scholarly journals Nasal molding prevents relapse of nasal deformity after primary rhinoplasty in patients with unilateral complete cleft lip: An outcomes‐based comparative study of palatal plate alone versus nasoalveolar molding

2021 ◽  
Author(s):  
Yukiko Aihara ◽  
Toru Yanagawa ◽  
Masahiro Sasaki ◽  
Kaoru Sasaki ◽  
Yoichiro Shibuya ◽  
...  
Keyword(s):  
Comparative Study ◽  
Cleft Lip ◽  
Nasal Deformity ◽  
Primary Rhinoplasty ◽  
Palatal Plate ◽  
Nasoalveolar Molding

scholarly journals Nasoalveolar molding in complete cleft lip nasal deformity patients

2012 ◽  
Vol 113 (05) ◽  
pp. 293-297
Author(s):  
J. Fedeles ◽  
P. Ziak ◽  
J. Fedeles
Keyword(s):  
Cleft Lip ◽  
Nasal Deformity ◽  
Nasoalveolar Molding

scholarly journals A modified presurgical orthopedic (nasoalveolar molding) device in the treatment of unilateral cleft lip and palate

2016 ◽  
Vol 10 (03) ◽  
pp. 435-438 ◽  
Author(s):  
Chitravelu Siva Subramanian ◽  
N. K. K. Koteswara Prasad ◽  
Arun B. Chitharanjan ◽  
Eric Jein Wein Liou
Keyword(s):  
Functional Outcome ◽  
Surgical Procedures ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Treatment Technique ◽  
Patient Needs ◽  
Nasal Cartilage ◽  
Primary Rhinoplasty ◽  
Cleft Lip Repair ◽  
Nasoalveolar Molding

ABSTRACTNasoalveolar molding (NAM) can be done effectively to reshape the nasal cartilage and mold the maxillary dentoalveolar arch before surgical cleft lip repair and primary rhinoplasty. Presurgical NAM helps as an adjunct procedure to enhance the esthetic and functional outcome of the surgical procedures. We have developed a modified NAM device to suit to the needs of the patients coming from distant places for the treatment. This device helps in reducing the number of frequent visits the patient needs to take to the craniofacial center. The purpose of this presentation is to report this treatment technique and discuss its application.

Unilateral Cleft Lip Nasal Deformity: Foundation-Based Approach to Primary Rhinoplasty

2020 ◽  
Vol 146 (3) ◽  
pp. 373e-373e
Author(s):  
Jordan P. Steinberg
Keyword(s):  
Cleft Lip ◽  
Nasal Deformity ◽  
Primary Rhinoplasty

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

2018 ◽  
Vol 56 (2) ◽  
pp. 280-284
Author(s):  
Supakit Peanchitlertkajorn
Keyword(s):  
Cleft Palate ◽  
Cleft Lip ◽  
Primary Repair ◽  
Alar Cartilage ◽  
Nasal Deformity ◽  
Steep Learning Curve ◽  
Oral Plate ◽  
Cleft Nasal Deformity ◽  
Nasoalveolar Molding ◽  
Design Construction

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.

Primary correction of nasal deformity in unilateral incomplete cleft lip: A comparative study between three techniques

2012 ◽  
Vol 65 (4) ◽  
pp. 456-463 ◽  
Author(s):  
Ting-Chen Lu ◽  
Wee Leon Lam ◽  
Chun-Shin Chang ◽  
Philip Kuo-Ting Chen
Keyword(s):  
Comparative Study ◽  
Cleft Lip ◽  
Nasal Deformity

scholarly journals EFFECT OF CAD/CAM NASOALVEOLAR MOLDING APPLIANCE ON CORRECTION OF THE NASAL DEFORMITY IN COMPLETE BILATERAL CLEFT LIP AND PALATE

2020 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
Kenda Hanno ◽  
Ahmed Al Shimy ◽  
Mona Saad ◽  
Ahmed Habib ◽  
Ibrahim El-Fahham
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Nasal Deformity ◽  
Bilateral Cleft Lip ◽  
Cad Cam ◽  
Nasoalveolar Molding

Dynamic Presurgical Nasal Remodeling in Patients with Unilateral and Bilateral Cleft Lip and Palate: Modification to the Original Technique

2006 ◽  
Vol 43 (6) ◽  
pp. 639-648 ◽  
Author(s):  
Ricardo D. Bennun ◽  
Alvaro A. Figueroa
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Nasal Deformity ◽  
Nasal Tip ◽  
Palatal Plate ◽  
Bilateral Cleft Lip ◽  
Technical Modifications ◽  
Cleft Lip Repair ◽  
Nasal Tip Projection ◽  
Cleft Nasal Deformity

Objective: To present technical modifications to the original presurgical nasal remodeling appliance introduced in 1991. The purpose of the modifications is to improve the cleft nasal deformity before unilateral and bilateral cleft lip repair. Method: The principle behind this technique, known as dynamic presurgical nasal remodeling (DPNR), is the use of the force generated during suction and swallowing. A conventional intraoral plate is built with a nasal extension added to the labial vestibular flange. The nasal extension was modified and consists of three components. The palatal plate is left loose in the mouth to generate a discontinuous but controlled impact directed to the affected nasal structures during suction and swallowing. The principle aim of the DPNR technique in unilateral cases is to improve the deformation of nasal structures by straightening the columella, elevating the nasal tip, and remodeling the depressed cleft side alar cartilages. In bilateral cases, the aims are to elongate the columella and to obtain nasal tip projection. Conclusions: The modifications introduced in the appliance enhance the original DPNR technique and are effective in ameliorating the initial cleft nasal deformity. This facilitates primary surgical cleft lip and nose correction and improves surgical outcomes in patients with complete unilateral and bilateral cleft lip and palate.

scholarly journals Presurgical nasoalveolar molding therapy in cleft lip and palate individuals: Case series and review

2015 ◽  
Vol 5 ◽  
pp. 208-214
Author(s):  
Narayan H. Gandedkar ◽  
Chng Chai Kiat ◽  
Palaniselvam Kanesan ◽  
Wen Cong Lee ◽  
Por Yong Chen ◽  
...  
Keyword(s):  
Case Report ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Case Series ◽  
Nasal Deformity ◽  
Alveolar Cleft ◽  
Nasoalveolar Molding

The nasoalveolar molding (NAM) therapy is advocated to reduce the severity of alveolar cleft and nasal deformity. NAM therapy has demonstrated to be an effective method for reducing cleft and improve nose anatomy. This paper presents a case report of three cleft lip and palate individuals treated with NAM therapy. Furthermore, the paper highlights the advantages of NAM therapy along with an enumeration of literature suggesting in favor of NAM therapy and otherwise. Regardless of controversies and divergent views involved with NAM therapy, the immediate success of NAM therapy facilitating primary lip repair surgery cannot be under-emphasized.

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