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Effects of nasoalveolar molding therapy on nasal and alveolar morphology in unilateral cleft lip and palate.
J Craniofac Surg 2009; 20(6):2075-80JC

Abstract

OBJECTIVE

The objective of this study was to evaluate the effects of presurgical nasoalveolar molding (PNAM) therapy on nasal and alveolar tissues in patients with unilateral cleft lip and palate.

PATIENTS AND METHODS

Twenty-two patients with a mean age of 23 days, having complete unilateral cleft lip and palate, were included in this prospective study. After the impressions were taken of the palatal and nasolabial regions separately, the maxillary and nasal plaster models were scanned for linear, angular, and area measurements before and after PNAM therapy. The distances between the identified landmarks were measured in the maxillary casts, and the distance and area measurements were performed for the nasal casts with the specified software called Image J developed by the National Institutes of Health. All subjects have undergone PNAM therapy for 6 months. The nasal and maxillary casts are scanned, and the images were evaluated using the software Image J. The alveolar segments should be approximated, and the cleft width and alar base of the affected side after PNAM should be reduced, and the nostril area of the cleft side should be increased. The columella deviation should be decreased.

RESULTS

The decrease of the cleft width, arch length, and alar base width on the cleft side and the deviation of the columella were significant, in addition to the significant increase of the arch circumference and nostril area on the affected side (P < 0.001).

CONCLUSIONS

Presurgical nasoalveolar molding therapy is a significantly helpful treatment for patients with unilateral cleft lip and palate. The reduction in the alveolar cleft region and the nasal reshaping are favorable.

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    Authors+Show Affiliations

    Keçik D
    Department of Orthodontics, Baskent University, Istanbul Hospital, Mahir Iz cad. No:43 Altunizade, 34662 Istanbul, Turkey. dkecik@baskent.edu.tr
    Enacar A
    No affiliation info available

    MeSH

    Alveolar ProcessCleft LipCleft PalateDental ModelsFemaleHumansInfantInfant, NewbornMaleNasal CartilagesOrthopedic ProceduresPreoperative CareProspective StudiesStentsTreatment Outcome

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    19881365

    Citation

    Keçik, Defne, and Ayhan Enacar. "Effects of Nasoalveolar Molding Therapy On Nasal and Alveolar Morphology in Unilateral Cleft Lip and Palate." The Journal of Craniofacial Surgery, vol. 20, no. 6, 2009, pp. 2075-80.
    Keçik D, Enacar A. Effects of nasoalveolar molding therapy on nasal and alveolar morphology in unilateral cleft lip and palate. J Craniofac Surg. 2009;20(6):2075-80.
    Keçik, D., & Enacar, A. (2009). Effects of nasoalveolar molding therapy on nasal and alveolar morphology in unilateral cleft lip and palate. The Journal of Craniofacial Surgery, 20(6), pp. 2075-80. doi:10.1097/SCS.0b013e3181be88cf.
    Keçik D, Enacar A. Effects of Nasoalveolar Molding Therapy On Nasal and Alveolar Morphology in Unilateral Cleft Lip and Palate. J Craniofac Surg. 2009;20(6):2075-80. PubMed PMID: 19881365.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Effects of nasoalveolar molding therapy on nasal and alveolar morphology in unilateral cleft lip and palate. AU - Keçik,Defne, AU - Enacar,Ayhan, PY - 2009/11/3/entrez PY - 2009/11/3/pubmed PY - 2010/3/3/medline SP - 2075 EP - 80 JF - The Journal of craniofacial surgery JO - J Craniofac Surg VL - 20 IS - 6 N2 - OBJECTIVE: The objective of this study was to evaluate the effects of presurgical nasoalveolar molding (PNAM) therapy on nasal and alveolar tissues in patients with unilateral cleft lip and palate. PATIENTS AND METHODS: Twenty-two patients with a mean age of 23 days, having complete unilateral cleft lip and palate, were included in this prospective study. After the impressions were taken of the palatal and nasolabial regions separately, the maxillary and nasal plaster models were scanned for linear, angular, and area measurements before and after PNAM therapy. The distances between the identified landmarks were measured in the maxillary casts, and the distance and area measurements were performed for the nasal casts with the specified software called Image J developed by the National Institutes of Health. All subjects have undergone PNAM therapy for 6 months. The nasal and maxillary casts are scanned, and the images were evaluated using the software Image J. The alveolar segments should be approximated, and the cleft width and alar base of the affected side after PNAM should be reduced, and the nostril area of the cleft side should be increased. The columella deviation should be decreased. RESULTS: The decrease of the cleft width, arch length, and alar base width on the cleft side and the deviation of the columella were significant, in addition to the significant increase of the arch circumference and nostril area on the affected side (P < 0.001). CONCLUSIONS: Presurgical nasoalveolar molding therapy is a significantly helpful treatment for patients with unilateral cleft lip and palate. The reduction in the alveolar cleft region and the nasal reshaping are favorable. SN - 1536-3732 UR - https://www.unboundmedicine.com/medline/citation/19881365/Effects_of_nasoalveolar_molding_therapy_on_nasal_and_alveolar_morphology_in_unilateral_cleft_lip_and_palate_ L2 - http://Insights.ovid.com/pubmed?pmid=19881365 DB - PRIME DP - Unbound Medicine ER -