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

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.

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

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.

scholarly journals Effectiveness of presurgical nasoalveolar molding therapy on unilateral cleft lip nasal deformity

2018 ◽  
Vol 39 (2) ◽  
pp. 169-178 ◽  
Author(s):  
Nao Kinouchi ◽  
Shinya Horiuchi ◽  
Akihiro Yasue ◽  
Yuko Kuroda ◽  
Nobuhiko Kawai ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Nasal Deformity ◽  
Nasoalveolar Molding

scholarly journals The nasal cantilever technique in children undergoing primary cleft lip surgery: novel concepts and review

2020 ◽  
Vol 5 (1-2) ◽  
pp. 53-62
Author(s):  
Badr M. I. Abdulrauf
Keyword(s):  
Learning Curve ◽  
Cleft Lip ◽  
Nasal Bone ◽  
Case Series ◽  
Nasal Deformity ◽  
Challenging Issue ◽  
Primary Surgery ◽  
Novel Concept ◽  
Cleft Nasal Deformity

AbstractBackgroundNasal deformity associated with cleft lip deformity is a challenging issue, encompassing controversies, theories, and a diversity of techniques. Historically, esthetic outcomes have ranged from being below expectations to barely acceptable.MethodBased on the concept that the nasal cartilaginous framework in clefts is similar to that of a collapsing pyramid, a novel suspension technique has been described. The entire cartilaginous structure is lifted from the infratip segment with a loop suture and is secured in a cantilever fashion onto the periosteum overlying the nasal bone. This part of the operation is performed in a semiclosed manner. The technique is applied during primary surgery in bilateral and unilateral nasal cleft lip deformities, with changes in the orientation of the cantilever loop suture. Studies conducted by Masters S. Tajima, H. McComb, H. Thomson, D. Fisher, and J. Mulliken, which are most relevant to this article, have been reviewed and discussed throughout.ResultsThe technique was first applied over 10 years ago. A case series of nine children whose parents consented to the developing technique is presented with follow-up ranging from months to years, along with technical descriptions and illustrative drawings. None of these cases had preoperative orthopedic correction, molding, or postoperative nostril splints. The esthetic outcome was optimal enough; none of the cases requested a secondary correction.ConclusionThe nasal cantilever technique is a novel concept in cleft nasal deformity, which can be used in conjunction with an appropriate lip technique, per the surgeon’s discretion. Other than a learning curve, we believe that it provides a solid correction by securing the cartilaginous structures after they have been mobilized to a stable base, the nasion.

The Performance of Secondary Nasal Alar Base Revision for Unilateral Cleft Lip by Single YV-Plasty (the Importance of Overcorrection During Surgery)

2021 ◽  
pp. 105566562110106
Author(s):  
Yoshitaka Matsuura ◽  
Hideaki Kishimoto
Keyword(s):  
Cleft Lip ◽  
Minimum Degree ◽  
Nasal Deformity ◽  
Simple Method ◽  
Primary Surgery ◽  
Base Revision ◽  
Alar Base ◽  
Anterior Nasal Spine ◽  
Nasal Floor ◽  
Case Basis

Although primary surgery for cleft lip has improved over time, the degree of secondary cleft or nasal deformity reportedly varies from a minimum degree to a remarkable degree. Patients with cleft often worry about residual nose deformity, such as a displaced columella, a broad nasal floor, and a deviation of the alar base on the cleft side. Some of the factors that occur in association with secondary cleft or nasal deformity include a deviation of the anterior nasal spine, a deflected septum, a deficiency of the orbicularis muscle, and a lack of bone underlying the nose. Secondary cleft and nasal deformity can result from incomplete muscle repair at the primary cleft operation. Therefore, surgeons should manage patients individually and deal with various deformities by performing appropriate surgery on a case-by-case basis. In this report, we applied the simple method of single VY-plasty on the nasal floor to a patient with unilateral cleft to revise the alar base on the cleft side. We adopted this approach to achieve overcorrection on the cleft side during surgery, which helped maintain the appropriate position of the alar base and ultimately balanced the nose foramen at 13 months after the operation. It was also possible to complement the height of the nasal floor without a bone graft. We believe that this approach will prove useful for managing cases with a broad and low nasal floor, thereby enabling the reconstruction of a well-balanced nose.

Computational Analysis of Olfactory Airspace in Patients With Unilateral Cleft Lip Nasal Deformity

2020 ◽  
pp. 105566562098275
Author(s):  
Reanna Shah ◽  
Jeffrey R. Marcus ◽  
Dennis O. Frank-Ito
Keyword(s):  
Cleft Lip ◽  
Computational Analysis ◽  
Normal Subjects ◽  
Nasal Deformity ◽  
Normal Anatomy ◽  
3 Dimensional ◽  
Computed Tomography Images ◽  
High Prevalence ◽  
Dimensional Reconstruction ◽  
The Impact

Objectives: To evaluate the magnitude of olfactory recess opacity in patients with unilateral cleft lip nasal deformity (uCLND). Design: Subject-specific 3-dimensional reconstruction of the nasal airway anatomy was created from computed tomography images in 11 (4 males and 7 females) subjects with uCLND and 7 (3 males, and 4 females) normal subjects. The volume and surface area of each subject’s unilateral and bilateral olfactory airspace was quantified to assess the impact of opacification. Qualitatively speaking, patients with 75% to 100% olfactory recess opacification were classified as extreme, 50% to 75% as severe, 25% to 50% as moderate, and 0% to 25% as mild. Results: Of the 11 subjects with uCLND, 5 (45%) were classified as having extreme olfactory recess opacification, 3 (27%) subjects had severe opacification, and 3 (27%) subjects had moderate opacification. Mean (±SD) bilateral olfactory recess volume was significantly greater in normal subjects than in subjects with uCLND (0.9668 cm3 ± 0.4061 cm3 vs 0.3426 cm3 ± 0.1316 cm3; P < .001). Furthermore, unilateral olfactory airspace volumes for the cleft and non-cleft sides in subjects with uCLND were considerably less than unilateral olfactory volume in subjects with normal anatomy (uCLND cleft side = 0.1623 cm3 ± 0.0933 cm3; uCLND non-cleft side = 0.1803 cm3 ± 0.0938 cm3; normal = 0.4834 cm3 ± 0.2328 cm3; P < .001). Conclusions: Our findings indicate a high prevalence of olfactory recess opacification among subjects with uCLND when compared to subjects with normal anatomy. The majority of subjects with uCLND had extreme olfactory recess opacity, which will likely influence their sense of smell.

Sign in / Sign up

Export Citation Format

Share Document