Nose and Lip Morphology Changes after Presurgical Nasoalveolar Molding in Complete Unilateral Cleft Lip and Palate Patients by Direct Measurement

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Published: May 31, 2018
Keywords:
Unilateral cleft lip and palate Presurgical nasoalveolar molding

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Siriya Pattarasiriporn
Montien dental clinic, Srichan Road, Amphur Muang, Khon Kaen
Aggasit Manosudprasit
Department of Orthodontics, Faculty of Dentistry, Khon Kaen University, Amphur Muang, Khon Kaen
Amornrut Manosudprasit
Department of Orthodontics, Faculty of Dentistry, Khon Kaen University, Amphur Muang, Khon Kaen
Poonsak Pisek
Department of Orthodontics, Faculty of Dentistry, Khon Kaen University, Amphur Muang, Khon Kaen

Abstract

This study aimed to evaluate the changes of nose and upper lip morphology after using Khon Kaen university presurgical nasoalveolar molding (KKU PNAM) in unilateral cleft lip and palate (UCLP) patients. 12 infants with unilateral cleft lip and palate (UCLP) were treated with the modified Khon Kaen University forehead-supported presurgical nasoalveolar molding appliance. Direct measurement using a Boley gauge was done at initial visit (T1) and before cheiloplasty (T2), Starting age of treatment was 5 - 60 days and period of treatment 66 - 132 days. Measurements included: alar
base width, alar base deviation, nostril width on the cleft side, nostril height on the cleft side, columella length, columella deviation, alveolar ridge gap, vermillion gap, upper lip protrusion and nose protrusion of the patients. Paired sample T-test was used to compare the differences between pre- and post-therapy measurements. After KKU PNAM treatment, significant changes were observed in the measurements at T2 compared to T1 (p < 0.05). There were significant increases in nose protrusion, columella length and the nostril height on the cleft side. Alar base deviation, columella deviation and nostril width on the cleft side were significantly reduced. Moreover, the alveolar ridge gap, vermillion gap and upper lip protrusion were
also significantly decreased. In conclusions, Preliminary treatment of UCLP with KKU PNAM offered a significant decrease in intersegment cleft lip distance and improved nose morphology which possibly could improve the surgical outcome of cheiloplasty and nasal surgery.

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1.
Pattarasiriporn S, Manosudprasit A, Manosudprasit A, Pisek P. Nose and Lip Morphology Changes after Presurgical Nasoalveolar Molding in Complete Unilateral Cleft Lip and Palate Patients by Direct Measurement. Khon Kaen Dent J [Internet]. 2018 May 31 [cited 2024 Nov. 20];20(2):52-6. Available from: https://he01.tci-thaijo.org/index.php/KDJ/article/view/126313
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Vol. 20 No. 2 (2017)
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Articles

บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการลงตีพิมพ์ในวิทยาสารทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นถือเป็นลิขสิทธิ์เฉพาะของคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่น หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษร จากคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นก่อนเท่านั้น

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