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Presurgical nasoalveolar molding in patients with unilateral clefts of lip, alveolus and palate. Case study and review of the literature.
J Craniomaxillofac Surg 2006; 34 Suppl 2:45-8JC

Abstract

INTRODUCTION

The case of a newborn female patient with unilateral cleft lip, alveolus and palate is presented with a markedly sunken nasal wing at the cleft side. This finding may lead to a very unsatisfactory aesthetic result after primary cheiloplasty and nasoplasty.

PATIENT AND METHOD

Five months prior to surgery, the patient was treated with a palatal plate and additionally with a nasoalveolar conformer for 4 months thereof. The device consisted of an acrylic pelotte (attached to the maxillary plate with a wire) which lifted the nasal dome and was activated regularly. Under this presurgical treatment, the cleft edges moved closer to each other by 1.8 mm at the alveolar ridge and by 4.5 mm in the palatal area. The nasal wing was lifted by 5 mm. This was enabling elevation of the nasal wing during primary surgery in the case described. Questions are raised as to the remaining effects on nasal symmetry until completion of growth and, on the other hand, as to the chances to reduce postsurgical alar relapse by continued nasal molding beyond primary surgery.

CONCLUSION

Presurgical nasal molding seems to improve aesthetics of the nose in patients with unilateral clefts of lip, alveolus and palate and distinctly flattend nasal wings.

Authors+Show Affiliations

Department of Orthodontics, Preventive and Pediatric Dentistry, Ernst Moritz Arndt University of Greifswald, Germany. antje.kirbschus@uni-whdeNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

17071390

Citation

Kirbschus, Antje, et al. "Presurgical Nasoalveolar Molding in Patients With Unilateral Clefts of Lip, Alveolus and Palate. Case Study and Review of the Literature." Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery, vol. 34 Suppl 2, 2006, pp. 45-8.
Kirbschus A, Gesch D, Heinrich A, et al. Presurgical nasoalveolar molding in patients with unilateral clefts of lip, alveolus and palate. Case study and review of the literature. J Craniomaxillofac Surg. 2006;34 Suppl 2:45-8.
Kirbschus, A., Gesch, D., Heinrich, A., & Gedrange, T. (2006). Presurgical nasoalveolar molding in patients with unilateral clefts of lip, alveolus and palate. Case study and review of the literature. Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery, 34 Suppl 2, pp. 45-8.
Kirbschus A, et al. Presurgical Nasoalveolar Molding in Patients With Unilateral Clefts of Lip, Alveolus and Palate. Case Study and Review of the Literature. J Craniomaxillofac Surg. 2006;34 Suppl 2:45-8. PubMed PMID: 17071390.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Presurgical nasoalveolar molding in patients with unilateral clefts of lip, alveolus and palate. Case study and review of the literature. AU - Kirbschus,Antje, AU - Gesch,Dietmar, AU - Heinrich,Annegret, AU - Gedrange,Tomas, PY - 2006/10/31/pubmed PY - 2007/5/1/medline PY - 2006/10/31/entrez SP - 45 EP - 8 JF - Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery JO - J Craniomaxillofac Surg VL - 34 Suppl 2 N2 - INTRODUCTION: The case of a newborn female patient with unilateral cleft lip, alveolus and palate is presented with a markedly sunken nasal wing at the cleft side. This finding may lead to a very unsatisfactory aesthetic result after primary cheiloplasty and nasoplasty. PATIENT AND METHOD: Five months prior to surgery, the patient was treated with a palatal plate and additionally with a nasoalveolar conformer for 4 months thereof. The device consisted of an acrylic pelotte (attached to the maxillary plate with a wire) which lifted the nasal dome and was activated regularly. Under this presurgical treatment, the cleft edges moved closer to each other by 1.8 mm at the alveolar ridge and by 4.5 mm in the palatal area. The nasal wing was lifted by 5 mm. This was enabling elevation of the nasal wing during primary surgery in the case described. Questions are raised as to the remaining effects on nasal symmetry until completion of growth and, on the other hand, as to the chances to reduce postsurgical alar relapse by continued nasal molding beyond primary surgery. CONCLUSION: Presurgical nasal molding seems to improve aesthetics of the nose in patients with unilateral clefts of lip, alveolus and palate and distinctly flattend nasal wings. SN - 1010-5182 UR - https://www.unboundmedicine.com/medline/citation/17071390/Presurgical_nasoalveolar_molding_in_patients_with_unilateral_clefts_of_lip_alveolus_and_palate__Case_study_and_review_of_the_literature_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1010-5182(06)60010-3 DB - PRIME DP - Unbound Medicine ER -