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Presurgical Nasal Molding With a Nasal Spring in Patients With Mild-to-Moderate Nasal Deformity With Incomplete Unilateral Cleft Lip With or Without Cleft Palate.
Cleft Palate Craniofac J. 2019 02; 56(2):280-284.CP

Abstract

OBJECTIVE

Traditional nasoalveolar molding (NAM) requires steep learning curve for clinicians and significant compliance from parents. Nasal springs have been developed by the author to simplify presurgical nasal molding. This article presents the design, construction, and application of the spring. The treatment goal is to improve nasal deformity prior to primary repair in infants born with incomplete unilateral cleft lip with or without cleft palate.

METHOD

The design, fabrication, and utility of the nasal spring are described. The spring has a simpler design and construction compared to a traditional NAM appliance.

PARTICIPANTS

Two patients with incomplete unilateral cleft lip with and without cleft palate are presented.

INTERVENTIONS

The spring is constructed and delivered. The active arm of the spring can be 3-dimensionally (3-D) adjusted to mold the alar cartilage of the affected nostril. The spring does not require an oral plate for adherence as a traditional NAM appliance does, hence an oral impression is not needed. The spring is easy for clinicians to adjust. It also requires less compliance by parents.

MAIN OUTCOME MEASURES/RESULTS

The presurgical molding achieved by the use of a nasal spring improved surgical nasolabial aesthetic outcomes.

CONCLUSION

The nasal springs are effective in reducing the initial cleft nasal deformity. This facilitates primary surgical cleft lip and nose correction and improves surgical outcomes in patients with incomplete unilateral cleft lip with or without cleft palate.

Authors+Show Affiliations

1 Baylor College of Dentistry, Dallas, TX, USA. 2 University of Texas Southwestern Medical Center, Dallas, TX, USA. 3 Cleft Craniofacial Center of Kaiser Permanente Northern California, Santa Clara, CA, USA. Peanchitlertkajorn is in private practice in San Francisco, California.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29746155

Citation

Peanchitlertkajorn, Supakit. "Presurgical Nasal Molding With a Nasal Spring in Patients With Mild-to-Moderate Nasal Deformity With Incomplete Unilateral Cleft Lip With or Without Cleft Palate." The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, vol. 56, no. 2, 2019, pp. 280-284.
Peanchitlertkajorn S. Presurgical Nasal Molding With a Nasal Spring in Patients With Mild-to-Moderate Nasal Deformity With Incomplete Unilateral Cleft Lip With or Without Cleft Palate. Cleft Palate Craniofac J. 2019;56(2):280-284.
Peanchitlertkajorn, S. (2019). Presurgical Nasal Molding With a Nasal Spring in Patients With Mild-to-Moderate Nasal Deformity With Incomplete Unilateral Cleft Lip With or Without Cleft Palate. The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, 56(2), 280-284. https://doi.org/10.1177/1055665618774773
Peanchitlertkajorn S. Presurgical Nasal Molding With a Nasal Spring in Patients With Mild-to-Moderate Nasal Deformity With Incomplete Unilateral Cleft Lip With or Without Cleft Palate. Cleft Palate Craniofac J. 2019;56(2):280-284. PubMed PMID: 29746155.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Presurgical Nasal Molding With a Nasal Spring in Patients With Mild-to-Moderate Nasal Deformity With Incomplete Unilateral Cleft Lip With or Without Cleft Palate. A1 - Peanchitlertkajorn,Supakit, Y1 - 2018/05/10/ PY - 2018/5/11/pubmed PY - 2019/12/31/medline PY - 2018/5/11/entrez KW - NAM KW - cleft nasal deformity KW - incomplete unilateral cleft lip with or without cleft palate KW - presurgical nasal molding SP - 280 EP - 284 JF - The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association JO - Cleft Palate Craniofac. J. VL - 56 IS - 2 N2 - OBJECTIVE: Traditional nasoalveolar molding (NAM) requires steep learning curve for clinicians and significant compliance from parents. Nasal springs have been developed by the author to simplify presurgical nasal molding. This article presents the design, construction, and application of the spring. The treatment goal is to improve nasal deformity prior to primary repair in infants born with incomplete unilateral cleft lip with or without cleft palate. METHOD: The design, fabrication, and utility of the nasal spring are described. The spring has a simpler design and construction compared to a traditional NAM appliance. PARTICIPANTS: Two patients with incomplete unilateral cleft lip with and without cleft palate are presented. INTERVENTIONS: The spring is constructed and delivered. The active arm of the spring can be 3-dimensionally (3-D) adjusted to mold the alar cartilage of the affected nostril. The spring does not require an oral plate for adherence as a traditional NAM appliance does, hence an oral impression is not needed. The spring is easy for clinicians to adjust. It also requires less compliance by parents. MAIN OUTCOME MEASURES/RESULTS: The presurgical molding achieved by the use of a nasal spring improved surgical nasolabial aesthetic outcomes. CONCLUSION: The nasal springs are effective in reducing the initial cleft nasal deformity. This facilitates primary surgical cleft lip and nose correction and improves surgical outcomes in patients with incomplete unilateral cleft lip with or without cleft palate. SN - 1545-1569 UR - https://www.unboundmedicine.com/medline/citation/29746155/Presurgical_Nasal_Molding_With_a_Nasal_Spring_in_Patients_With_Mild_to_Moderate_Nasal_Deformity_With_Incomplete_Unilateral_Cleft_Lip_With_or_Without_Cleft_Palate_ L2 - http://journals.sagepub.com/doi/full/10.1177/1055665618774773?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -
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