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Postoperative nasal forms after presurgical nasoalveolar molding followed by medial-upward advancement of nasolabial components with vestibular expansion for children with unilateral complete cleft lip and palate.
J Oral Maxillofac Surg 2009; 67(10):2222-31JO

Abstract

PURPOSE

The management for primary unilateral cleft lip nose deformities has not yet been established. In this study, short-term postoperative nasal forms after presurgical nasoalveolar molding (NAM) followed by primary lip repair for children with complete unilateral cleft lip and palate (UCLP) were evaluated and compared with the nasal forms achieved by treatment without nose correction.

PATIENTS AND METHODS

Fifteen patients with complete UCLP who were treated in our department and followed up for more than 1 year (range 1 to 5 yrs) were enrolled. All subjects underwent presurgical orthopedic treatment with NAM, followed by lip repair using Cronin's triangular flap method with medial-upward advancement of nasolabial components with vestibular expansion. Postoperative nasal forms including nostril height and width ratio, ratio of the height of the top of the alar groove, and curvature of the appropriate circle of the nasal ala were evaluated using color photographs. Fifteen patients with complete UCLP who underwent presurgical orthopedic treatment using a Hotz plate followed by lip repair without nose correction served as controls.

RESULTS

The comparison of postoperative nasal forms demonstrated that the nostril height and width ratio and the height of the top of the alar groove in the correction group were significantly superior compared with those of the controls.

CONCLUSIONS

Our management of cleft lip nose will provide good nasal forms with minimum invasion in patients with UCLP. Long-term follow-up will be necessary to clarify effects on the growth of nasal tissues reconstructed in infancy.

Authors+Show Affiliations

Department of Oral and Maxillofacial Surgery, Field of Maxillofacial Rehabilitation, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. nakamura@denta.hal.kagoshima-u.ac.jpNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

19761917

Citation

Nakamura, Norifumi, et al. "Postoperative Nasal Forms After Presurgical Nasoalveolar Molding Followed By Medial-upward Advancement of Nasolabial Components With Vestibular Expansion for Children With Unilateral Complete Cleft Lip and Palate." Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, vol. 67, no. 10, 2009, pp. 2222-31.
Nakamura N, Sasaguri M, Nozoe E, et al. Postoperative nasal forms after presurgical nasoalveolar molding followed by medial-upward advancement of nasolabial components with vestibular expansion for children with unilateral complete cleft lip and palate. J Oral Maxillofac Surg. 2009;67(10):2222-31.
Nakamura, N., Sasaguri, M., Nozoe, E., Nishihara, K., Hasegawa, H., & Nakamura, S. (2009). Postoperative nasal forms after presurgical nasoalveolar molding followed by medial-upward advancement of nasolabial components with vestibular expansion for children with unilateral complete cleft lip and palate. Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, 67(10), pp. 2222-31. doi:10.1016/j.joms.2009.04.098.
Nakamura N, et al. Postoperative Nasal Forms After Presurgical Nasoalveolar Molding Followed By Medial-upward Advancement of Nasolabial Components With Vestibular Expansion for Children With Unilateral Complete Cleft Lip and Palate. J Oral Maxillofac Surg. 2009;67(10):2222-31. PubMed PMID: 19761917.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Postoperative nasal forms after presurgical nasoalveolar molding followed by medial-upward advancement of nasolabial components with vestibular expansion for children with unilateral complete cleft lip and palate. AU - Nakamura,Norifumi, AU - Sasaguri,Masaaki, AU - Nozoe,Etsuro, AU - Nishihara,Kazuhide, AU - Hasegawa,Hiroko, AU - Nakamura,Seiji, PY - 2008/06/28/received PY - 2008/12/08/revised PY - 2009/04/19/accepted PY - 2009/9/19/entrez PY - 2009/9/19/pubmed PY - 2009/10/30/medline SP - 2222 EP - 31 JF - Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons JO - J. Oral Maxillofac. Surg. VL - 67 IS - 10 N2 - PURPOSE: The management for primary unilateral cleft lip nose deformities has not yet been established. In this study, short-term postoperative nasal forms after presurgical nasoalveolar molding (NAM) followed by primary lip repair for children with complete unilateral cleft lip and palate (UCLP) were evaluated and compared with the nasal forms achieved by treatment without nose correction. PATIENTS AND METHODS: Fifteen patients with complete UCLP who were treated in our department and followed up for more than 1 year (range 1 to 5 yrs) were enrolled. All subjects underwent presurgical orthopedic treatment with NAM, followed by lip repair using Cronin's triangular flap method with medial-upward advancement of nasolabial components with vestibular expansion. Postoperative nasal forms including nostril height and width ratio, ratio of the height of the top of the alar groove, and curvature of the appropriate circle of the nasal ala were evaluated using color photographs. Fifteen patients with complete UCLP who underwent presurgical orthopedic treatment using a Hotz plate followed by lip repair without nose correction served as controls. RESULTS: The comparison of postoperative nasal forms demonstrated that the nostril height and width ratio and the height of the top of the alar groove in the correction group were significantly superior compared with those of the controls. CONCLUSIONS: Our management of cleft lip nose will provide good nasal forms with minimum invasion in patients with UCLP. Long-term follow-up will be necessary to clarify effects on the growth of nasal tissues reconstructed in infancy. SN - 1531-5053 UR - https://www.unboundmedicine.com/medline/citation/19761917/Postoperative_nasal_forms_after_presurgical_nasoalveolar_molding_followed_by_medial_upward_advancement_of_nasolabial_components_with_vestibular_expansion_for_children_with_unilateral_complete_cleft_lip_and_palate_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0278-2391(09)00599-0 DB - PRIME DP - Unbound Medicine ER -