RT Journal Article
SR Electronic
T1 Effectiveness of presurgical nasoalveolar molding therapy on unilateral cleft lip nasal deformity
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 169
OP 178
DO 10.15537/smj.2018.2.21020
VO 39
IS 2
A1 Nao Kinouchi
A1 Shinya Horiuchi
A1 Akihiro Yasue
A1 Yuko Kuroda
A1 Nobuhiko Kawai
A1 Keiichiro Watanabe
A1 Takashi Izawa
A1 Ichiro Hashimoto
A1 Ali H. Hassan
A1 Eiji Tanaka
YR 2018
UL http://smj.org.sa/content/39/2/169.abstract
AB Objectives: To evaluate the effectiveness of pre-surgical nasoalveolar molding (PNAM) in patients with unilateral cleft lip nasal deformities.Methods: This was a retrospective study involving 29 patients with unilateral cleft lip and palate defects, of whom 13 were treated with palatal devices with nasal stents (PNAM group) and 16 were treated with palatal devices without nasal stents or surgical tapes (control group). Submental oblique photographs and orthodontic models were longitudinally obtained at the initial visit (T1) and immediately before (T2) and after cheiloplasty (T3). Asymmetry of the external nose, degree of columellar shifting, nasal tip/ala nose ratio, nasal base angle, interalveolar gap, and the sagittal difference in the alveolar gap were measured. The study was conducted in the Orthodontic Clinic at Tokushima University Hospital, Tokushima, Japan between 1997 and 2012.Results: At T1, there were no significant intergroup differences in the first 4 asymmetry parameters. At T2, the PNAM group showed a significant improvement in all values compared to the control group. At T3, the PNAM group showed significant improvement in nasal asymmetry and columellar shifting. Model analysis showed significantly greater changes in the inter-alveolar gap and the sagittal difference of the alveolar cleft gap from T1 to T2 in the PNAM group.Conclusion: The use of PNAM is indispensable for pre-surgical orthodontic treatment at the early postnatal age.