Complications and solutions in presurgical nasoalveolar molding therapy.

Abstract:

OBJECTIVE:To outline three main categories of nasoalveolar molding complications, describe their etiologies and manifestations, and prescribe preventive and palliative therapy for their proper management. Estimates of the incidence of each complication also are provided. MATERIALS AND METHODS:Data were collected retrospectively from the charts of 27 patients with complete unilateral cleft lip and palate treated by the first author (D.L.-B.) at the University of Puerto Rico (n = 12) and the Medical College of Georgia (n = 15). Confidence intervals for the true incidence of each complication were calculated using exact methods based on the binomial distribution. A significance level of .05 was used for all statistical tests. RESULTS:Of the soft and hard tissue complications considered, only one (tissue irritation) had an estimated incidence greater than 10%. Compliance issues were of greater concern, with an estimated incidence of 30% for broken appointments and an estimated incidence of 26% for removal of the nasoalveolar molding appliance by the tongue. CONCLUSIONS:Although benefits outnumber the complications, it is important to address all complications in order to prevent any deleterious outcomes.

authors

Levy-Bercowski D,Abreu A,DeLeon E,Looney S,Stockstill J,Weiler M,Santiago PE

doi

10.1597/07-236.1

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

521-8

issue

5

eissn

1055-6656

issn

1545-1569

pii

07-236

journal_volume

46

pub_type

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