimum tension to minimize scar formation. It also helps in reducing the nasal deformity with a nasal stent which brings the deformity near to the normal and forms an important part of the primary nasal repair at the time of primary lip repair. A soft acrylic relining material is added or removed to line the appliance to a thickness of approximately 1 -1.5 mm in the region from where the bone is to be resorbed or apposed. This article describes the fabrication procedure of the modified nasal alveolar molding appliance in eight infants with unilateral cleft lip and palate in whom a significant reduction in cleft width and nasoalveolar deformity was achieved. The results showed that the greater segment shows more favourable changes and can be molded more positively and efficiently than the lesser segment.

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“…Therefore, in the early neonatal period, alar cartilage exhibits the same elasticity as auricular cartilage, in a way that congenital alar deformities can be treated non-surgically. However, as the infant grows older the flexibility of the cartilage decreases (12,13).…”

Section: Discussionmentioning

confidence: 99%

Clinical application of customized presurgical nasoalveolar molding for the treatment of unilateral complete cleft lip and alveolus: case report

Premkumar

Tovani‐Palone

2018

Electron J Gen Med

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Cleft lip and/or palate (CL/P) are the most common craniofacial malformations in humans. The lip, alveolar ridge, palate and nose are areas frequently affected in people with this type of anomaly. Generally, there are also negative psychosocial impacts in children with these malformations. Moreover, a son with CL/P can become an emotional trauma to their parents. Multiple surgeries and other therapies are required for the treatment of most cases. During the first three months of life the surgical treatment of CL/P usually involves infant orthopaedics, such as presurgical nasoalveolar molding (PNAM), primary cleft lip repair and primary rhinoplasty. PNAM is a nonsurgical method, which has been used by many craniofacial centers. However, few reports concerning the customized use of PNAM for the treatment of complete cleft lip and alveolus have been described in the literature. In addition, the treatment success through this method has been a controversial subject. In this paper, we present the case of a newborn with unilateral complete cleft lip and alveolus treated with customized PNAM, based on the experience of the Tamil Nadu

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Repair of Cleft Lip with Nonsurgical Correction of Nasal Deformity in the Early Neonatal Period

Cited by 160 publications

References 0 publications

Presurgical Orthopaedic Nasoalveolar Molding in Cleft Lip and Palate Infants: A Comparative Evaluation of Cases Done With and Without Nasal Stents

Presurgical Orthopaedic Nasoalveolar Molding in Cleft Lip and Palate Infants: A Comparative Evaluation of Cases Done With and Without Nasal Stents

Presurgical Nasoalveolar Moulding—An Adjunct to Facilitate Surgical Repair in Infants with Cleft Lip and Palate

Clinical application of customized presurgical nasoalveolar molding for the treatment of unilateral complete cleft lip and alveolus: case report

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