Nasoalveolar Molding Appliance CMU-NAM: Two Cases Reports

Nasoalveolar Molding Appliance

Authors

  • Patthara Chunpongtong Department of Dentistry, Buddhachinnaraj Phitsanulok Hospital, Phitsanulok, 65000

Keywords:

cleft lip and cleft palate, nasoalveolar molding appliance, CMU-NAM

Abstract

Cleft lip and cleft palate are common birth defects present with the splitting upper lip and palate. They can be treated  by surgical correction along with facial growth. The  nasoalveolar molding appliance (NAM) treatment can  reduce the gap and enhances a more symmetrical alveolar  ridge and nose together with promoting normal growth  development as the favorable esthetic profile. This article  presented nasoalveolar molding treatment of the unilateral  cleft lip cleft palate patient and bilateral cleft lip cleft palate   patient with Chiang Mai university NAM (CMU-NAM), prior  to cheiloplasty and showed the favorable surgical outcome. 
It can be concluded that insertion of the CMU-NAM nasal  prior to cheiloplasty results in postoperative patients that is  close to normal facial shape

References

Tianviwat S, Jearanai S. Epidemiology of cleft lip and cleft palate in Thailand. Thai J Ortho 2020;10(2):27-36.

Jittasathien L, Wantong P, Sae-Aueng C, Teerarangsikul P. Patients with cleft lip and/or cleft palate in Buddhachinaraj Phitsanulok Hospital,1994-2003. Buddhachinaraj Med J 2006;23(2):154-63.

Chaiworawittkul M. Interdisciplinary cleft care. In: Chaiworawitkul M, editor. Comprehensive cleft care for dentists and orhtodontists Vol 1. Chaingmai, Thailand: Trio Advertising and Media,Ltd; 2012. p.57-67.

Heidbuchel KLWM, Kuijpers-Jagtman AM, Kramer GJC, Prahl-Andersen B. Maxillary arch dimensions in bilateral cleft lip and palate from birth until four years of age in boys. Cleft Palate-Cran J 1998;35(3):233-9.

McNeil CK. Orthodontic procedures in the treatment of congenital cleft palate. Dent Rec 1950;70(5):126-32.

Georgiade NG, Latham RA. Maxillary arch alignment in the bilateral cleft lip and palate infant, using pinned coaxial screw appliance. Plast Reconstr Surg 1975;56(1):52-60.

Grayson BH, Santiago PE, Brecht LE, Cutting CB. Presurgical nasoalveolar molding in infants with cleft lip and palate. Cleft Palate-Cran J 1999;36(6):486-98.

Ettinger RE, Buchman SR. Cleft lip and palate: embryology, principle, and treatment. In: Chung KC, editor. Grabb and Smith's plastic surgery. 8th ed. Philadelphia, Pennsylvania State, USA: Wolters Kluwer; 2020. p.225-37.

Lee YS, Shin DH, Choi HG, Kim JN, Lee MC, Kim SH, et al. Columella lengthening with a full-thickness skin graft for secondary bilateral cleft lip and nose repair. Arch Plast Surg 2015;42(6):704-8.

Göz G, Joos U, Schilli W. The influence of lip function on the sagittal and transversal development of the maxilla in cleft patients. Scand J Plast Reconstr Surg 1987;21(1):31-4.

Matsuo K, Hirose T. Preoperative non-surgical over-correction of cleft lip nasal deformity. Br J Plast Surg 1991;44(1):5-11.

Wirarat P, Nirunrungrueng P, Ritthagol W, Keinprasit C. KORAT NAM. J Thai Assoc Orthod 2010; 9(1):33-42.

Chaiworawitkul M. Chiang Mai University-nasoalveolar molding type I. CM Dent J 2012;33(1):71-5.

Chaiworawitkul M. Chiang Mai University-nasoalveolar molding type II. CM Dent J 2017;38(3):47-52.

Prasongvaranon V, Pisek P, Manosudprasit A, Panyavong P, Manosudprasit A. Effects of Khon Kaen University presurgical nasoalveolar molding device on maxillary dimension in complete unilateral cleft lip and palate patients: a full protocol evaluation. Khon Kaen Dent J 2020;23(1):43-51.

Pool R, Farnworth TK. Preoperative lip taping in the cleft lip. Ann Plast Surg 1994;32(3):243-9.

Thierens L, Brusselaers N, De Roo N, De Pauw G. Effects of labial adhesion on maxillary arch dimensions and nasolabial esthetics in cleft lip and palate: a systematic review. Oral Dis 2017;23(7):889-96.

Maillard S, Retrouvey JM, Ahmed MK, Taub PJ. Correlation between nasoalveolar molding and surgical, aesthetic, functional and socioeconomic outcomes following primary repair surgery: a systematic review. J Oral Maxillofac Res 2017;8(3):e2. doi: 10.5037/jomr.2017.8302

Gibson E, Pfeifauf KD, Skolnick GB, Kim A, Naidoo SD, Snyder-Warwick A, et al. Presurgical orthopedic intervention prior to cleft lip and palate repair: nasoalveolar molding versus passive molding appliance therapy. J Cranio Surg 2021;32(2):486-91.

Al-Ahmad A, Masri R, Driscoll CF, Von Fraunhofer J, Romberg E. Pressure generated on a simulated mandibular oral analog by impression materials in custom trays of different design. J Prosthodont 2006;15(2):95-101.

Garland K, McNeely B, Dubois L, Matic D. Systematic review of the long-term effects of presurgical orthopedic devices on patient outcomes. Cleft Palate-Cran J 2022;59(2):156-65.

Thakur S, Jishad C, Singhal P, Chauhan D. Comparative clinical evaluation of modified and conventional Grayson's presurgical nasoalveolar molding technique in infants with complete unilateral cleft lip and palate. J Dent Res 2021;18(7):1-9.

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Published

2023-01-13