Document Detail

Symmetry of the nose after presurgical nasoalveolar molding in infants with unilateral cleft lip and palate: a preliminary study.
MedLine Citation:
PMID:  16241178     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To assess nostril symmetry and alveolar cleft width in infants with unilateral cleft lip and palate following presurgical nasoalveolar molding (NAM). SAMPLE AND METHODS: Fifty-seven newborn patients underwent presurgical nasoalveolar molding. Magnified basal view facial photos were taken at four different times: initial visit (T1), before cheiloplasty (T2), 1 month after cheiloplasty (T3), and 1 year of age (T4). Direct measurements from the photos included: (1) nostril width on the affected and nonaffected side; (2) nostril height on the affected and nonaffected side; (3) columella-nasal base angle; and (4) width of the alveolar cleft. Nostril width and height data were used to calculate a ratio of affected to nonaffected side. RESULTS: Effects of nasal symmetry after presurgical nasoalveolar molding were compared between the affected and nonaffected side. The nostril width ratio was 1.7, 1.2, 1.0, and 1.2 for T1 to T4. The nostril height ratio was 0.5, 0.8, 1.0, and 0.9 for T1 to T4. The angle of the columella was 53.3 degrees , 69.9 degrees , 91.2 degrees , and 86.9 degrees for T1 to T4. The average alveolar cleft width was 8.2 mm at T1 and closed down to 2.4 mm before cheiloplasty (T2) in cases with complete cleft. CONCLUSIONS: Infants with presurgical nasoalveolar molding improved symmetry of the nose in width, height, and columella angle, as compared to their presurgical status. There was some relapse of nostril shape in width (10%), height (20%), and angle of columella (4.7%) at 1 year of age.
Betty Chien-Jung Pai; Ellen Wen-Ching Ko; Chiung-Shing Huang; Eric Jen-Wein Liou
Related Documents :
8016918 - Holoprosencephaly anomaly with nasal and premaxillar agenesis (possibly autosomal reces...
22673168 - Early versus delayed cord clamping in term and preterm births: a review.
21536958 - The impact of statistical choices on neonatal intensive care unit quality ratings based...
23768948 - Theoretical system dynamics modeling for taiwan pediatric workforce in an era of nation...
23113068 - Breastfeeding practices in infants in the west region of cameroon.
3984728 - Composition of postnatal weight loss and subsequent weight gain in small for dates newb...
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association     Volume:  42     ISSN:  1055-6656     ISO Abbreviation:  Cleft Palate Craniofac. J.     Publication Date:  2005 Nov 
Date Detail:
Created Date:  2005-10-24     Completed Date:  2006-03-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9102566     Medline TA:  Cleft Palate Craniofac J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  658-63     Citation Subset:  D; IM    
Chang Gung Memorial Hospital and Chang Gung University, Taipei, Taiwan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Alveolar Process / abnormalities,  pathology
Cartilage / pathology
Cleft Lip / surgery,  therapy*
Cleft Palate / therapy*
Facial Asymmetry / prevention & control*
Follow-Up Studies
Infant, Newborn
Lip / surgery
Nose / abnormalities,  pathology*
Palatal Obturators
Preoperative Care
Prostheses and Implants*
Prosthesis Design

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  The effect of nasopharyngoscopic biofeedback in patients with cleft palate and velopharyngeal dysfun...
Next Document:  Stability of maxillary surgical movement in unilateral cleft lip and palate with preceding alveolar ...