Presurgical nasoalveolar molding: A technical note with case report
نویسنده
چکیده
Cleft of the lip, alveolus and palate (CLAP), is a complex facial deformity, which requires multiple surgeries and bone grafting to correct the defect. Active or passive Pre surgical Orthopedic Molding reduces the deformity and thus reduces number of surgeries to achieve superior post surgical esthetic. Pre-surgical nasoalveolar molding (PNAM) is passive molding which align and approximate the alveolar cleft segments, at the same time improve the contour of columella-philtrum region and nose. A case report with bilateral cleft of lip and alveolus showing significant reduction in the defect and improvement in contour of lip-nose region with application of Pre-surgical nasoalveolar molding (PNAM) is described. .
منابع مشابه
Presurgical nasoalveolar molding therapy for the treatment of bilateral cleft lip and palate: A preliminary study.
OBJECTIVE To evaluate the outcome of presurgical nasoalveolar molding therapy in the treatment of patients with bilateral cleft lip and palate. DESIGN A prospective study with blinded measurements. SETTING The Cleft and Craniofacial Clinic at the University of Texas at Houston Medical School, Houston, Texas. PATIENTS Eight patients with bilateral cleft lip and palate, treated between 2002...
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BACKGROUND Alveolar and nasal reconstruction for patients with cleft lip and palate is a challenge for the reconstructive surgeon. Various procedures have been attempted to reduce the cleft gap so as to obtain esthetic results post surgically. Yet there is need of continuous exploration of newer and better methods. Rehabilitation of cleft lip and palate generally requires a team approach with p...
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SUMMARY Although nasoalveolar molding is commonly performed before cleft lip surgery, customized palatal plate availability is limited for patients far from a hospital. This case report describes a preformed extraoral nasoalveolar molding (PENAM) appliance and treatment approach for presurgical nasoalveolar molding in newborns with complete unilateral cleft lip and palate. A 12-day-old boy pres...
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The principle objective of presurgical nasoalveolar molding (NAM) is to reduce the severity of the initial cleft deformity. This enables the surgeon and the patient to enjoy the benefits associated with a repair of a cleft deformity that is of minimal severity. Retraction of the premaxilla, presurgical elongation of the columella, correction of the nasal cartilage deformity, alignment of the cl...
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