Nasal Conformer and Nasoalveolar Molding

Objectives: To compare nasal and upper airway dimensions in patients with cleft lip and palate (CLP) who underwent nasoalveolar molding (NAM) with those without NAM during infancy using acoustic pharyngometry and rhinometry. Materials and Methods: Eccovision acoustic pharyngometry and rhinometry (Sleep Group Solutions) was used for assessment of mean area and volume of nasal and upper airway in patients with complete unilateral CLP (age range 16-21 years) treated with NAM (group 1, n = 19) versus without NAM (group 2, n = 22). Results: The mean nasal cross-sectional areas and volume were higher in group 1 compared to group 2 on both cleft ( P value <.001) and noncleft side ( P value >.05). The mean area and volume of upper airway were also significantly higher in group 1 compared to group 2 ( P value <.05). Conclusions: Nasoalveolar molding being one of the first interventions in chronology of treatment of patients with CLP, its long-term outcome on nasal and upper airway patency needs to be ascertained. The results of the present study show that the patients with CLP who have undergone NAM during infancy have better improvement in nasal and upper airway patency compared with those who had not undergone NAM procedure. The basic advantages of being noninvasive, nonionizing and providing dynamic assessment of nasal and upper airway patency make acoustic pharyngometry and rhinometry a diagnostic tool of choice to be used in patients with CLP.

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Active Nasoalveolar molding (A-NAM) using three-directional expansion screw for arch alignment in bilateral cleft lip and palate

AJO-DO Clinical Companion ◽

10.1016/j.xaor.2021.12.003 ◽

2021 ◽

Author(s):

Dr. Neha Bhutiani ◽

Dr. Tulika Tripathi ◽

Dr. Priyank Rai

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Bilateral Cleft Lip ◽

Nasoalveolar Molding

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Presurgical Nasoalveolar Molding of Bilateral Cleft Lip and Palate Infants: An Orthodontist’s Point of View

Turkish Journal of Orthodontics ◽

10.5152/turkjorthod.2017.17045 ◽

2017 ◽

Vol 30 (4) ◽

pp. 118-125 ◽

Cited By ~ 1

Author(s):

Ayse Tuba Altug

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Point Of View ◽

Bilateral Cleft Lip ◽

Nasoalveolar Molding

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Nasoalveolar molding in complete cleft lip nasal deformity patients

Bratislava Medical Journal ◽

10.4149/bll_2012_068 ◽

2012 ◽

Vol 113 (05) ◽

pp. 293-297

Author(s):

J. Fedeles ◽

P. Ziak ◽

J. Fedeles

Keyword(s):

Cleft Lip ◽

Nasal Deformity ◽

Nasoalveolar Molding

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The Effect of Nasoalveolar Molding on Nasal Airway Anatomy

The Cleft Palate-Craniofacial Journal ◽

10.1177/1055665617744062 ◽

2018 ◽

Vol 55 (4) ◽

pp. 596-601 ◽

Cited By ~ 3

Author(s):

Jonathan P. Massie ◽

Karl Bruckman ◽

William J. Rifkin ◽

Christopher M. Runyan ◽

Pradip R. Shetye ◽

...

Keyword(s):

Cleft Lip ◽

Inferior Turbinate ◽

Septal Deviation ◽

Nasal Airway ◽

Retrospective Case ◽

Tertiary Referral Center ◽

Nasal Cartilage ◽

Inferior Turbinate Hypertrophy ◽

Nasoalveolar Molding ◽

Control Study

Objective: To determine the effects of nasoalveolar molding (NAM) on nasal airway architecture. Design: Retrospective case-control study of patients with unilateral cleft lip treated with NAM vs without NAM. Setting: Tertiary referral center specializing in cleft and craniofacial care. Patients, Participants, and Interventions: Thirty-six patients with complete unilateral cleft lip and alveolus: 19 with NAM therapy and 17 without NAM therapy. Main Outcome Measures: Cone beam computed tomography (CBCT) scans were compared in multiple coronal sections and were evaluated for linear and angular septal deviation, inferior turbinate hypertrophy, and linear and 2-dimensional airway area. Results: There were no significant differences in linear or angular septal deviation, inferior turbinate area, linear stenosis, or airway area between NAM- and non-NAM-treated patients. Conclusions: NAM effectively molds the external nasal cartilage and structures but may have limited effects on internal nasal structures.

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