Difference in alveolar molding effect and growth in the cleft segments: 3-dimensional analysis of unilateral cleft lip and palate patients

Baek, Seung‐Hak; Son, Woo‐Sung

doi:10.1016/j.tripleo.2005.09.009

Cited by 40 publications

(44 citation statements)

References 20 publications

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“…22 Many specialists agree that it generally minimizes cleft width and reduces the number of required nasal procedures. 23,24 Our results were consistent with those of previous studies. 16,21 The posterior palate cleft size remained constant, whereas the middle and anterior palate clefts decreased in width.…”

Section: Discussionsupporting

confidence: 94%

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Presurgical Nasoalveolar Molding for Cleft Lip and Palate

Shen

Yao

Magee

et al. 2015

Plastic and Reconstructive Surgery

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Section: Discussionsupporting

confidence: 94%

“…21,23 The distance between the middle parts of greater segment and lesser segment (Q-Q') decreased after treatment but without statistical significance (p = 0.053). The width of the alveolar cleft gap (P-P') showed a significant decrease in the horizontal (x) axis (p < 0.001; Fig.…”

Section: Linear Variablesmentioning

confidence: 99%

Presurgical Nasoalveolar Molding for Cleft Lip and Palate

Shen

Yao

Magee

et al. 2015

Plastic and Reconstructive Surgery

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“…Baek and Son concluded that the width of the mid-part of the larger and smaller segments decreased from the initial visit until one month before the cheiloplasty during treatment with the plate and, after surgery, it was stable (22). In this investigation, the distance between the most posterior points of the alveolar crest of the larger and shorter segments (PGL-PGS) in the group with modified PNAM and Hotz 0 s plates increased during the three time points (16,19,22). Fuchigami found that the triangular flap technique with nasal vestibular expansion following simultaneous advancement of nasolabial components on the affected side at the time of primary lip repair provides a large labial soft tissue arch that facilitates the forward moulding of the maxilla, especially of the minor segment in UCLP.…”

Section: Discussionmentioning

confidence: 99%

3D evaluation of maxillary arches in unilateral cleft lip and palate patients treated with nasoalveolar moulding vs. Hotz′s plate

Cerón-Zapata

Lopez-Palacio

Rodriguez-Ardila

et al. 2015

J of Oral Rehabilitation

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To compare the three-dimensional changes occurring in the maxillary arch during the use of modified pre-surgical nasoalveolar moulding (PNAM) and Hotz's plate. A clinical trial including 32 children with unilateral cleft lip and palate (UCLP), 16 treated with Hotz's plate and 16 with PNAM, was performed. Impressions of the maxillary arches were taken: A. prior to pre-surgical orthopaedics, B. before cheiloplasty and C. after cheiloplasty. Models were digitised using a stereophotogrammetric instrument, and geodesic distances were calculated: anterior, canine and posterior widths of the arch, and lengths and cleft depths of the larger and shorter segments. The time and treatment effects were assessed by two-factor anova. A significant effect of treatment was found for cleft depth at the larger segment: children treated with Hotz's plate had significantly deeper cleft than children treated with PNAM. All distances significantly changed during time: the anterior and canine widths decreased, while the posterior width, the lengths and depths of the cleft segments increased. Significant treatment per time interactions was found. The anterior and canine widths reduced more with PNAM between time points A and B while Hotz's treatment was more effective between B and C. The shorter segment depth increased more between B and C with PNAM, and between A and B with Hotz's plate. During pre-surgical orthopaedics, therapy with PNAM obtained the best results in reducing the width at the anterior segment of the cleft. This treatment gave a lower increase in cleft depth than treatment with Hotz's plate.

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“…[1][2][3][4][5][6][7][8][9][10][11] In this study, both techniques effectively reduced alveolar gap and effectively improved nasal symmetry. This improvement was mainly vertical (percentage change in nostril height ratio: 38.4 and 37.9 for the Grayson and Figueroa techniques, respectively; p ϭ 0.916) (Figs.…”

Section: Discussionmentioning

confidence: 94%

“…[1][2][3][4][5][6][7] Adjustments are made weekly. The alveolar gap is approximated with labial tapes and periodic acrylic "add-ons and grindings" to the palatal plate.…”

mentioning

confidence: 99%