Use of Nasal Conformer After Birth Effectively Improves Nostril Symmetry in Patients With Unilateral Incomplete Cleft Lip

Kuo, Spencer C. H.; Lai, Jui‐Yang; Hsieh, Ching‐Hua; Chen, Tzu‐Ying; Chang, Yu-Jen; Huang, Fay

doi:10.1016/j.joms.2018.05.003

Cited by 5 publications

(12 citation statements)

References 19 publications

(16 reference statements)

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“…Similar improvement in the immediate and early postoperative results of nasoalveolar molding groups have been published in the literature. 2,7,20,[30][31][32][33] However, in the 5-year followup period, although the absolute values showed an improvement in the nasoalveolar molding group, there was no statistically significant difference between the two groups. In the literature, although a majority of the studies with long-term results have depicted an improved result in nasoalveolar molding-treated groups, there has been some loss of symmetry as well.…”

Section: Discussionmentioning

confidence: 99%

Long-Term Comparison of the Aesthetic Outcomes between Nasoalveolar Molding– and Non–Nasoalveolar Molding–Treated Patients with Unilateral Cleft Lip and Palate

Nayak

Bonanthaya

Parmar

et al. 2021

Plastic &Amp; Reconstructive Surgery

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Background:The cleft lip-nose deformity in unilateral cleft lip and palate is one of the most challenging problem for surgeons to correct. Although nasoalveolar molding has been shown to be effective in improving presurgical symmetry in patients with complete unilateral cleft lip and palate, there is need for better evidence regarding the long-term nasolabial aesthetics of patients who have received this therapy. Methods: Thirty-eight patients treated with nasoalveolar molding and 48 patients not treated with nasoalveolar molding (but otherwise treated similarly) with unilateral cleft lip and palate were studied to assess and compare the nasolabial aesthetics. The objective evaluation of the nasal symmetry was performed on the basal view of two-dimensional photographs and the subjective nasolabial aesthetic evaluation was performed using the Asher-McDade scale. Results: At 5-year postoperative follow-up, nasoalveolar molding group patients had better mean values on the objective scores; however, these were not statically significant. The nasoalveolar molding group of patients had a statistically significant improvement in the subjective evaluation in comparison to the nonnasoalveolar molding-treated patients. The number of lip revisions was also statistically higher in the non-nasoalveolar molding-treated group of patients. Conclusions: In this retrospective, single-center study, the authors found that at 5-year postoperative follow-up, nasoalveolar molding-treated patients had improved nasolabial aesthetics and fewer revision operations. These are, however, preliminary results and the patients will be followed up until the end of growth to assess the longer term effects of nasoalveolar molding on the nasolabial aesthetics in unilateral cleft lip and palate.

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Section: Discussionmentioning

confidence: 99%

Long-Term Comparison of the Aesthetic Outcomes between Nasoalveolar Molding– and Non–Nasoalveolar Molding–Treated Patients with Unilateral Cleft Lip and Palate

Nayak

Bonanthaya

Parmar

et al. 2021

Plastic &Amp; Reconstructive Surgery

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“…Al aplicar el moldeado nasoalveolar en los primeros días de vida de la niña, se buscó mejorar la condición anatómicas, se facilitó la reparación quirúrgica para la corrección de la hendidura injerto óseo secundario y cirugía estéticas, que permitieron la disminución de costos, tal como lo manifestó Shay en el 2015, cuando afirmó que los pacientes con labio leporino y paladar hendido no están exentos de los altos y crecientes costos definidos en el Sistema de Cuidado de la Salud (6,14,15,19) .…”

Section: Discussionunclassified

“…Por lo general el tratamiento de los pacientes con LPH, se concentra en el proceso quirúrgico de cierre, pero también es importante el tiempo de moldear los tejidos blandos. El moldeado nasoalveolar (MNA), introducido en la década de los 90 es el paso inicial, que mejora los resultados en el cierre de la hendidura, ya que por el afán del cierre quirúrgico sin el debido moldeado, se generan resultados poco satisfactorios en la estética de los pacientes, con consecuencias hipoplasias maxilares, clase II esqueletal y mordida cruzada, así como problemas de fonación, respiración y postura (2,(9)(10)(11)(12)(13)(14)(15) . El moldeado de los tejidos blandos permite reposicionar los cartílagos nasales deformados y los procesos alveolares, alargar la columnela, ubicar el labio en una posición más correcta, facilitando su reparación quirúrgica, al corregir el desplazamiento del cartílago alar y por ende favorecer el buen resultado de los procedimientos quirúrgicos nasales e injertos óseos y mejorar la estética nasal (5,9,14,16,17) .…”

Section: Introductionunclassified

“…Entre las ventajas del MNA, se destaca el reposicionamiento controlado y predecible de los segmentos hendidos y cartílagos nasales, con una reducción en la brecha de tamaño de hendidura, además de proporcionar un alargamiento de la columnela en el paciente y mejorar la alimentación infantil (5,9,14,16) . Sin embargo, existen limitaciones relacionadas con la motivación y cumplimiento del paciente y sus padres, pues la continuidad de las citas requiere una mayor dedicación, para realizar los controles semanales adecuados (15,18) .…”

Section: Introductionunclassified

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Moldeado nasoalveolar prequirúrgico de un paciente con labio y paladar hendido unilateral izquierdo

Rodríguez-Solano

Vergara-Mercado

2020

Univ. Salud

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Introducción: El labio y paladar hendido son malformaciones craneofaciales que se presentan en 1:1000 nacidos vivos en Colombia. Realizar un moldeado nasoalveolar previo a la cirugía favorece el reposicionamiento de los cartílagos nasales deformados y de los procesos alveolares. Objetivo: Dar a conocer a los profesionales la importancia de realizar moldeado nasoalveolar en un paciente con labio y paladar hendido antes de la intervención quirúrgica. Materiales y métodos: En la clínica odontológica de la Universidad del Sinú de Montería (Córdoba, Colombia), se atendió una paciente de 17 días de nacida que presentaba labio y paladar hendido completo unilateral izquierdo severo. Luego de diligenciar la historia clínica odontológica, se realizó placa de órtesis, que se cambió cada 15 días y se hizo el retoque del “tutor” cada 8 días. Resultados: La placa de órtesis permitió un moldeado naso alveolar, con el progreso en la alimentación y mejoras en el contorneado de los tejidos nasales, que mejoró la preparación para la operación de la hendidura a los 8 meses de edad. Conclusiones: La importancia del moldeado nasoalveolar en casos como el presentado, es propiciar mejores condiciones físicas, favoreciendo la ingesta de alimentos y beneficiando la apariencia física.

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“…Maxillary lateral incisors have the highest missing prevalence, ranging from 56.1% to 74% in the cleft area [ 16 ]. Additionally, dental anomalies are more commonly found in the cleft area than in the non-cleft area, and affect the permanent dentition more than the primary dentition [ 17 , 18 , 19 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Dental Anomalies in Taiwanese Children with Cleft Lip and Cleft Palate

Chang

Lai

et al. 2022

JPM

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The aim of this study was to investigate the prevalence of tooth agenesis, tooth malformation, and eruption patterns of upper canines/first premolars in Taiwanese children. A total of 132 cleft lip and cleft palate (CLCP) patients (82 boys and 50 girls) underwent alveolar bone grafting (ABG) between 2012 and 2022. The patients’ dental records and X-ray images were inspected. We examined dental anomalies, including congenital missing teeth, microdontia, and transposition from the upper canines to the upper first premolars in these CLCP patients. Additionally, we investigated the mean ABG operation age (9.27 ± 0.76 years) of our patient; 40.9% of them received pre-ABG orthodontic treatment at 8.72 ± 0.70 years. Among the 132 cleft subjects, the prevalence of tooth agenesis is 73.5% (97/132). The most frequently missing teeth are the maxillary lateral incisors (right side: 46.2%; left side: 47.0%). In this study, microdontia are found in all the upper incisors, of which the highest percentage (18.9%) is observed in the upper left lateral incisors. The prevalence of upper canine and first premolar transposition is 10.6%. The pattern of tooth agenesis and microdontia of the upper lateral incisors shows a strong correlation with the cleft sites of these CLCP patients in our study. These results may support the idea that the patterns of dental anomalies in CLCP patients are region-specific.

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Use of Nasal Conformer After Birth Effectively Improves Nostril Symmetry in Patients With Unilateral Incomplete Cleft Lip

Cited by 5 publications

References 19 publications

Long-Term Comparison of the Aesthetic Outcomes between Nasoalveolar Molding– and Non–Nasoalveolar Molding–Treated Patients with Unilateral Cleft Lip and Palate

Long-Term Comparison of the Aesthetic Outcomes between Nasoalveolar Molding– and Non–Nasoalveolar Molding–Treated Patients with Unilateral Cleft Lip and Palate

Moldeado nasoalveolar prequirúrgico de un paciente con labio y paladar hendido unilateral izquierdo

Prevalence of Dental Anomalies in Taiwanese Children with Cleft Lip and Cleft Palate

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