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Effectiveness of presurgical nasoalveolar molding therapy on unilateral cleft lip nasal deformity.
Saudi Med J. 2018 Feb; 39(2):169-178.SM

Abstract

OBJECTIVES

To evaluate the effectiveness of pre-surgical nasoalveolar molding (PNAM) in patients with unilateral cleft lip nasal deformities. Methods: This was a retrospective study involving 29 patients with unilateral cleft lip and palate defects, of whom 13 were treated with palatal devices with nasal stents (PNAM group) and 16 were treated with palatal devices without nasal stents or surgical tapes (control group). Submental oblique photographs and orthodontic models were longitudinally obtained at the initial visit (T1) and immediately before (T2) and after cheiloplasty (T3). Asymmetry of the external nose, degree of columellar shifting, nasal tip/ala nose ratio, nasal base angle, interalveolar gap, and the sagittal difference in the alveolar gap were measured. The study was conducted in the Orthodontic Clinic at Tokushima University Hospital, Tokushima, Japan between 1997 and 2012. Results: At T1, there were no significant intergroup differences in the first 4 asymmetry parameters. At T2, the PNAM group showed a significant improvement in all values compared to the control group. At T3, the PNAM group showed significant improvement in nasal asymmetry and columellar shifting. Model analysis showed significantly greater changes in the inter-alveolar gap and the sagittal difference of the alveolar cleft gap from T1 to T2 in the PNAM group. Conclusion: The use of PNAM is indispensable for pre-surgical orthodontic treatment at the early postnatal age.

Authors+Show Affiliations

Department of Orthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia. E-mail. aakbr@kau.edu.sa.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29436566

Citation

Kinouchi, Nao, et al. "Effectiveness of Presurgical Nasoalveolar Molding Therapy On Unilateral Cleft Lip Nasal Deformity." Saudi Medical Journal, vol. 39, no. 2, 2018, pp. 169-178.
Kinouchi N, Horiuchi S, Yasue A, et al. Effectiveness of presurgical nasoalveolar molding therapy on unilateral cleft lip nasal deformity. Saudi Med J. 2018;39(2):169-178.
Kinouchi, N., Horiuchi, S., Yasue, A., Kuroda, Y., Kawai, N., Watanabe, K., Izawa, T., Hashimoto, I., Hassan, A. H., & Tanaka, E. (2018). Effectiveness of presurgical nasoalveolar molding therapy on unilateral cleft lip nasal deformity. Saudi Medical Journal, 39(2), 169-178. https://doi.org/10.15537/smj.2018.2.21020
Kinouchi N, et al. Effectiveness of Presurgical Nasoalveolar Molding Therapy On Unilateral Cleft Lip Nasal Deformity. Saudi Med J. 2018;39(2):169-178. PubMed PMID: 29436566.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effectiveness of presurgical nasoalveolar molding therapy on unilateral cleft lip nasal deformity. AU - Kinouchi,Nao, AU - Horiuchi,Shinya, AU - Yasue,Akihiro, AU - Kuroda,Yuko, AU - Kawai,Nobuhiko, AU - Watanabe,Keiichiro, AU - Izawa,Takashi, AU - Hashimoto,Ichiro, AU - Hassan,Ali H, AU - Tanaka,Eiji, PY - 2018/2/14/entrez PY - 2018/2/14/pubmed PY - 2018/9/8/medline SP - 169 EP - 178 JF - Saudi medical journal JO - Saudi Med J VL - 39 IS - 2 N2 - OBJECTIVES: To evaluate the effectiveness of pre-surgical nasoalveolar molding (PNAM) in patients with unilateral cleft lip nasal deformities. Methods: This was a retrospective study involving 29 patients with unilateral cleft lip and palate defects, of whom 13 were treated with palatal devices with nasal stents (PNAM group) and 16 were treated with palatal devices without nasal stents or surgical tapes (control group). Submental oblique photographs and orthodontic models were longitudinally obtained at the initial visit (T1) and immediately before (T2) and after cheiloplasty (T3). Asymmetry of the external nose, degree of columellar shifting, nasal tip/ala nose ratio, nasal base angle, interalveolar gap, and the sagittal difference in the alveolar gap were measured. The study was conducted in the Orthodontic Clinic at Tokushima University Hospital, Tokushima, Japan between 1997 and 2012. Results: At T1, there were no significant intergroup differences in the first 4 asymmetry parameters. At T2, the PNAM group showed a significant improvement in all values compared to the control group. At T3, the PNAM group showed significant improvement in nasal asymmetry and columellar shifting. Model analysis showed significantly greater changes in the inter-alveolar gap and the sagittal difference of the alveolar cleft gap from T1 to T2 in the PNAM group. Conclusion: The use of PNAM is indispensable for pre-surgical orthodontic treatment at the early postnatal age. SN - 0379-5284 UR - https://www.unboundmedicine.com/medline/citation/29436566/Effectiveness_of_presurgical_nasoalveolar_molding_therapy_on_unilateral_cleft_lip_nasal_deformity_ L2 - https://doi.org/10.15537/smj.2018.2.21020 DB - PRIME DP - Unbound Medicine ER -