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    
Abstract/OtherAbstract:
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.
Authors:
Betty Chien-Jung Pai; Ellen Wen-Ching Ko; Chiung-Shing Huang; Eric Jen-Wein Liou
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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    
Affiliation:
Chang Gung Memorial Hospital and Chang Gung University, Taipei, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Alveolar Process / abnormalities,  pathology
Cartilage / pathology
Cephalometry
Cleft Lip / surgery,  therapy*
Cleft Palate / therapy*
Facial Asymmetry / prevention & control*
Female
Follow-Up Studies
Humans
Infant, Newborn
Lip / surgery
Male
Nose / abnormalities,  pathology*
Palatal Obturators
Preoperative Care
Prostheses and Implants*
Prosthesis Design
Stents

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


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