Correction of the alveolar gap and nostril deformity by presurgical passive orthodontia in the unilateral cleft lip.

Abstract:

:The use of the nasoalveolar molding technique (NAM) aims to reduce passively the width of the alveolar gap, while improving the AP discrepancy but also focusing on the nose. We developed a within-subjects study in which 11 infants with unilateral lip deformity and varying degrees of alveolar gaps were treated by NAM. Patients included in the study presented alveolar gap at the first appointment to configure the molding device. Alveolar gap was then measured again at the time of lip repair to evaluate the impact of the appliance utilization, and the nostril shape was reassessed to verify the benefit relative to nose symmetry. All patients obtained significant reduction of the alveolar gap. The appliance also facilitated primary nasal positioning, significantly improving nasal symmetry and nostril shape. NAM constitutes an important adjunct to ameliorate the results of primary definitive lip repair while also improving the surgeon's ability to provide nasal symmetry.

journal_name

Ann Plast Surg

authors

Jaeger M,Braga-Silva J,Gehlen D,Sato Y,Zuker R,Fisher D

doi

10.1097/01.sap.0000259001.98869.d8

subject

Has Abstract

pub_date

2007-11-01 00:00:00

pages

489-94

issue

5

eissn

0148-7043

issn

1536-3708

pii

00000637-200711000-00003

journal_volume

59

pub_type

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