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Symmetry of the nose after presurgical nasoalveolar molding in infants with unilateral cleft lip and palate: a preliminary study.
Cleft Palate Craniofac J 2005; 42(6):658-63CP

Abstract

OBJECTIVE

To assess nostril symmetry and alveolar cleft width in infants with unilateral cleft lip and palate following presurgical nasoalveolar molding (NAM).

SAMPLE AND METHODS

Fifty-seven newborn patients underwent presurgical nasoalveolar molding. Magnified basal view facial photos were taken at four different times: initial visit (T1), before cheiloplasty (T2), 1 month after cheiloplasty (T3), and 1 year of age (T4). Direct measurements from the photos included: (1) nostril width on the affected and nonaffected side; (2) nostril height on the affected and nonaffected side; (3) columella-nasal base angle; and (4) width of the alveolar cleft. Nostril width and height data were used to calculate a ratio of affected to nonaffected side.

RESULTS

Effects of nasal symmetry after presurgical nasoalveolar molding were compared between the affected and nonaffected side. The nostril width ratio was 1.7, 1.2, 1.0, and 1.2 for T1 to T4. The nostril height ratio was 0.5, 0.8, 1.0, and 0.9 for T1 to T4. The angle of the columella was 53.3 degrees , 69.9 degrees , 91.2 degrees , and 86.9 degrees for T1 to T4. The average alveolar cleft width was 8.2 mm at T1 and closed down to 2.4 mm before cheiloplasty (T2) in cases with complete cleft.

CONCLUSIONS

Infants with presurgical nasoalveolar molding improved symmetry of the nose in width, height, and columella angle, as compared to their presurgical status. There was some relapse of nostril shape in width (10%), height (20%), and angle of columella (4.7%) at 1 year of age.

Authors+Show Affiliations

Chang Gung Memorial Hospital and Chang Gung University, Taipei, Taiwan.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

16241178

Citation

Pai, Betty Chien-Jung, et al. "Symmetry of the Nose After Presurgical Nasoalveolar Molding in Infants With Unilateral Cleft Lip and Palate: a Preliminary Study." The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, vol. 42, no. 6, 2005, pp. 658-63.
Pai BC, Ko EW, Huang CS, et al. Symmetry of the nose after presurgical nasoalveolar molding in infants with unilateral cleft lip and palate: a preliminary study. Cleft Palate Craniofac J. 2005;42(6):658-63.
Pai, B. C., Ko, E. W., Huang, C. S., & Liou, E. J. (2005). Symmetry of the nose after presurgical nasoalveolar molding in infants with unilateral cleft lip and palate: a preliminary study. The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, 42(6), pp. 658-63.
Pai BC, et al. Symmetry of the Nose After Presurgical Nasoalveolar Molding in Infants With Unilateral Cleft Lip and Palate: a Preliminary Study. Cleft Palate Craniofac J. 2005;42(6):658-63. PubMed PMID: 16241178.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Symmetry of the nose after presurgical nasoalveolar molding in infants with unilateral cleft lip and palate: a preliminary study. AU - Pai,Betty Chien-Jung, AU - Ko,Ellen Wen-Ching, AU - Huang,Chiung-Shing, AU - Liou,Eric Jen-Wein, PY - 2005/10/26/pubmed PY - 2006/3/24/medline PY - 2005/10/26/entrez SP - 658 EP - 63 JF - The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association JO - Cleft Palate Craniofac. J. VL - 42 IS - 6 N2 - OBJECTIVE: To assess nostril symmetry and alveolar cleft width in infants with unilateral cleft lip and palate following presurgical nasoalveolar molding (NAM). SAMPLE AND METHODS: Fifty-seven newborn patients underwent presurgical nasoalveolar molding. Magnified basal view facial photos were taken at four different times: initial visit (T1), before cheiloplasty (T2), 1 month after cheiloplasty (T3), and 1 year of age (T4). Direct measurements from the photos included: (1) nostril width on the affected and nonaffected side; (2) nostril height on the affected and nonaffected side; (3) columella-nasal base angle; and (4) width of the alveolar cleft. Nostril width and height data were used to calculate a ratio of affected to nonaffected side. RESULTS: Effects of nasal symmetry after presurgical nasoalveolar molding were compared between the affected and nonaffected side. The nostril width ratio was 1.7, 1.2, 1.0, and 1.2 for T1 to T4. The nostril height ratio was 0.5, 0.8, 1.0, and 0.9 for T1 to T4. The angle of the columella was 53.3 degrees , 69.9 degrees , 91.2 degrees , and 86.9 degrees for T1 to T4. The average alveolar cleft width was 8.2 mm at T1 and closed down to 2.4 mm before cheiloplasty (T2) in cases with complete cleft. CONCLUSIONS: Infants with presurgical nasoalveolar molding improved symmetry of the nose in width, height, and columella angle, as compared to their presurgical status. There was some relapse of nostril shape in width (10%), height (20%), and angle of columella (4.7%) at 1 year of age. SN - 1055-6656 UR - https://www.unboundmedicine.com/medline/citation/16241178/Symmetry_of_the_nose_after_presurgical_nasoalveolar_molding_in_infants_with_unilateral_cleft_lip_and_palate:_a_preliminary_study_ L2 - http://journals.sagepub.com/doi/full/10.1597/04-126.1?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -