Effect of Presurgical Nasoalveolar Molding on Nasal Symmetry in Unilateral Complete Cleft Lip/Palate Patients after Primary Cheiloplasty without Concomitant Nasal Cartilage Dissection: Early Childhood Evaluation.
Cleft Palate Craniofac J
; 55(7): 935-940, 2018 08.
Article
en En
| MEDLINE
| ID: mdl-28085515
ABSTRACT
OBJECTIVE:
The objective of this study was to assess the efficacy of presurgical nasoalveolar molding (PNAM) on long-term nasal symmetry and shaping after primary cheiloplasty in patients with unilateral complete cleft lip/palate (UCL/P).DESIGN:
This was a two-group, parallel, retrospective, randomized clinical trial.SETTING:
The setting for this study was the Chang Gung Craniofacial Center in Taoyuan, Taiwan. PATIENTS Patients were divided into one of the following two groups infants with UCL/P who underwent PNAM (PNAM group, n = 42) and infants with UCL/P who did not undergo PNAM (non-PNAM group, n = 42).INTERVENTIONS:
Interventions included PNAM and primary cheiloplasty without nasal cartilage dissection. MAIN OUTCOMEMEASURES:
In this study, 4- to 5-year postoperative full-face and submental oblique photographs were taken of all patients and scored from 1 to 5 points by 10 medical evaluators. The scores were statistically analyzed using repeated-measures analysis of variance, and P < .05 was considered to represent statistical significance.RESULTS:
After 1 to 3 months of PNAM but before primary cheiloplasty, the displaced nasal and alveolar cartilage showed obvious improvement. However, the scores in the PNAM and non-PNAM groups at 4 to 5 years postoperatively were 66.62 ± 14.25 and 66.31 ± 15.08, respectively. There was no significant difference between the two groups ( F = 0.009, P = .923).CONCLUSION:
PNAM as an early-stage adjunctive therapy for nasal deformity correction is beneficial before primary cheiloplasty, but it is insufficient to maintain long-term nostril symmetry after primary cheiloplasty without nasal cartilage dissection.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Nariz
/
Labio Leporino
/
Fisura del Paladar
/
Procedimientos Ortopédicos
/
Proceso Alveolar
Tipo de estudio:
Observational_studies
Límite:
Child, preschool
/
Female
/
Humans
/
Male
País/Región como asunto:
Asia
Idioma:
En
Revista:
Cleft Palate Craniofac J
Asunto de la revista:
ODONTOLOGIA
Año:
2018
Tipo del documento:
Article