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Simplifying cleft surgery by presurgical nasoalveolar molding (PNAM) for infant born with unilateral cleft lip, alveolus, and palate: a clinical report.
J Prosthodont Res 2013; 57(3):224-31JP

Abstract

PATIENT

A 2-day-old female infant with complete unilateral cleft lip, alveolus, and palate (left side) was presented to the Department of Prosthodontics, Government Dental College and Hospital, Nagpur for evaluation and treatment with presurgical nasoalveolar molding (PNAM) prior to surgical intervention.

DISCUSSION

The alignment of the alveolar segments creates the foundation upon which excellent results of primary lip and nasal surgery are dependent in the repair of the cleft lip, alveolus, and palate patient. Presurgical infant orthopedics has been employed since the 1950s as an adjunctive neonatal therapy for the correction of cleft lip and palate. One of the problems that the traditional approach failed to address was the deformity of the nasal cartilages and the deficiency of columella tissue in infants with unilateral and bilateral cleft lip and palate. The purpose of this article is to illustrate the step-by-step fabrication process of the PNAM prosthesis used to direct growth of the alveolar segments, lips, and nose in the presurgical treatment of cleft lip and palate.

CONCLUSION

As a result, the primary surgical repair of the lip and nose heals under minimal tension, thereby reducing scar formation and improving the esthetic result. Frequent surgical intervention to achieve the desired esthetic results can be avoided by PNAM.

Authors+Show Affiliations

Department of Prosthodontics, VSPM's Dental College and Research Centre, Nagpur, Maharashtra, India. vaibhavk056@gmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

23773376

Citation

Kamble, Vaibhav D., et al. "Simplifying Cleft Surgery By Presurgical Nasoalveolar Molding (PNAM) for Infant Born With Unilateral Cleft Lip, Alveolus, and Palate: a Clinical Report." Journal of Prosthodontic Research, vol. 57, no. 3, 2013, pp. 224-31.
Kamble VD, Parkhedkar RD, Sarin SP, et al. Simplifying cleft surgery by presurgical nasoalveolar molding (PNAM) for infant born with unilateral cleft lip, alveolus, and palate: a clinical report. J Prosthodont Res. 2013;57(3):224-31.
Kamble, V. D., Parkhedkar, R. D., Sarin, S. P., Patil, P. G., & Kothari, B. (2013). Simplifying cleft surgery by presurgical nasoalveolar molding (PNAM) for infant born with unilateral cleft lip, alveolus, and palate: a clinical report. Journal of Prosthodontic Research, 57(3), pp. 224-31. doi:10.1016/j.jpor.2013.03.002.
Kamble VD, et al. Simplifying Cleft Surgery By Presurgical Nasoalveolar Molding (PNAM) for Infant Born With Unilateral Cleft Lip, Alveolus, and Palate: a Clinical Report. J Prosthodont Res. 2013;57(3):224-31. PubMed PMID: 23773376.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Simplifying cleft surgery by presurgical nasoalveolar molding (PNAM) for infant born with unilateral cleft lip, alveolus, and palate: a clinical report. AU - Kamble,Vaibhav D, AU - Parkhedkar,Rambhau D, AU - Sarin,Soumil P, AU - Patil,Pravinkumar G, AU - Kothari,Bhavesh, Y1 - 2013/06/15/ PY - 2012/10/18/received PY - 2013/02/10/revised PY - 2013/03/06/accepted PY - 2013/6/19/entrez PY - 2013/6/19/pubmed PY - 2014/6/24/medline KW - Cleft nasal deformity KW - Extraoral retentive button KW - Nasal stent KW - Presurgical nasoalveolar molding KW - Unilateral cleft lip and palate SP - 224 EP - 31 JF - Journal of prosthodontic research JO - J Prosthodont Res VL - 57 IS - 3 N2 - PATIENT: A 2-day-old female infant with complete unilateral cleft lip, alveolus, and palate (left side) was presented to the Department of Prosthodontics, Government Dental College and Hospital, Nagpur for evaluation and treatment with presurgical nasoalveolar molding (PNAM) prior to surgical intervention. DISCUSSION: The alignment of the alveolar segments creates the foundation upon which excellent results of primary lip and nasal surgery are dependent in the repair of the cleft lip, alveolus, and palate patient. Presurgical infant orthopedics has been employed since the 1950s as an adjunctive neonatal therapy for the correction of cleft lip and palate. One of the problems that the traditional approach failed to address was the deformity of the nasal cartilages and the deficiency of columella tissue in infants with unilateral and bilateral cleft lip and palate. The purpose of this article is to illustrate the step-by-step fabrication process of the PNAM prosthesis used to direct growth of the alveolar segments, lips, and nose in the presurgical treatment of cleft lip and palate. CONCLUSION: As a result, the primary surgical repair of the lip and nose heals under minimal tension, thereby reducing scar formation and improving the esthetic result. Frequent surgical intervention to achieve the desired esthetic results can be avoided by PNAM. SN - 2212-4632 UR - https://www.unboundmedicine.com/medline/citation/23773376/Simplifying_cleft_surgery_by_presurgical_nasoalveolar_molding__PNAM__for_infant_born_with_unilateral_cleft_lip_alveolus_and_palate:_a_clinical_report_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1883-1958(13)00039-X DB - PRIME DP - Unbound Medicine ER -