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Presurgical Nasoalveolar Molding Therapy Using Figueroa's NAM Technique in Unilateral Cleft Lip and Palate Patients: A Preliminary Study.
J Clin Pediatr Dent 2016; 40(5):410-6JC

Abstract

OBJECTIVE

The objective of the study was to evaluate the results of nasoalveolar molding (NAM) in the treatment of patients with unilateral cleft lip and palate using a modified technique in a South Indian population.

STUDY DESIGN

The design was a prospective study with blinded measurements. The sample constituted 10 complete unilateral cleft lip and palate (UCLP) patients who underwent NAM therapy by the same operator. Direct extra and intra oral anthropometric measurements were done using a digital vernier caliper before and after NAM therapy. A photographic evaluation was also done to rate the nasal deformity post NAM therapy. The differences between measurements were statistically analyzed using paired t tests.

RESULTS

The extra oral measurements revealed a statistically significant increase in bi-alar width, columellar length and width. The intraoral measurements demonstrated a statistically significant reduction in anterior alveolar cleft width. There was also a significant increase in arch width and greater and lesser segments length. All cases were rated as improved by the surgeons in photographic analysis.

CONCLUSION

The study has quantitatively shown that the modified NAM therapy improved nasal asymmetry by columellar lengthening and effectively molded the maxillary alveolar arch.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27617383

Citation

Koya, Shafees, et al. "Presurgical Nasoalveolar Molding Therapy Using Figueroa's NAM Technique in Unilateral Cleft Lip and Palate Patients: a Preliminary Study." The Journal of Clinical Pediatric Dentistry, vol. 40, no. 5, 2016, pp. 410-6.
Koya S, Shetty S, Husain A, et al. Presurgical Nasoalveolar Molding Therapy Using Figueroa's NAM Technique in Unilateral Cleft Lip and Palate Patients: A Preliminary Study. J Clin Pediatr Dent. 2016;40(5):410-6.
Koya, S., Shetty, S., Husain, A., & Khader, M. (2016). Presurgical Nasoalveolar Molding Therapy Using Figueroa's NAM Technique in Unilateral Cleft Lip and Palate Patients: A Preliminary Study. The Journal of Clinical Pediatric Dentistry, 40(5), pp. 410-6. doi:10.17796/1053-4628-40.5.410.
Koya S, et al. Presurgical Nasoalveolar Molding Therapy Using Figueroa's NAM Technique in Unilateral Cleft Lip and Palate Patients: a Preliminary Study. J Clin Pediatr Dent. 2016;40(5):410-6. PubMed PMID: 27617383.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Presurgical Nasoalveolar Molding Therapy Using Figueroa's NAM Technique in Unilateral Cleft Lip and Palate Patients: A Preliminary Study. AU - Koya,Shafees, AU - Shetty,Sandeep, AU - Husain,Akhter, AU - Khader,Mustafa, PY - 2016/9/13/entrez PY - 2016/9/13/pubmed PY - 2017/1/14/medline KW - Nasoalveolar molding KW - pre surgical orthopedics KW - unilateral cleft lip and palate SP - 410 EP - 6 JF - The Journal of clinical pediatric dentistry JO - J Clin Pediatr Dent VL - 40 IS - 5 N2 - OBJECTIVE: The objective of the study was to evaluate the results of nasoalveolar molding (NAM) in the treatment of patients with unilateral cleft lip and palate using a modified technique in a South Indian population. STUDY DESIGN: The design was a prospective study with blinded measurements. The sample constituted 10 complete unilateral cleft lip and palate (UCLP) patients who underwent NAM therapy by the same operator. Direct extra and intra oral anthropometric measurements were done using a digital vernier caliper before and after NAM therapy. A photographic evaluation was also done to rate the nasal deformity post NAM therapy. The differences between measurements were statistically analyzed using paired t tests. RESULTS: The extra oral measurements revealed a statistically significant increase in bi-alar width, columellar length and width. The intraoral measurements demonstrated a statistically significant reduction in anterior alveolar cleft width. There was also a significant increase in arch width and greater and lesser segments length. All cases were rated as improved by the surgeons in photographic analysis. CONCLUSION: The study has quantitatively shown that the modified NAM therapy improved nasal asymmetry by columellar lengthening and effectively molded the maxillary alveolar arch. SN - 1053-4628 UR - https://www.unboundmedicine.com/medline/citation/27617383/Presurgical_Nasoalveolar_Molding_Therapy_Using_Figueroa's_NAM_Technique_in_Unilateral_Cleft_Lip_and_Palate_Patients:_A_Preliminary_Study_ L2 - http://jocpd.org/doi/10.17796/1053-4628-40.5.410?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -