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Long-term effect of presurgical nasoalveolar molding on growth of maxillary arch in unilateral cleft lip and palate: randomized controlled trial.
Int J Oral Maxillofac Surg 2017; 46(8):977-987IJ

Abstract

The objective of this study was to investigate the long-term effect of presurgical nasoalveolar molding (PNAM) on growth of the maxillary arch through early childhood until 6 years of age in complete unilateral cleft lip and palate (UCLP) patients presenting for PNAM at different ages. Complete UCLP patients who were treated at our centre were divided into two groups. The study group underwent PNAM and was further subdivided into three subgroups (PNAM initiated within 1 month, between 1 and 6 months, and between 6 and 12 months of age in subgroup I, II, and III, respectively). The control group did not undergo PNAM and was further subdivided into three subgroups. Patients were evaluated at T1 (first visit), T2 (before cheiloplasty), and T3 (at 6 years). Between T1and T2, the intersegment distance (ISD) reduced significantly in the study group but increased in the control group, whereas the intercanine width (ICW) in both the study and control groups did not show significant change. Between T2 and T3, ISD and ICW were reduced significantly in the control group due to arch collapse, whereas in the study group, ISD reduced slightly with ICW remaining almost similar to noncleft norms. We conclude that reduced ISD following PNAM improves arch symmetry and stability, and thus may prevent arch collapse in the long term.

Authors+Show Affiliations

Nitte Meenakshi Institute of Craniofacial Surgery, Justice K. S. Hegde Charitable Hospital, Nitte University, Mangalore, Karnataka, India. Electronic address: vshetty@hotmail.com.Nitte Meenakshi Institute of Craniofacial Surgery, Justice K. S. Hegde Charitable Hospital, Nitte University, Mangalore, Karnataka, India.Nitte Meenakshi Institute of Craniofacial Surgery, Justice K. S. Hegde Charitable Hospital, Nitte University, Mangalore, Karnataka, India.

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

28416097

Citation

Shetty, V, et al. "Long-term Effect of Presurgical Nasoalveolar Molding On Growth of Maxillary Arch in Unilateral Cleft Lip and Palate: Randomized Controlled Trial." International Journal of Oral and Maxillofacial Surgery, vol. 46, no. 8, 2017, pp. 977-987.
Shetty V, Agrawal RK, Sailer HF. Long-term effect of presurgical nasoalveolar molding on growth of maxillary arch in unilateral cleft lip and palate: randomized controlled trial. Int J Oral Maxillofac Surg. 2017;46(8):977-987.
Shetty, V., Agrawal, R. K., & Sailer, H. F. (2017). Long-term effect of presurgical nasoalveolar molding on growth of maxillary arch in unilateral cleft lip and palate: randomized controlled trial. International Journal of Oral and Maxillofacial Surgery, 46(8), pp. 977-987. doi:10.1016/j.ijom.2017.03.006.
Shetty V, Agrawal RK, Sailer HF. Long-term Effect of Presurgical Nasoalveolar Molding On Growth of Maxillary Arch in Unilateral Cleft Lip and Palate: Randomized Controlled Trial. Int J Oral Maxillofac Surg. 2017;46(8):977-987. PubMed PMID: 28416097.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term effect of presurgical nasoalveolar molding on growth of maxillary arch in unilateral cleft lip and palate: randomized controlled trial. AU - Shetty,V, AU - Agrawal,R K, AU - Sailer,H F, Y1 - 2017/04/14/ PY - 2016/07/22/received PY - 2016/11/23/revised PY - 2017/03/06/accepted PY - 2017/4/19/pubmed PY - 2018/5/16/medline PY - 2017/4/19/entrez KW - maxillary growth KW - presurgical infant orthopedics KW - presurgical nasoalveolar molding KW - unilateral cleft lip and palate SP - 977 EP - 987 JF - International journal of oral and maxillofacial surgery JO - Int J Oral Maxillofac Surg VL - 46 IS - 8 N2 - The objective of this study was to investigate the long-term effect of presurgical nasoalveolar molding (PNAM) on growth of the maxillary arch through early childhood until 6 years of age in complete unilateral cleft lip and palate (UCLP) patients presenting for PNAM at different ages. Complete UCLP patients who were treated at our centre were divided into two groups. The study group underwent PNAM and was further subdivided into three subgroups (PNAM initiated within 1 month, between 1 and 6 months, and between 6 and 12 months of age in subgroup I, II, and III, respectively). The control group did not undergo PNAM and was further subdivided into three subgroups. Patients were evaluated at T1 (first visit), T2 (before cheiloplasty), and T3 (at 6 years). Between T1and T2, the intersegment distance (ISD) reduced significantly in the study group but increased in the control group, whereas the intercanine width (ICW) in both the study and control groups did not show significant change. Between T2 and T3, ISD and ICW were reduced significantly in the control group due to arch collapse, whereas in the study group, ISD reduced slightly with ICW remaining almost similar to noncleft norms. We conclude that reduced ISD following PNAM improves arch symmetry and stability, and thus may prevent arch collapse in the long term. SN - 1399-0020 UR - https://www.unboundmedicine.com/medline/citation/28416097/Long_term_effect_of_presurgical_nasoalveolar_molding_on_growth_of_maxillary_arch_in_unilateral_cleft_lip_and_palate:_randomized_controlled_trial_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0901-5027(17)31350-4 DB - PRIME DP - Unbound Medicine ER -