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Nasoalveolar molding

Aditi A Bhuskute, Travis T Tollefson
Cleft lip and palate are the fourth most common congenital birth defect. Management requires multidisciplinary care owing to the complexity of these clefts on midface growth, dentition, Eustachian tube function, and lip and nasal cosmesis. Repair requires planning, but can be performed systematically to reduce variability of outcomes. The use of primary rhinoplasty at the time of cleft lip repair can improve nose symmetry and reduce nasal deformity. Use of nasoalveolar molding ranging from lip taping to the use of preoperative infant orthopedics has played an important role in improving functional and cosmetic results of cleft lip repair...
November 2016: Facial Plastic Surgery Clinics of North America
Shafees Koya, Sandeep Shetty, Akhter Husain, Mustafa Khader
OBJECTIVE: The objective of the study was to evaluate the results of nasoalveolar molding (NAM) in the treatment of patients with unilateral cleft lip and palate using a modified technique in a South Indian population. STUDY DESIGN: The design was a prospective study with blinded measurements. The sample constituted 10 complete unilateral cleft lip and palate (UCLP) patients who underwent NAM therapy by the same operator. Direct extra and intra oral anthropometric measurements were done using a digital vernier caliper before and after NAM therapy...
2016: Journal of Clinical Pediatric Dentistry
Samuel Berkowitz
BACKGROUND: The aim of this study is to determine the best surgical/orthodontic treatment plan for the complete bilateral and unilateral cleft lip and palate patient to achieve all treatment goals of facial aesthetics, speech, dental function, and psychosocial development. METHODS: Review of 40 years of serial complete bilateral cleft lip and palate and complete unilateral cleft lip and palate dental casts and photographs from birth to adolescence, with serial cephs starting at 4 years...
May 2016: Plastic and Reconstructive Surgery. Global Open
Amy L Strong, Allison C Nauta, Anna A Kuang
OBJECTIVES: This study highlights and validates a peroxide-based wound healing strategy for treatment of surgically closed facial wounds in a pediatric population. The authors identified pediatric patients undergoing primary cleft lip repair as a specific population to evaluate the outcomes of such a protocol. Through analysis of defined outcome measures, a reliable and reproducible protocol for postoperative wound care following primary cleft lip repair with favorable results is described...
December 2015: Wounds: a Compendium of Clinical Research and Practice
Chitravelu Siva Subramanian, N K K Koteswara Prasad, Arun B Chitharanjan, Eric Jein Wein Liou
Nasoalveolar molding (NAM) can be done effectively to reshape the nasal cartilage and mold the maxillary dentoalveolar arch before surgical cleft lip repair and primary rhinoplasty. Presurgical NAM helps as an adjunct procedure to enhance the esthetic and functional outcome of the surgical procedures. We have developed a modified NAM device to suit to the needs of the patients coming from distant places for the treatment. This device helps in reducing the number of frequent visits the patient needs to take to the craniofacial center...
July 2016: European Journal of Dentistry
Regina E Rodman, Sherard Tatum
Cleft lip and palate is one of the most common congenital anomalies. For many years, surgeons have been attempting to reduce the severity of the deformity before the surgical repair to achieve a better outcome. The nasoalveolar molding technique uses acrylic nasal stents attached to the vestibular shield of an oral molding plate to mold the nasal alar cartilages into a more normal form and position during the presurgical period. Proponents of nasoalveolar molding claim several benefits, including improved aesthetic outcome, reduced overall costs, and a psychosocial benefit to the family...
August 2016: Facial Plastic Surgery Clinics of North America
Kyung S Koh, Woo Yeon Han, Woo Shik Jeong, Tae Suk Oh, Sun Man Kwon, Jong Woo Choi
Severe forms of bilateral cleft lip and palate remain a challenging issue. Although nasoalveolar molding dramatically improves overall treatment success, the position of the premaxilla often remains dislocated. The authors attempted to relocate the malpositioned premaxilla into the correct position to obtain the correct three-dimensional (3D) maxillary arch structure and growth. Eight patients with severe bilateral cleft lip and palate were treated with premaxillary osteotomy for premaxilla repositioning. The position of the premaxilla was measured directly using cephalometry...
September 2016: Journal of Craniofacial Surgery
Kevin S Smith, Byron T Henry, Michelle A Scott
Over the last decade, presurgical orthopedic molding for the patient with cleft lip and palate has become much more common; it is even reasonable to assume it may be the standard of care for those wide unilateral and bilateral clefts with substantial dentofacial deformities. In 2013, there was a comparative study of nasoalveolar molding methods, comparing the Grayson-NAM device and DynaCleft. The results showed the 2 to be equivocal with both methods significantly reducing the cleft width and improving the nasal asymmetry...
May 2016: Oral and Maxillofacial Surgery Clinics of North America
Michael Alperovich, Jordan D Frey, Pradip R Shetye, Barry H Grayson, Raj M Vyas
OBJECTIVE:   Our study goal was to evaluate the rates of breast milk feeding among patients with oral clefts at a large North American Craniofacial Center. METHODS:   Parents of patients with oral clefts born from 2000 to 2012 and treated at our center were interviewed regarding cleft diagnosis, counseling received for feeding, and feeding habits. RESULTS:   Data were obtained from parents of 110 patients with oral clefts. Eighty-four percent of parents received counseling for feeding a child with a cleft...
April 4, 2016: Cleft Palate-craniofacial Journal
Pravinkumar G Patil, Smita P Nimbalkar-Patil
Bilateral cleft lip/cleft palate is associated with nasal deformities typified by a short columella. The presurgical nasoalveolar molding (NAM) therapy approach includes reduction of the size of the intraoral alveolar cleft as well as positioning of the surrounding deformed soft tissues and cartilages. In a bilateral cleft patient, NAM, along with columellar elongation, eliminates the need for columellar lengthening surgery. Thus the frequent surgical intervention to achieve the desired esthetic results can be avoided...
March 22, 2016: Journal of Prosthodontics: Official Journal of the American College of Prosthodontists
Hillary L Broder, Roberto L Flores, Sean Clouston, Richard E Kirschner, Judah S Garfinkle, Lacey Sischo, Ceib Phillips
BACKGROUND: Despite the increasing use of nasoalveolar molding in early cleft treatment, questions remain about its effectiveness. This study examines clinician and caregiver appraisals of primary cleft lip and nasal reconstruction with and without nasoalveolar molding in a nonrandomized, prospective, multicenter study. METHODS: Participants were 110 infants with cleft lip/palate (62 treated with and 48 treated without nasoalveolar molding) and their caregivers seeking treatment at one of six high-volume cleft centers...
March 2016: Plastic and Reconstructive Surgery
Quan Yu, Xin Gong, Gang Shen, Yusheng Yang, Guoyan Pan, Rongjing Chen
OBJECTIVE: To develop a new method of presurgical nasoalveolar molding based on computer-aided design technique. METHODS: Twenty patients(16 boys, 4 girls) with complete unilateral cleft lip and palate(UCLP) who received presurgical nasoalveolar molding were recruited as the treatment group. Twenty patients(15 boys, 5 girls) with complete UCLP who did not receive presurgical orthopedic treatment were selected as the control group. All parameters of the digital maxillary model were measured using the Rapidform XOR3 software...
December 2015: Zhonghua Kou Qiang Yi Xue za Zhi, Zhonghua Kouqiang Yixue Zazhi, Chinese Journal of Stomatology
Lucas M Ritschl, Andrea Rau, Florian D Güll, Benjamin diBora, Klaus-Dietrich Wolff, Markus Schönberger, Franz X Bauer, Erich Wintermantel, Denys J Loeffelbein
PURPOSE: Computer-assisted design and computer-aided manufacturing (CAD/CAM) technology in nasoalveolar molding (NAM) should save time and manpower and reduce family input in cases of cleft lip and palate. MATERIAL AND METHODS: Intraoral casts from 12 infants with complete unilateral cleft lip and palate were taken immediately after birth (T1) and after (T2) NAM treatment, digitalized, and transformed into STL data. The infants were randomized into Group 1 (n = 6) receiving conventional NAM treatment or Group 2 receiving CAD/CAM NAM (n = 6)...
April 2016: Journal of Cranio-maxillo-facial Surgery
A T Adeyemi, O O Bankole
OBJECTIVE: To determine the attitude of cleft care specialists working in Africa towards pre-surgical orthopaedics. DESIGN: A cross sectional study. SETTING: Pan-African conference on cleft lip and palate in Nigeria. SUBJECTS: Sixty cleft care specialists working in Africa. RESULTS: The general attitude towards pre-surgicalorthopaedics was positive. Majority of the specialists employ pre-surgical orthopaedics before surgical repair...
December 2012: East African Medical Journal
Caroline A Yao, William P Magee, Gang Chai
No abstract text is available yet for this article.
May 2016: Plastic and Reconstructive Surgery
Denys J Loeffelbein, Florian D Güll, Franz Bauer, Erich Wintermantel
No abstract text is available yet for this article.
May 2016: Plastic and Reconstructive Surgery
Montian Manosudprasit, Pathomporn Chongcharueyskul, Tasanee Wangsrimonkol, Poonsak Pisek
The purpose of this article was to present a modified protocol and devices of presurgical nasoalveolar molding techniques to improve deformity of lip, nose and alveolus at Department of Orthodontic, Khon Kaen University (KKU). This new protocol was developed in order to address nasal problems as early as possible with a new extra-oral type of nasal molding device, "forehead type of nasoalveolar molding device". Extra-oral strapping was applied to approximate lip segments and also help to reduce alveolar cleft rapidly...
August 2015: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
Bruno Leonardo Bancke Laverde, Renato da Silva Freitas, Isis Juliane Guarezi Nasser
INTRODUCTION: Unilateral cleft lip (UCL) patients have lip and nose deformities that must be addressed during lip repair. Currently, devices to achieve lip and nose improvements have been developed. The most researched presurgical molding device is the nasoalveolar molding (NAM), which has shown favorable results. However, clinical observation shows that unilateral cleft patients, even without molding devices, achieve spontaneous improvements. The aim of this study is to compare morphological and symmetry changes in nose and lip, between patients less than 30-day old and those submitted to cheiloplasty, at 6 months of age...
January 2016: Journal of Craniofacial Surgery
Rahul J Hegde, Viraj R Kharkar, Shamika Kamath
Unilateral cleft lip and palate (UCLP) patients have an esthetic and functional compromise of the middle third of the face and nasal structures. To improve the esthetic result of lip repair, the concept of presurgical nasoalveolar molding (PNAM) was brought into conception. PNAM is an easy and passive method of bringing the alveolus and lips together by redirecting the forces of natural growth. This case report documents a 2-year follow-up of PNAM in UCLP.
October 2015: Contemporary Clinical Dentistry
Paul L Shay, Jesse A Goldstein, J Thomas Paliga, Jason Wink, Oksana A Jackson, David Low, Scott P Bartlett, Jesse A Taylor
BACKGROUND: Patients with complete cleft lip and palate may benefit from cleft lip adhesion or nasoalveolar molding before formal cleft lip repair. The authors compared the relative costs to insurers of these two treatment modalities and the burden of care to families. METHODS: A retrospective analysis was performed of cleft lip and palate patients treated with nasoalveolar molding or cleft lip adhesion at The Children's Hospital of Philadelphia between January of 2007 and June of 2012...
December 2015: Plastic and Reconstructive Surgery
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