A comparison of results using nasoalveolar moulding in cleft infants treated within 1 month of life versus those treated after this period: development of a new protocol

Shetty, Vikram; Vyas, Hemant K.; Sharma, S. M.; Sailer, Hermann F.

doi:10.1016/j.ijom.2011.09.002

Cited by 47 publications

(32 citation statements)

References 20 publications

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“…Group II patients also benefited from NAM, although to a lesser extent. This study validates the use of NAM in infants presenting late for treatment [48].…”

Section: Passive Appliancessupporting

confidence: 80%

Presurgical Infant Orthopedics for Cleft Lip and Palate: A Review

Esenlik¹

2015

Surgery

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“…Group II patients also benefited from NAM, although to a lesser extent. This study validates the use of NAM in infants presenting late for treatment [48].…”

Section: Passive Appliancessupporting

confidence: 80%

Presurgical Infant Orthopedics for Cleft Lip and Palate: A Review

Esenlik¹

2015

Surgery

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“…The infants also wore nasal retainers for six months postoperatively, and the authors reported improved ratings for both nostril symmetry and alar cartilage position in the infants treated with their suspension device. The nasal molding subjects in the present study had a mean age at initial records of 2.82 weeks, which may have been later than ideal to start molding per Bennun et al [20]; however, Shetty et al [24] advocate positive effects of presurgical NAM can still be achieved when initiated between one and five months of age. Additionally, without postoperative nasal retention, the subjects may have shown tendency toward relapse.…”

Section: Discussionmentioning

confidence: 79%

Nasal Outcomes of Presurgical Nasal Molding in Complete Unilateral Cleft Lip and Palate

Williams

Evans

Reisberg

et al. 2012

International Journal of Dentistry

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Objective. Short-term nasal forms following primary lip repair were compared between presurgical nasal molding and control groups. Aim. To compare nasal symmetry between patients that had nasal molding and lip repair with those that had only lip repair. Design. Retrospective case-control study Patients. Complete unilateral CL+P patients had basilar and frontal photographs at two time points: (1) initial (2) postsurgical. 28 nasal molding patients and 14 control patients were included. Intervention. Presurgical nasal molding was performed prior to primary lip repair in intervention group. No nasal molding was performed in control group. Hypothesis. Nasal molding combined with lip surgery repair according to the Millard procedure provides superior nasal symmetry than surgery alone for nostril height-width ratios and alar groove ratios. Statistics. Shapiro-Wilk test of normality and Student's t-tests. Results. A statistically significant difference was found for postsurgical nostril height-width ratio (P < .05). No other statistically significant differences were found. Conclusions. Nasal molding and surgery resulted in more symmetrical nostril height-width ratios than surgery alone. Alar groove ratios were not statistically significantly different between groups perhaps because application of nasal molding was not early enough; postsurgical nasal splints were not utilized; overcorrection was not performed for nasal molding.

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“…Lip taping followed by NAM was initiated in the 16‐day‐old BCLP infant. Positive outcomes with NAM have been reported with NAM even when initiated within 5 months of life, but favorable outcomes are obtained when NAM is initiated within 1 month of life . The biologic rationale for starting NAM early is that maternal estrogen levels are highest immediately after birth and subsequently start to drop at 6 weeks of age.…”

Section: Discussionmentioning

confidence: 99%