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Long-term results after using dynamic presurgical nasoalveolar remodeling technique in patients with unilateral and bilateral cleft lips and palates.
J Craniofac Surg 2009; 20 Suppl 1:670-4JC

Abstract

OBJECTIVE

To evaluate the effects and durability of results after using dynamic presurgical nasoalveolar remodeling in patients with unilateral and bilateral cleft lips and palates.

METHOD

Dynamic presurgical nasoalveolar remodeling technique does not rely on the relatively static force exerted by the orthopedic plate held in place by means of tape or adhesives. The principle behind this procedure is the use of the force generated during suction and swallowing to produce the remodeling effects on the nasal structures. The nasal component acts not only on the nasal structures but also in the lip function by stimulating labial muscle contraction. Direct anthropometry performed before primary reconstruction of the lip and nose and 1 year later posterior to surgery suggests that results are permanent.

CONCLUSIONS

When the dynamic presurgical nasoalveolar remodeling protocol is instituted early, it can avoid memory cartilage fixation. Changes incorporated to the nasal extension allowed us to obtain better results, elevating the nasal tip, remodeling the depressed cleft side alar cartilages in unilateral cases, and repositioning and correcting the positional alteration of the nasal cartilages building a new columella in bilateral cases. In addition, comfort and tolerance of patients has been improved, and adjustments needed during follow-up have been simplified, significantly reducing the consultation time and increasing the interval between appointments. The obtained outcome facilitates primary surgical cleft lip and nose reconstruction and improves surgical results.

Authors+Show Affiliations

Service of Plastic Surgery, Hospital de Clinicas, National University of Buenos Aires, Argentina. rbennun@asociacion-piel.org.arNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19169154

Citation

Bennun, Ricardo D., and Analia C. Langsam. "Long-term Results After Using Dynamic Presurgical Nasoalveolar Remodeling Technique in Patients With Unilateral and Bilateral Cleft Lips and Palates." The Journal of Craniofacial Surgery, vol. 20 Suppl 1, 2009, pp. 670-4.
Bennun RD, Langsam AC. Long-term results after using dynamic presurgical nasoalveolar remodeling technique in patients with unilateral and bilateral cleft lips and palates. J Craniofac Surg. 2009;20 Suppl 1:670-4.
Bennun, R. D., & Langsam, A. C. (2009). Long-term results after using dynamic presurgical nasoalveolar remodeling technique in patients with unilateral and bilateral cleft lips and palates. The Journal of Craniofacial Surgery, 20 Suppl 1, pp. 670-4. doi:10.1097/SCS.0b013e318193d5f0.
Bennun RD, Langsam AC. Long-term Results After Using Dynamic Presurgical Nasoalveolar Remodeling Technique in Patients With Unilateral and Bilateral Cleft Lips and Palates. J Craniofac Surg. 2009;20 Suppl 1:670-4. PubMed PMID: 19169154.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term results after using dynamic presurgical nasoalveolar remodeling technique in patients with unilateral and bilateral cleft lips and palates. AU - Bennun,Ricardo D, AU - Langsam,Analia C, PY - 2009/1/27/entrez PY - 2009/1/27/pubmed PY - 2009/10/16/medline SP - 670 EP - 4 JF - The Journal of craniofacial surgery JO - J Craniofac Surg VL - 20 Suppl 1 N2 - OBJECTIVE: To evaluate the effects and durability of results after using dynamic presurgical nasoalveolar remodeling in patients with unilateral and bilateral cleft lips and palates. METHOD: Dynamic presurgical nasoalveolar remodeling technique does not rely on the relatively static force exerted by the orthopedic plate held in place by means of tape or adhesives. The principle behind this procedure is the use of the force generated during suction and swallowing to produce the remodeling effects on the nasal structures. The nasal component acts not only on the nasal structures but also in the lip function by stimulating labial muscle contraction. Direct anthropometry performed before primary reconstruction of the lip and nose and 1 year later posterior to surgery suggests that results are permanent. CONCLUSIONS: When the dynamic presurgical nasoalveolar remodeling protocol is instituted early, it can avoid memory cartilage fixation. Changes incorporated to the nasal extension allowed us to obtain better results, elevating the nasal tip, remodeling the depressed cleft side alar cartilages in unilateral cases, and repositioning and correcting the positional alteration of the nasal cartilages building a new columella in bilateral cases. In addition, comfort and tolerance of patients has been improved, and adjustments needed during follow-up have been simplified, significantly reducing the consultation time and increasing the interval between appointments. The obtained outcome facilitates primary surgical cleft lip and nose reconstruction and improves surgical results. SN - 1536-3732 UR - https://www.unboundmedicine.com/medline/citation/19169154/Long_term_results_after_using_dynamic_presurgical_nasoalveolar_remodeling_technique_in_patients_with_unilateral_and_bilateral_cleft_lips_and_palates_ L2 - http://Insights.ovid.com/pubmed?pmid=19169154 DB - PRIME DP - Unbound Medicine ER -