Presurgical Nasoalveolar Molding Techniques for Complete Bilateral Cleft Lip, and Palate Infants: Two Case Reports
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Abstract
Cleft lip and palate are congenital craniofacial abnormalities that can lead to a number of problems, such as impaired facial growth, impaired esthetic, and speech disorders. Therefore, patients with cleft lip and palate usually undergo cheiloplasty, the surgical outcomes of which can be improved using presurgical nasoalveolar molding (PNAM). Various cleft centers have introduced their own PNAM protocol, including Khon Kaen University (KKU), where KKU-NAM protocol is followed. This case report presents two cases of bilateral complete cleft lip, and palate patients treated with KKU-NAM protocol. To reduce the alveolar cleft gaps before cheiloplasty, the protocol uses a forehead-type nasoalveolar molding device, an alveolar molding plate with traction screw, and an extra-oral strapping. After applying KKU-NAM protocol, the premaxilla was retracted into a proper position, and the alveolar cleft gaps were reduced due to the contraction screw.
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บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการลงตีพิมพ์ในวิทยาสารทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นถือเป็นลิขสิทธิ์เฉพาะของคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่น หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษร จากคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นก่อนเท่านั้น
References
Ratanasiri T, Junthathamrongwat N, Apiwantanakul S, Wongkam C, Chowchuen B. The birth incidence of cleft lip and palate at Srinagarind Hospital, 1990-1999. Srinagarind Med J. 2001;16:3-7.
Grayson B H, Maull D. Nasoalveolar Molding for Infant Born with Clefts of the Lip, Alveolus, and Palate. Seminar in plastic surgery. 2005;19(4):294-301.
Grayson BH, Cutting CB. Presurgical nasoalveolar orthopedic molding in primary correction of the nose, lip, and alveolus of infants born with unilateral and bilateral clefts. Cleft Palate Craniofac J 2001;38(3):193-8.
Grayson BH, Santiago PE, Brecht LE, Cutting CB. Presurgical nasoalveolar molding in infants with cleft lip and palate. Cleft Palate Craniofac J. 1999;36(6):486-98.
Santiago P, Grayson B, Cutting C, Gianoutsos M BL, Kwon S. Reduced need for alveolar bone grafting by presurgical orthopedics and primary gingivoperiosteoplasty. Cleft Palate Craniofac J. 1998;35:77-80.
Sato Y, Grayson B, Barillas I, Cutting C. The effect of gingivoperiosteoplasty on the outcome of secondary alveolar bone graft. Program and Abstracts of the 59th Annual Session of the American Cleft Palate–Craniofacial Association; Seattle: American Cleft Palate–Craniofacial Association; 2002. 51.
Manosudprasit M, Chongcharueyskul P, Wangsrimonkol T, Pisek P. Presurgical nasoalveolar molding techniques for a complete unilateral cleft lip and palate infant: a case report. J Med Assoc Thai. 2015;98(8):234-42.
Pai BC, Ko EW, Huang CS, Liou EJ. Symmetry of the nose after presurgical nasoalveolar molding in infants with unilateral cleft lip and palate: a preliminary study. Cleft Palate Craniofac J 2005;42(6):658-63.
Liou E, Subramanian M, Chen P, Huang S. The Progressive changes of nasal symmetry and growth after nasoalveolar molding: a three-year follow-up study. Plastic and reconstructive surgery 2004;114(4):858-64.
Wilhelmsen HR, Musgrave RH. Complications of cleft lip surgery. Cleft Palate J 1996;3:223-31.
Monasterio L, Ford A, Gutierrez C, Tastets ME, Garcia J. Comparative study of nasoalveolar molding methods: nasal elevator plus DynaCleft (R) versus NAM-Grayson in patients with complete unilateral cleft lip and palate. Cleft Palate Craniofac J 2013;50(5):548-54.
Matsuo K, Hirose T. Nonsurgical correction of cleft lip nasal deformity in the early neonate. Ann Acad Med Singapore 1988;17(3):358-65.
Matsuo K, Hirose T, Tomono T, Iwasawa M, Katohda S, Takahashi N, et al. Nonsurgical correction of congenital auricular deformities in the early neonate: a preliminary report. Plast Reconstr Surg. 1984;73(1):38-51.
Matsuo K, Hirose T, Otagiri T, Norose N. Repair of cleft lip with nonsurgical correction of nasal deformity in the early neonatal period. Plast Reconstr Surg 1989;83(1):25.
Matsuo K, Hirose T. Preoperative non-surgical over-correction of cleft lip nasal deformity. Br J Plast Surg 1991;44(1):5-11.
Bajaj A, Rao KS, Sharma SM, Shetty V. Modified presurgical nasoalveolar molding in the infants with complete unilateral cleft lip and palate: a stepwise approach. J Maxillofac Oral Surg 2011;10(3):275-80.
Pool R, Farnworth TK. Preoperative lip taping in the cleft lip. Ann Plast Surg 1994;32(3):243-9.
Grayson BH, Garfinkle JS. Early cleft management: The case for nasoalveolar molding. Am J Orthod Dentofacial Orthop 2014;145(2): 134-42.
Williams EM, Evans CA, Reisberg DJ, Begole EA. Nasal Outcomes of Presurgical Nasal Molding in Complete Unilateral Cleft Lip and Palate. Int J Dent 2012;2012:1-5.
Kongprasert T, Winaikosol K, Pisek A, Manosudprasit A, Manosudprasit A, Wangsrimonkol B, et al. Evaluation of the Effects of Cheiloplasty on Maxillary Arch in UCLP Infants Using Three-Dimensional Digital Models. CPCJ 2019;56(8):1-7.
Retnakumari N, Divya S, Meenakumari S, Ajith P.S. Nasoalveolar molding treatment in presurgical infant orthopedics in cleft lip and cleft palate patients. AMHS 2014;2(1):36-47.
Neha, Tripathi T, Rai P, Bhandari S. Nasoalveolar molding: Use of reverse expansion screw in retraction of cleft premaxilla in a case of bilateral cleft lip and palate. Journal of Cleft Lip Palate and Craniofacial Anomalies. 2015;2(2):143-6.
Ijaz A, Raffat A, Israr J. Nasoalveolar molding of bilateral cleft of the lip and palate infants with orthopaedic ring plate. J Pak Med Assoc 2010;60(7):527-31.