Effects of pre‐surgical nasoalveolar moulding on maxillary arch and nasal form in unilateral cleft lip and palate before lip surgery

Fuchigami, Takao; Kimura, Namiko; Kibe, Toshiro; Tezuka, Masahiro; Amir, Muhammad Subhan; Suga, Hokuto; Takemoto, Yoshihiko; Hashiguchi, M; Maeda‐Iino, Aya; Nakamura, Norifumi

doi:10.1111/ocr.12199

Cited by 23 publications

(17 citation statements)

References 22 publications

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“…PNAM is a method that has shown effective to reduce the severity of the initial cleft deformity (10). This corroborates the presented case report.…”

Section: Discussionsupporting

confidence: 80%

“…PNAM may promote lengthening of the columella and to make it possible to achieve a satisfactory outcome to the contour of the nostril on the cleft side (9,10).…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, it is not painful, easy to use and, it allows for the correction of the flattened nose prior to primary surgeries and facilitates nose repair at the same time of lip repair (8). Currently, PNAM has been used by many craniofacial centers around the world (8)(9)(10). However, until now, few reports concerning the customized use of PNAM for the treatment of complete cleft lip and alveolus have been described in the literature.…”

Section: Introductionmentioning

confidence: 99%

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Clinical application of customized presurgical nasoalveolar molding for the treatment of unilateral complete cleft lip and alveolus: case report

Premkumar

Tovani‐Palone

2018

Electron J Gen Med

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Cleft lip and/or palate (CL/P) are the most common craniofacial malformations in humans. The lip, alveolar ridge, palate and nose are areas frequently affected in people with this type of anomaly. Generally, there are also negative psychosocial impacts in children with these malformations. Moreover, a son with CL/P can become an emotional trauma to their parents. Multiple surgeries and other therapies are required for the treatment of most cases. During the first three months of life the surgical treatment of CL/P usually involves infant orthopaedics, such as presurgical nasoalveolar molding (PNAM), primary cleft lip repair and primary rhinoplasty. PNAM is a nonsurgical method, which has been used by many craniofacial centers. However, few reports concerning the customized use of PNAM for the treatment of complete cleft lip and alveolus have been described in the literature. In addition, the treatment success through this method has been a controversial subject. In this paper, we present the case of a newborn with unilateral complete cleft lip and alveolus treated with customized PNAM, based on the experience of the Tamil Nadu

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“…PNAM is a method that has shown effective to reduce the severity of the initial cleft deformity (10). This corroborates the presented case report.…”

Section: Discussionsupporting

confidence: 80%

“…PNAM may promote lengthening of the columella and to make it possible to achieve a satisfactory outcome to the contour of the nostril on the cleft side (9,10).…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Clinical application of customized presurgical nasoalveolar molding for the treatment of unilateral complete cleft lip and alveolus: case report

Premkumar

Tovani‐Palone

2018

Electron J Gen Med

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“…From the total of 70 patients, 350 maxillary models were included in this study and grouped in 5 different age categories. Forty-six models were excluded due to loss of follow-up (19), low-quality impressions (17), and segmentation errors, occurring when the algorithm could not accurately determine the alveolar crest (10). Mirroring and analysis succeeded for all the remaining 304 models.…”

Section: Resultsmentioning

confidence: 99%

“…The goal of NAM is to achieve a more symmetrical position of the maxillary segments and the nose by molding the maxillary segments and nasal cartilage and stretching the columella. The intraoral molding plates are modified or replaced weekly during treatment to bring the alveolar segments closer to the desired location [17][18][19]. Fuchigami et al [17] investigated the restoration of symmetry by using this technique in patients born with unilateral cleft lip and palate (ULCP).…”

Section: Discussionmentioning

confidence: 99%

Symmetry of palatal shape during the first year of life in healthy infants

et al. 2020

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Objectives The purpose of this study was to quantify the symmetry of the alveolar process of the maxilla and palate during the first year of life in healthy infants with the help of a semiautomatic segmentation technique. Materials and methods Maxillary plaster models of seventy healthy babies at 0, 3, 6, 9, and 12 months were collected and digitized. A semiautomatic segmentation tool was used to extract the alveolus and palate. The resulting model was aligned within a reference frame and mirrored on its medial plane. Distance maps were created and analyzed to compare and quantify the differences between the two hemispheres. Additional hemispherical width and area measurements were performed. An ANOVA test with additional post hoc tests was performed to check if the symmetry changed during development. Finally, the results were tested on intra-and interobserver variability. Results The absolute mean inter-surface distance between the original and mirrored models in each age group ranged between 0.23 and 0.30 mm. Width and area analysis showed a small but significant larger left palatal hemisphere. ANOVA and post hoc tests showed no significant difference in symmetry between groups. Reliability analysis showed no significant differences between observers. Conclusions This study showed that in this infant population, only a small degree of palatal asymmetry was present, which can be considered as normal and clinically irrelevant. Clinical relevance The data from this study can be used in future comparative studies as reference data. Furthermore, modeling of these data can help in predicting the growth pattern, which may lead to improved treatment protocols for children with craniofacial anomalies.

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Current State of the Art in Unilateral Cleft Lip Repair with Primary Nasal Overcorrection: Lo’s Modified Noordhoff’s Procedure

Denadai¹,

2022

Current Concept in Cleft Surgery

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Effects of pre‐surgical nasoalveolar moulding on maxillary arch and nasal form in unilateral cleft lip and palate before lip surgery

Abstract: These findings indicate that PNAM for infants with UCLP enhanced symmetry in the maxillary alveolar arch and nasolabial form. In addition, the posterior movement of the anterior points of the maxillary alveolar arch was correlated with the improvement of columella deformation.

Cited by 23 publications

References 22 publications

Clinical application of customized presurgical nasoalveolar molding for the treatment of unilateral complete cleft lip and alveolus: case report

Clinical application of customized presurgical nasoalveolar molding for the treatment of unilateral complete cleft lip and alveolus: case report

Symmetry of palatal shape during the first year of life in healthy infants

Current State of the Art in Unilateral Cleft Lip Repair with Primary Nasal Overcorrection: Lo’s Modified Noordhoff’s Procedure

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