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Nasal changes with nasoalveolar molding in Colombian patients with unilateral cleft lip and palate.

Abstract

PURPOSE

Presurgical nasoalveolar molding (PNAM) is controversial in maxillofacial orthopedics. It supposedly improves the nasal esthetics and function in unilateral cleft lip/palate (UCLP) patients. However, there is no research available in South America to support this claim. The purpose of this study was to evaluate the efficacy of presurgical nasoalveolar molding therapy on morphological changes of the noses of unilateral cleft lip/palate patients in a Colombian sample.

METHODS

Seventeen neonate UCLP patients using PNAM received facial impressions at the beginning of treatment; before primary rhinocheiloplasty; and before palatoplasty. A submentovertex photograph of each cast was taken and analyzed by digital photogrammetry. Wilcoxon and Friedman tests were used for within- and between-group comparisons.

RESULTS

A statistically significant reduction of cleft nostril width, without significant changes in noncleft nostril width or total nasal width, was found after PNAM. A significant increase in cleft and noncleft nostril height, plus a nonsignificant increase in nostril area in both sides and a nonsignificant uprighting of the columella were found. These changes were maintained or further improved after rhinocheiloplasty.

CONCLUSION

The presurgical nasoalveolar molding technique improved nasal tip projection and alar cartilage depression and decreased partially columella deviation before rhinocheiloplasty in South American unilateral cleft lip/palate patients.

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  • Authors+Show Affiliations

    ,

    Department of Basic Integrated Studies, College of Dentistry, University of Antioquia, Medellín, Colombia. anamarialopez@une.net.co

    , , ,

    Source

    Pediatric dentistry 34:3 pg 239-44

    MeSH

    Cleft Lip
    Cleft Palate
    Colombia
    Humans
    Infant, Newborn
    Nose

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    22795158

    Citation

    López-Palacio, Ana María, et al. "Nasal Changes With Nasoalveolar Molding in Colombian Patients With Unilateral Cleft Lip and Palate." Pediatric Dentistry, vol. 34, no. 3, 2012, pp. 239-44.
    López-Palacio AM, Cerón-Zapata AM, Gómez DF, et al. Nasal changes with nasoalveolar molding in Colombian patients with unilateral cleft lip and palate. Pediatr Dent. 2012;34(3):239-44.
    López-Palacio, A. M., Cerón-Zapata, A. M., Gómez, D. F., Dávila-Calle, A. P., & Ojalvo-Arias, M. A. (2012). Nasal changes with nasoalveolar molding in Colombian patients with unilateral cleft lip and palate. Pediatric Dentistry, 34(3), pp. 239-44.
    López-Palacio AM, et al. Nasal Changes With Nasoalveolar Molding in Colombian Patients With Unilateral Cleft Lip and Palate. Pediatr Dent. 2012;34(3):239-44. PubMed PMID: 22795158.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Nasal changes with nasoalveolar molding in Colombian patients with unilateral cleft lip and palate. AU - López-Palacio,Ana María, AU - Cerón-Zapata,Ana María, AU - Gómez,David F, AU - Dávila-Calle,Angela P, AU - Ojalvo-Arias,María Adelaida, PY - 2012/7/17/entrez PY - 2012/7/17/pubmed PY - 2013/5/15/medline SP - 239 EP - 44 JF - Pediatric dentistry JO - Pediatr Dent VL - 34 IS - 3 N2 - PURPOSE: Presurgical nasoalveolar molding (PNAM) is controversial in maxillofacial orthopedics. It supposedly improves the nasal esthetics and function in unilateral cleft lip/palate (UCLP) patients. However, there is no research available in South America to support this claim. The purpose of this study was to evaluate the efficacy of presurgical nasoalveolar molding therapy on morphological changes of the noses of unilateral cleft lip/palate patients in a Colombian sample. METHODS: Seventeen neonate UCLP patients using PNAM received facial impressions at the beginning of treatment; before primary rhinocheiloplasty; and before palatoplasty. A submentovertex photograph of each cast was taken and analyzed by digital photogrammetry. Wilcoxon and Friedman tests were used for within- and between-group comparisons. RESULTS: A statistically significant reduction of cleft nostril width, without significant changes in noncleft nostril width or total nasal width, was found after PNAM. A significant increase in cleft and noncleft nostril height, plus a nonsignificant increase in nostril area in both sides and a nonsignificant uprighting of the columella were found. These changes were maintained or further improved after rhinocheiloplasty. CONCLUSION: The presurgical nasoalveolar molding technique improved nasal tip projection and alar cartilage depression and decreased partially columella deviation before rhinocheiloplasty in South American unilateral cleft lip/palate patients. SN - 1942-5473 UR - https://www.unboundmedicine.com/medline/citation/22795158/Nasal_changes_with_nasoalveolar_molding_in_Colombian_patients_with_unilateral_cleft_lip_and_palate L2 - https://www.ingentaconnect.com/openurl?genre=article&issn=0164-1263&volume=34&issue=3&spage=239&aulast=López-Palacio DB - PRIME DP - Unbound Medicine ER -