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Achievement in Nasal Symmetry after Cheiloplasty in Unilateral Cleft Lip and Palate Infants Treated with Presurgical Nasoalveolar Molding.
Contemp Clin Dent. 2018 Jul-Sep; 9(3):357-360.CC

Abstract

Background

The presurgical nasoalveolar molding (PNAM) technique gave a new perspective to presurgical infant orthopedics. Nasal reconstruction presents a challenge for the treating surgeons in case of patients with unilateral cleft lip and palate (UCLP). PNAM facilitates the reshaping of the nasal cartilage and molding of maxillary arch preoperatively.

Aims and Objective

The aim and objective of the present retrospective study was to analyze two-dimensional nasal changes before and after PNAM in patients with complete UCLP.

Materials and Method

Twenty-two ULCP patients who underwent PNAM before lip surgery were considered in this study. A series of standard basilar view photographs in 1:1 ratio were taken and linear measurements were done digitally.

Results

After PNAM therapy, there was a significant increase in nostril height (P = 0.003) and highly significant increase in columella length (P = 0.001). There was also a highly significant decrease in nostril width (P = 0.001) and a significant decrease in nasal basal width (P = 0.02).

Conclusion

There was a significant increase in nostril height and columella length and a significant decrease in nostril width and nasal basal width on the cleft side when treated with PNAM therapy in patients with complete UCLP. Hence, this therapy helps in improving the nasal symmetry in such patients and also aids in surgical procedures.

Authors+Show Affiliations

Department of Paediatric and Preventive Dentistry, H.P. Government Dental College and Hospital, Shimla, Himachal Pradesh, India.Department of Paediatric and Preventive Dentistry, H.P. Government Dental College and Hospital, Shimla, Himachal Pradesh, India.Department of Oral Pathology, H.P. Government Dental College and Hospital, Shimla, Himachal Pradesh, India.Deparment of Plastic Surgery, Indira Gandhi Medical College and Hospital, Shimla, Himachal Pradesh, India.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30166826

Citation

Thakur, Seema, et al. "Achievement in Nasal Symmetry After Cheiloplasty in Unilateral Cleft Lip and Palate Infants Treated With Presurgical Nasoalveolar Molding." Contemporary Clinical Dentistry, vol. 9, no. 3, 2018, pp. 357-360.
Thakur S, Singh A, Thakur NS, et al. Achievement in Nasal Symmetry after Cheiloplasty in Unilateral Cleft Lip and Palate Infants Treated with Presurgical Nasoalveolar Molding. Contemp Clin Dent. 2018;9(3):357-360.
Thakur, S., Singh, A., Thakur, N. S., & Diwana, V. K. (2018). Achievement in Nasal Symmetry after Cheiloplasty in Unilateral Cleft Lip and Palate Infants Treated with Presurgical Nasoalveolar Molding. Contemporary Clinical Dentistry, 9(3), 357-360. https://doi.org/10.4103/ccd.ccd_46_18
Thakur S, et al. Achievement in Nasal Symmetry After Cheiloplasty in Unilateral Cleft Lip and Palate Infants Treated With Presurgical Nasoalveolar Molding. Contemp Clin Dent. 2018;9(3):357-360. PubMed PMID: 30166826.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Achievement in Nasal Symmetry after Cheiloplasty in Unilateral Cleft Lip and Palate Infants Treated with Presurgical Nasoalveolar Molding. AU - Thakur,Seema, AU - Singh,Anjali, AU - Thakur,Narbir Singh, AU - Diwana,Vijay Kumar, PY - 2018/9/1/entrez PY - 2018/9/1/pubmed PY - 2018/9/1/medline KW - Presurgical nasoalveolar molding KW - nasal symmetry KW - unilateral cleft lip and palate SP - 357 EP - 360 JF - Contemporary clinical dentistry JO - Contemp Clin Dent VL - 9 IS - 3 N2 - Background: The presurgical nasoalveolar molding (PNAM) technique gave a new perspective to presurgical infant orthopedics. Nasal reconstruction presents a challenge for the treating surgeons in case of patients with unilateral cleft lip and palate (UCLP). PNAM facilitates the reshaping of the nasal cartilage and molding of maxillary arch preoperatively. Aims and Objective: The aim and objective of the present retrospective study was to analyze two-dimensional nasal changes before and after PNAM in patients with complete UCLP. Materials and Method: Twenty-two ULCP patients who underwent PNAM before lip surgery were considered in this study. A series of standard basilar view photographs in 1:1 ratio were taken and linear measurements were done digitally. Results: After PNAM therapy, there was a significant increase in nostril height (P = 0.003) and highly significant increase in columella length (P = 0.001). There was also a highly significant decrease in nostril width (P = 0.001) and a significant decrease in nasal basal width (P = 0.02). Conclusion: There was a significant increase in nostril height and columella length and a significant decrease in nostril width and nasal basal width on the cleft side when treated with PNAM therapy in patients with complete UCLP. Hence, this therapy helps in improving the nasal symmetry in such patients and also aids in surgical procedures. SN - 0976-237X UR - https://www.unboundmedicine.com/medline/citation/30166826/Achievement_in_Nasal_Symmetry_after_Cheiloplasty_in_Unilateral_Cleft_Lip_and_Palate_Infants_Treated_with_Presurgical_Nasoalveolar_Molding_ L2 - http://www.contempclindent.org/article.asp?issn=0976-237X;year=2018;volume=9;issue=3;spage=357;epage=360;aulast=Thakur DB - PRIME DP - Unbound Medicine ER -
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