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Nasoalveolar molding

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https://www.readbyqxmd.com/read/29746155/presurgical-nasal-molding-with-a-nasal-spring-in-patients-with-mild-to-moderate-nasal-deformity-with-incomplete-unilateral-cleft-lip-with-or-without-cleft-palate
#1
Supakit Peanchitlertkajorn
OBJECTIVE: Traditional nasoalveolar molding (NAM) requires steep learning curve for clinicians and significant compliance from parents. Nasal springs have been developed by the author to simplify presurgical nasal molding. This article presents the design, construction, and application of the spring. The treatment goal is to improve nasal deformity prior to primary repair in infants born with incomplete unilateral cleft lip with or without cleft palate. METHOD: The design, fabrication, and utility of the nasal spring are described...
January 1, 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29698115/three-dimensional-soft-tissue-nasal-changes-after-nasoalveolar-molding-and-primary-cheilorhinoplasty-in-infants-with-unilateral-cleft-lip-and-palate
#2
Laura Mancini, Travis L Gibson, Barry H Grayson, Roberto L Flores, David Staffenberg, Pradip R Shetye
OBJECTIVE: To quantify 3-dimensional (3D) nasal changes in infants with unilateral cleft lip with or without cleft palate (UCL±P) treated by nasoalveolar molding (NAM) and cheilorhinoplasty and compare to noncleft controls. DESIGN: Retrospective case series of infants treated with NAM and primary cheilorhinoplasty between September, 2012 and July, 2016. Infants were included if they had digital stereophotogrammetric records at initial presentation (T1), completion of NAM (T2), and following primary cheilorhinoplasty (T3)...
January 1, 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29698113/nasal-obstruction-in-children-with-cleft-lip-and-palate-results-of-a-cross-sectional-study-utilizing-the-nose-scale
#3
Rosaline S Zhang, Lawrence O Lin, Ian C Hoppe, Oksana A Jackson, David W Low, Scott P Bartlett, Jordan W Swanson, Jesse A Taylor
OBJECTIVE: To characterize the epidemiology and risk factors for nasal obstruction among subjects with cleft lip and/or cleft palate (CL/P) utilizing the well-validated Nasal Obstruction Symptom Evaluation (NOSE) survey. DESIGN: Retrospective cross-sectional study. SETTING: Cleft Lip and Palate Program, Children's Hospital of Philadelphia. Patients, Subjects: One thousand twenty-eight surveys obtained from 456 subjects (mean age: 10.10 (4...
January 1, 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29624437/burden-of-care-of-various-infant-orthopedic-protocols-for-improvement-of-nasolabial-esthetics-in-patients-with-cuclp
#4
Emily Singer, John Daskalogiannakis, Kathy A Russell, Ana M Mercado, Ronald R Hathaway, Alicia Stoutland, Ross E Long, Jennifer Fessler, Gunvor Semb, William C Shaw
OBJECTIVES: 1. To evaluate the orthodontic burden of care of nasoalveolar molding (NAM) and modified McNeil for the treatment of patients with complete unilateral cleft lip and palate (CUCLP). 2. To compare the esthetic outcomes of each with those of centers not utilizing infant orthopedics (IO). DESIGN: Retrospective cohort study. SETTING: Institutional. PARTICIPANTS: Four cohorts with repaired CUCLP (n = 149) from 3 centers...
January 1, 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29602340/influence-of-nasoalveolar-molding-on-skeletal-development-in-patients-with-unilateral-cleft-lip-and-palate-at-5-years-of-age
#5
Bengisu Akarsu-Guven, Arda Arisan, Figen Ozgur, Muge Aksu
INTRODUCTION: The aim of this retrospective study was to assess the influence of presurgical nasoalveolar molding (NAM) on skeletal development in patients with operated unilateral cleft lip and palate at 5 years of age. MATERIALS: Lateral cephalometric radiographs of 26 unilateral cleft lip and palate patients who had undergone presurgical NAM (NAM group) and 20 unilateral cleft lip and palate patients who did not have any presurgical NAM (non-NAM group) were analyzed...
April 2018: American Journal of Orthodontics and Dentofacial Orthopedics
https://www.readbyqxmd.com/read/29578804/modifications-in-presurgical-nasoalveolar-molding-treatment-of-bilateral-cleft-lip-and-palate-patients-with-severely-malpositioned-premaxillae
#6
Serap Titiz, Isil Aras
OBJECTIVE: The aim of this study was to evaluate a modified presurgical nasoalveolar molding (PNAM) treatment for patients with bilateral cleft lip and palate (BCLP) with severely malpositioned premaxillae. SETTING: This study was conducted at the Faculty of Dentistry, Department of Orthodontics, Ege University, Bornova, Izmir, Turkey. METHOD: Retention arms were manufactured using a mold that we developed, and prefabricated retraction apparatuses were applied to the plaster model obtained from the patient...
January 1, 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29578802/comparative-analysis-of-three-dimensional-nasal-shape-of-casts-from-patients-with-unilateral-cleft-lip-and-palate-treated-at-two-institutions-following-rotation-advancement-only-iowa-or-nasoalveolar-molding-and-rotation-advancement-in-conjunction-with-primary
#7
Banafsheh Hosseinian, Marcie S Rubin, Sean A P Clouston, Asma Almaidhan, Pradip R Shetye, Court B Cutting, Barry H Grayson
OBJECTIVES: To compare 3-dimensional nasal symmetry in patients with UCLP who had either rotation advancement alone or nasoalveolar molding (NAM) followed by rotation advancement in conjunction with primary nasal repair. DESIGN: Pilot retrospective cohort study. MATERIALS AND METHODS: Nasal casts of 23 patients with UCLP from 2 institutions were analyzed; 12 in the rotation advancement only group (Iowa) and 11 in the NAM, rotation advancement with primary nasal repair group (New York)...
January 1, 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29554451/photometric-evaluation-in-adolescence-of-patients-with-bilateral-cleft-lip-and-palate-treated-with-nasoalveolar-molding-and-primary-columella-lengthening
#8
Maria Costanza Meazzini, Carlo Chiavenna, Luca Autelitano, Giovanna Garattini, Roberto Brusati
OBJECTIVE: Nasal stigma in patients with bilateral cleft lip and palate (BCLP) are a short columella and a flattened nasal tip. DESIGN: The aim of this study was to evaluate the aesthetics of adolescents with BCLP, operated with a modified Cutting primary columella lengthening technique, associated to a modified Grayson orthopedic nasoalveolar molding (NAM). SETTING AND PATIENTS: 72 BCLP patients were operated with this approach. Standardized photographic records were taken every 2 years...
April 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29545028/establishment-of-a-finite-element-model-of-a-neonate-s-skull-to-evaluate-the-stress-pattern-distribution-resulting-during-nasoalveolar-molding-therapy-of-cleft-lip-and-palate-patients
#9
Franz X Bauer, Veronika Heinrich, Florian D Grill, Felix Wölfle, Dennis M Hedderich, Andrea Rau, Klaus-Dietrich Wolff, Lucas M Ritschl, Denys J Loeffelbein
Nasoalveolar Molding (NAM) is associated with ambivalent acceptance regarding effectiveness and unknown long-term results. Our purpose was to analyze the stress distribution patterns within the viscero- and neurocranium of neonates during the first phase of NAM therapy. A finite element (FE) model of a healthy four-week-old neonate was generated, derived from a computed tomography scan allowing the implementation of a bone-density-dependent material model. The influence of dental germs with variable material properties, the cleft width and area of expected force application were analyzed in a worst-case scenario...
April 2018: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/29489580/nasolabial-morphology-following-nasoalveolar-molding-in-infants-with-unilateral-cleft-lip-and-palate
#10
Rahime Burcu Nur Yilmaz, Derya Germeç Çakan
AIM: The aim of the present study is to evaluate the effects of nasoalveolar molding (NAM) therapy on nasolabial morphology three dimensionally, and compare the nasolabial linear and surface distance measurements in infants with unilateral cleft lip and palate. METHODS: Facial plaster casts of 42 infants with unilateral cleft lip and palate taken at the onset (pre-NAM) and finishing stage (post-NAM) of NAM were scanned with 3dMDface stereophotogrammetry system (3dMD, Atlanta, GA)...
February 27, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29461877/active-presurgical-infant-orthopedics-for-unilateral-cleft-lip-and-palate-intercenter-outcome-comparison-of-latham-modified-mcneil-and-nasoalveolar-molding
#11
Michelle Kornbluth, Richard E Campbell, John Daskalogiannakis, Elizabeth J Ross, Patricia H Glick, Kathleen A Russell, Jean-Charles Doucet, Ronald R Hathaway, Ross E Long, Thomas J Sitzman
OBJECTIVE: To compare dental arch relationship, craniofacial form, and nasolabial aesthetic outcomes among cleft centers using distinct methods of presurgical infant orthopedics (PSIO). DESIGN: Retrospective cohort study. SETTING: Four cleft centers in North America. PATIENTS: One hundred ninety-one children with repaired complete unilateral cleft lip and palate (CUCLP). MAIN OUTCOME MEASURES: Dental arch relationship was assessed using the GOSLON Yardstick...
May 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29446986/an-intercenter-comparison-of-nasolabial-appearance-including-a-center-using-nasoalveolar-molding
#12
Supakit Peanchitlertkajorn, Ana Mercado, John Daskalogiannakis, Ronald Hathaway, Kathleen Russell, Gunvor Semb, William Shaw, Manish Lamichane, Marilyn Cohen, Ross E Long
OBJECTIVE: To compare nasolabial appearance outcomes of patients with complete unilateral cleft lip and palate (CUCLP) in preadolescence from 4 cleft centers including a center using nasoalveolar molding (NAM) and primary nasal reconstruction. DESIGN: Retrospective cohort study. SETTING: Four cleft centers in North America. PATIENTS: 135 subjects with repaired CUCLP. METHODS: Frontal and profile facial pictures were assessed using the Asher-McDade rating scale...
May 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29436566/effectiveness-of-presurgical-nasoalveolar-molding-therapy-on-unilateral-cleft-lip-nasal-deformity
#13
Nao Kinouchi, Shinya Horiuchi, Akihiro Yasue, Yuko Kuroda, Nobuhiko Kawai, Keiichiro Watanabe, Takashi Izawa, Ichiro Hashimoto, Ali H Hassan, Eiji Tanaka
To evaluate the effectiveness of pre-surgical nasoalveolar molding (PNAM) in patients with unilateral cleft lip nasal deformities. Methods: This was a retrospective study involving 29 patients with unilateral cleft lip and palate defects, of whom 13 were treated with palatal devices with nasal stents (PNAM group) and 16 were treated with palatal devices without nasal stents or surgical tapes (control group). Submental oblique photographs and orthodontic models were longitudinally obtained at the initial visit (T1) and immediately before (T2) and  after cheiloplasty (T3)...
February 2018: Saudi Medical Journal
https://www.readbyqxmd.com/read/29381641/effects-of-nasoalveolar-molding-therapy-on-alveolar-and-palatal-cleft-deformities-in-unilateral-and-bilateral-cleft-lip-and-palate
#14
Belma Isik Aslan, Ayşe Gülşen, Kemal Findikçioğlu, Deniz Uzuner, Neslihan Üçüncü
OBJECTIVE: The purpose of this study was to evaluate and compare the efficacy of nasoalveolar molding (NAM) therapy in the improvement of alveolar and palatal cleft deformity on unilateral (UCLP) versus bilateral (BCLP) cleft lip and palate. MATERIALS AND METHODS: A total of 19 UCLP (14 boys and 5 girls) and 8 BCLP (7 boys and 1 girl) infants completed NAM therapy were included in this study. Standardized parameters of cleft width of alveol and palate were measured on photocopies taken from the pre- and post-treatment plaster casts...
March 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29369906/primary-repair-in-patients-with-unilateral-complete-cleft-of-lip-and-primary-palate-assessment-of-outcomes
#15
Shiaw-Yu Chang, Daniel Lonic, Betty Chien-Jung Pai, Lun-Jou Lo
OBJECTIVE: Asymmetry of median facial structures is a major concern for patients with unilateral cleft lip and palate, and the principal goal of its treatment is to restore symmetry. Unilateral complete cleft of lip and primary palate (UCCLPP) is an uncommon subgroup and rarely reported. Patients with UCCLPP have protruding and deviating premaxilla, rendering a primary repair difficult. This study evaluated consecutive patients with UCCLPP and presented their treatment outcome. METHODS: We assessed 36 patients with UCCLPP and collected clinical information...
February 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29360410/an-intraoral-appliance-to-retract-the-protrusive-premaxilla-in-bilateral-cleft-lip-patients-presenting-late-for-primary-lip-repair
#16
Nandagopal Vura, Rajasekhar Gaddipati, Yudhistar Palla, Pranay Kumar
The protruding and deviated premaxilla in bilateral complete cleft lip and palate (BCL/P) patients causes a perplexing problem in achieving a tension-free primary lip closure. An innovative noninvasive active intraoral Fixed Pre-Surgical Cleft Orthopedic (FPSCO) appliance is presented that has enabled to successfully reposition the premaxillary segment to a more favorable position prior to the surgical repair in 4 BCL/P patients, who reported late for treatment with a mean age of 18 ± 3 months. All the patients had at least 1 deciduous tooth erupted in 3 cleft segments, 1 premaxilla (PM), and 2 lateral maxillary (LM) segments...
April 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29356619/the-effect-of-nasoalveolar-molding-on-nasal-airway-anatomy-a-9-year-follow-up-of-patients-with-unilateral-cleft-lip-and-palate
#17
Jonathan P Massie, Karl Bruckman, William J Rifkin, Christopher M Runyan, Pradip R Shetye, Barry Grayson, Roberto L Flores
OBJECTIVE: To determine the effects of nasoalveolar molding (NAM) on nasal airway architecture. DESIGN: Retrospective case-control study of patients with unilateral cleft lip treated with NAM vs without NAM. SETTING: Tertiary referral center specializing in cleft and craniofacial care. Patients, Participants, and Interventions: Thirty-six patients with complete unilateral cleft lip and alveolus: 19 with NAM therapy and 17 without NAM therapy...
April 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29351029/factors-associated-with-adherence-to-nasoalveolar-molding-nam-by-caregivers-of-infants-born-with-cleft-lip-and-palate
#18
Nick O Esmonde, Judah S Garfinkle, Yiyi Chen, William E Lambert, Anna A Kuang
OBJECTIVE: Identify factors associated with adherence to nasoalveolar molding (NAM) therapy. DESIGN: Retrospective case-control study. SETTING: Tertiary referral center. PATIENTS, PARTICIPANTS: Infants with cleft lip, with or without cleft palate, referred for NAM. One hundred thirty-five patients met criteria. MAIN OUTCOME MEASURE(S): Adherence to NAM therapy, defined as continuous use of the appliance and attendance of NAM adjustment visits...
February 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29194721/initial-experiences-with-nam-assisted-primary-repair-of-the-bclp-deformity
#19
Sabarinath Prasad, Sreeja Ravindran, Vasanth Radhakrishnan, P V Hazarey, Amit Vanka, Bhavya Rajan
BACKGROUND: Primary surgical repair of the bilateral cleft lip and palate (BCLP) deformity is challenging. Infant Orthopedic (IO) procedures are often used to assist surgical reconstruction of normal anatomy. Nasoalveolar molding (NAM) is a presurgical infant orthopedic procedure that attempts to reduce the cleft nasal deformity, in addition to the lip and alveolus, leading to an esthetic primary surgical repair. OBJECTIVE: NAM provides the surgical team with a better foundation for an easier and more esthetic single stage repair at the level of nose in addition to the lip and alveolus...
November 2017: Special Care in Dentistry
https://www.readbyqxmd.com/read/29142654/correlation-between-nasoalveolar-molding-and-surgical-aesthetic-functional-and-socioeconomic-outcomes-following-primary-repair-surgery-a-systematic-review
#20
REVIEW
Sophie Maillard, Jean-Marc Retrouvey, Mairaj K Ahmed, Peter J Taub
Objectives: The authors performed a systematic review to evaluate the potential beneficial effects of the nasoalveolar molding appliance on nonsyndromic unilateral clefts of the lip and/or palate prior to primary lip repair. Material and Methods: A literature search was performed using three electronic databases (PubMed, Embase, Web of Science) and three journals ("Cleft Palate-Craniofacial Journal", "Plastic and Reconstructive Surgery Journal" and "American Journal of Orthodontics and Dentofacial Orthopaedic") from January 1980 to April 2017...
July 2017: Journal of Oral & Maxillofacial Research
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