Double-Loop Technique Using Titanium Molybdenum Alloy Wire for Fabrication of Nasal Stents in Nasoalveolar Molding Therapy for Cleft Lip and Palate Patients

Abstract

This article presents a technique for fabricating a modified nasoalveolar molding appliance using 0.032-inch titanium-molybdenum alloy wire for nasal stents incorporating a double loop. The nasal stents are included in the acrylic molding plate at the time the appliance is inserted. The acrylic retention button used in a conventional appliance is replaced by a simple retention hook fabricated using titanium-molybdenum alloy wire. This technique is an effective alternative to a conventional appliance, and it simplifies the appliance-modification process during follow-up visits.

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

“…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) .…”

“…Se aplicó vaselina como aislante y se procedió a la confección de la placa con acrílico y el tutor para el modelado nasal (Figuras 2 y 3). Finalmente, se retiraron los excesos y se hizo el pulimento (8,9,11,19) .…”

Facilitating CAD/CAM nasoalveolar molding therapy with a novel click-in system for nasal stents ensuring a quick and user-friendly chairside nasal stent exchange

“…For example, Nagraj and colleagues integrated double loops in their titanium molybdenum alloy wire. This decreased not only the treatment sessions, but also the number of follow-up sessions 10 . Nevertheless, when the plate has to be exchanged because of variations in the dimensions of the maxilla, the nasal stent has to be newly integrated after checking the fit and the attachment of the plate on the alveolar arches.…”

Presurgical Preparation of Infants With Unilateral Cleft Lip and Palate: The SAC-PP-MR Innovative Technique

“…It was not until 1991 when Dr Bennun and his coworkers (Dogliotti et al, 1991) presented a specific presurgical treatment goal regarding the correction of the nasal cartilage in cleft patients. After this, the new presurgical methods in PSO for CLP started to include the nose in preparation for cheiloplasty (Grayson et al, 1999;Grayson and Cutting, 2001;Da Silveira et al, 2003;Suri and Tompson, 2004;Berggren et al, 2005;Doruk and Kilic, 2005;Bennun and Figueroa, 2006;Chen and Liao, 2015;Nagraj et al, 2015;Spolyar and Roldán, 2015;Subramanian et al, 2016).…”