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Presurgical nasoalveolar molding assisted primary reconstruction in complete unilateral cleft lip palate infants.
J Clin Pediatr Dent. 2010 Spring; 34(3):267-74.JC

Abstract

BACKGROUND

Various methods have been described for the primary surgical reconstruction of the unilateral cleft lip and palate deformity (UCLP) in infants. There have been several attempts at restoring the normal anatomy of the nose at the time of lip repair in the affected individuals with varying degrees of success. Presurgical nasoalveolar molding (PNAM) is a presurgical infant orthopedic procedure that attempts to target the nasal deformity leading to a more esthetic surgical repair.

OBJECTIVE

At our center we aimed to use PNAM to help in providing the surgical team with a better foundation for an easier and more esthetic single stage repair at the level of nose in addition to the lip and alveolus.

METHOD

The infant nasal cartilages are amenable to correction in the first few weeks of life when they retain their plasticity. Three infants with complete unilateral cleft lip palate (CUCLP) were operated upon after a course of PNAM. No nasal stents were use after repair to retain the results.

RESULTS

PNAM reduced the extent of the cleft deformity and improved the anatomic relationship between the affected structures. Postoperative recovery was uneventful. Subjective evaluation immediate post surgery and at the time of palate repair reveals adequate nasolabial esthetics. Long-term results of PNAM assisted repair are to be ascertained.

CONCLUSIONS

The use of PNAM enables in reducing the severity of the deformity the surgical team has to tackle thereby enabling in a better and esthetic primary repair.

Authors+Show Affiliations

Oral and Maxillofacial Surgery, Reader, Sharad Pawar Dental College, Sawangi (Meghe), Wardha 442004, India.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20578667

Citation

Radhakrishnan, Vasant, et al. "Presurgical Nasoalveolar Molding Assisted Primary Reconstruction in Complete Unilateral Cleft Lip Palate Infants." The Journal of Clinical Pediatric Dentistry, vol. 34, no. 3, 2010, pp. 267-74.
Radhakrishnan V, Sabarinath VP, Thombare P, et al. Presurgical nasoalveolar molding assisted primary reconstruction in complete unilateral cleft lip palate infants. J Clin Pediatr Dent. 2010;34(3):267-74.
Radhakrishnan, V., Sabarinath, V. P., Thombare, P., Hazarey, P. V., Bonde, R., & Sheorain, A. (2010). Presurgical nasoalveolar molding assisted primary reconstruction in complete unilateral cleft lip palate infants. The Journal of Clinical Pediatric Dentistry, 34(3), 267-74.
Radhakrishnan V, et al. Presurgical Nasoalveolar Molding Assisted Primary Reconstruction in Complete Unilateral Cleft Lip Palate Infants. J Clin Pediatr Dent. 2010;34(3):267-74. PubMed PMID: 20578667.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Presurgical nasoalveolar molding assisted primary reconstruction in complete unilateral cleft lip palate infants. AU - Radhakrishnan,Vasant, AU - Sabarinath,V P, AU - Thombare,Pallavi, AU - Hazarey,P V, AU - Bonde,Raman, AU - Sheorain,Anil, PY - 2010/6/29/entrez PY - 2010/6/29/pubmed PY - 2010/8/19/medline SP - 267 EP - 74 JF - The Journal of clinical pediatric dentistry JO - J Clin Pediatr Dent VL - 34 IS - 3 N2 - BACKGROUND: Various methods have been described for the primary surgical reconstruction of the unilateral cleft lip and palate deformity (UCLP) in infants. There have been several attempts at restoring the normal anatomy of the nose at the time of lip repair in the affected individuals with varying degrees of success. Presurgical nasoalveolar molding (PNAM) is a presurgical infant orthopedic procedure that attempts to target the nasal deformity leading to a more esthetic surgical repair. OBJECTIVE: At our center we aimed to use PNAM to help in providing the surgical team with a better foundation for an easier and more esthetic single stage repair at the level of nose in addition to the lip and alveolus. METHOD: The infant nasal cartilages are amenable to correction in the first few weeks of life when they retain their plasticity. Three infants with complete unilateral cleft lip palate (CUCLP) were operated upon after a course of PNAM. No nasal stents were use after repair to retain the results. RESULTS: PNAM reduced the extent of the cleft deformity and improved the anatomic relationship between the affected structures. Postoperative recovery was uneventful. Subjective evaluation immediate post surgery and at the time of palate repair reveals adequate nasolabial esthetics. Long-term results of PNAM assisted repair are to be ascertained. CONCLUSIONS: The use of PNAM enables in reducing the severity of the deformity the surgical team has to tackle thereby enabling in a better and esthetic primary repair. SN - 1053-4628 UR - https://www.unboundmedicine.com/medline/citation/20578667/Presurgical_nasoalveolar_molding_assisted_primary_reconstruction_in_complete_unilateral_cleft_lip_palate_infants_ L2 - http://jocpd.org/doi/10.17796/jcpd.34.3.7r7615h422235773?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -