Quality of life and nasal splints after primary cleft lip and nose repair: Prospective assessment of information and tolerance

Hennocq, Quentin; Person, Hélène; Hachani, Manel; Bertin, Hélios; Corre, Pierre; Gorbonosov, V.A.; Ivanov, A.L.; Khonsari, R.H.

doi:10.1016/j.jcms.2018.07.022

Cited by 13 publications

(14 citation statements)

References 20 publications

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“…It should be noted that the postsurgical nostril retainer is tolerated well by families, is not associated with any complications, and has no detrimental effect on quality of life. 23…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Post-Surgical Nostril Retainer (PSNR) in patients with UCLP Treated with Pre-Surgical NasoAlveolar Molding (NAM) and Primary Cheiloplasty-Rhinoplasty

Al-Qatami

Avinoam²,

Cutting³

et al. 2022

Plastic &Amp; Reconstructive Surgery

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Background: The aim of this investigation was to determine whether the nasal form of patients with unilateral cleft lip and palate treated with presurgical nasoalveolar molding therapy, primary lip-nose surgery, and postsurgical nostril retainer was different from that of patients treated with presurgical nasoalveolar molding and primary lip and nose surgery alone. Methods: This cross-sectional, retrospective review focused on 50 consecutive patients with nonsyndromic unilateral cleft lip and palate: 24 treated with nasoalveolar molding and primary lip and nose surgery followed by postsurgical nostril retainer (group 1) compared with 26 patients treated with nasoalveolar molding and primary lip and nose surgery without postsurgical nostril retainer (group 2). Polyvinyl siloxane nasal impressions were performed at an average age of 12 months and 6 days. Bilateral measurements of alar width at maximum convexity, total alar base width, nasal tip projection, columella length, and nostril aperture width and height were recorded. Statistical comparisons of cleft-side versus noncleft side nasal measurements were performed within group 1 and group 2, as well as comparisons of differences between the two groups. Results: Cleft-side nasal dimension was statistically significantly better in group 1 than in group 2 across all measures except nasal projection (p < 0.05). Group 1 showed less difference between the cleft side and noncleft side in all six measurements than did group 2 (p < 0.05). Conclusions: There was a significant difference in the nasal shape of patients who used a postsurgical nostril retainer compared with those who did not. Patients who used a postsurgical nostril retainer showed better nasal shape at an average age of 12 months compared with the control group. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.

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“…It should be noted that the postsurgical nostril retainer is tolerated well by families, is not associated with any complications, and has no detrimental effect on quality of life. 23…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Post-Surgical Nostril Retainer (PSNR) in patients with UCLP Treated with Pre-Surgical NasoAlveolar Molding (NAM) and Primary Cheiloplasty-Rhinoplasty

Al-Qatami

Avinoam²,

Cutting³

et al. 2022

Plastic &Amp; Reconstructive Surgery

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“…While acrylic ( 9 , 12 , 13 , 18 - 20 ), resin ( 11 , 14 , 15 , 17 ), aquasplint ( 7 ), titanium ( 10 ), and silicone ( 16 ) have been used previously for stents, thermoplastic acrylic was employed in the current study for the following reasons: 1) it can adhere to the underlying periosteum and bone tissue; 2) it can protect the surgical area ; 3) it can prevent hematoma and dead space formation; 4) it is robust enough to withstand activities of daily living; 5) it is easy to fabricate and repair, which makes it cost-efficient; and 6) it is easy to use, thereby increasing its suitability as a surgical device ( 9 , 12 ).…”

Section: Discussionmentioning

confidence: 99%

“…Although previous studies on supernumerary teeth focused on their causes, diagnostic analyses, and complications ( 2 - 6 ), intraoral stents have generally been used for treatment (e.g., following fibrosis and fistula surgeries (7,9-12), as a splint for temporomandibular joint dysfunction ( 13 , 14 ), or to cover a defective area in the lips and palate ( 15 , 16 )), prevention (e.g., during radiotherapy (17) or as a mouth guard to prevent trauma ( 18 )) or aesthetics (e.g., orthodontic palatal expansion stent (19) or as a guide for placing a dental implant ( 20 )). Several studies including numerous cases have verified the material used (i.e., acrylic blocks) as well as the usefulness and safety of stents for such purposes ( 9 , 12 , 13 , 18 - 20 ), but studies on their application following the removal of supernumerary teeth are rare.…”

Section: Introductionmentioning

confidence: 99%

Optimal application of compressive palatal stents following mesiodens removal in pediatric patients: A Randomized Controlled Trial

Jang

Choi²,

Kwon³

et al. 2021

Med Oral

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Background There is no scientific evidence supporting the choice of a palatal stent in patients who underwent removal of an impacted supernumerary tooth. We aimed to investigate the effects of palatal stents in patients who underwent supernumerary tooth removal through a palatal approach and to suggest the optimal stent thickness and material. Material and Methods We recruited 144 patients who underwent extraction of a supernumerary tooth between the maxillary anterior teeth. Subjects were assigned to a control group (CG) or one of four compressive palatal stent groups (CPSGs) classified by the thickness and material of the thermoplastic acrylic stent used. Palatal gingival swelling and objective indices (healing, oral hygiene, gingival, and plaque) were evaluated before surgery and on postoperative days (PODs) 3, 7, and 14; pain/discomfort and the Child Oral Health Impact Profile (COHIP) were assessed as subjective indices of the effects of the stent. Results The CPSGs showed faster healing than did the CG on PODs 7 ( P <0.001) and 14 ( P =0.043); swelling was measured by 1.64±0.88 mm and 4.52±0.39 mm, respectively. Although swelling was least in the 4-mm hard group (0.92±0.33 mm), the difference compared with that in the 2-mm hard group (1.01±0.18 mm) was not significant ( P =0.077). The CPSGs showed better COHIP ( P <0.001-0.036) and pain scores ( P <0.001) than did the CG on PODs 1-3. Conclusions Compressive palatal stents reduce discomfort by decreasing pain and alleviating swelling. Although a stent is effective regardless of its thickness and material, 2-mm hard stents maximized such positive effects with minimal discomfort. Key words: Supernumerary tooth, tooth Extraction, postoperative care, oral Health, pediatric dentistry.

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“…In addition, postoperative nasal splinting has been demonstrated to preserve and maintain the corrected position of the nose after primary lip and nasal correction (Yeow et al, 1999). Implementation of this technique has provided significant columellar elongation and nasal widening in patients with unilateral (Titiz & Aras, 2017) and bilateral (Kim et al, 2017) cleft lips, is well tolerated by families, and results in satisfactory quality of life without specific complications (Hennocq et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

Nasal Duplication: A Review of Literature and Case Report

Shen

Shetye

Flores

2020

The Cleft Palate-Craniofacial Journal

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Introduction: Nasal duplication is a rare congenital deformity with many subtypes including supernumerary nostril. The challenge of surgical correction is to achieve nasal symmetry and restore nasal airflow. However, there is no defined protocol for treatment, especially with regard to presurgical therapy. Methods: We performed a review of literature of studies reporting on patients with supernumerary nostril to complete this review. We then report on a patient with supernumerary nostril who was treated with nostril expansion therapy prior to surgical intervention. Results: We identified 59 cases of nostril duplication. Because of the rarity of the condition, treatment protocols varied greatly. For our patient, preoperative nasal appliance therapy was implemented for 3 months prior to surgical intervention. Patient was followed-up regularly for 1 year. Discussion: Although literature on nasal duplication is scarce, there is a general agreement that early intervention has psychological, anatomic, and functional benefits to the patient. In our case report, nostril expansion therapy was easy to implement and facilitated surgical reconstruction, resulting in aesthetic outcome and expanded airway 1 year postoperatively.

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Quality of life and nasal splints after primary cleft lip and nose repair: Prospective assessment of information and tolerance

Cited by 13 publications

References 20 publications

Efficacy of Post-Surgical Nostril Retainer (PSNR) in patients with UCLP Treated with Pre-Surgical NasoAlveolar Molding (NAM) and Primary Cheiloplasty-Rhinoplasty

Efficacy of Post-Surgical Nostril Retainer (PSNR) in patients with UCLP Treated with Pre-Surgical NasoAlveolar Molding (NAM) and Primary Cheiloplasty-Rhinoplasty

Optimal application of compressive palatal stents following mesiodens removal in pediatric patients: A Randomized Controlled Trial

Nasal Duplication: A Review of Literature and Case Report

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