Effects of nasoalveolar molding and lip adhesion in the treatment of complete cleft lip-alveolus-palate
Keywords:
cleft lip-alveolus-palate, nasoalveolar molding, lip adhesionAbstract
Introduction: Cleft lip and palate rank third among congenital defects, demanding early intervention for correction.
Aim: To describe the results obtained with the use of nasoalveolar molding (NAM) and lip adhesion in patients with complete cleft lip-alveolus-palate, treated in the Maxillofacial Surgery service of the Pediatric Hospital of Matanzas between 2010 and 2020.
Methods: An observational, descriptive, prospective research was carried out, in a universe of 16 patients with a diagnosis of complete cleft lip-alveolus-palate, treated in the Maxillofacial Surgery Service of Matanzas pediatric hospital during the period from January 2010 to December 2020, determining reference points to perform linear measurements that represented the study variables, both in patients treated only with nasoalveolar molding and in those in whom the nasoalveolar molding-lip adhesion binomial was used.
Results: With the exclusive use of nasoalveolar molding, there was a significant reduction of the palatal cleft in all patients under study, with increase in maxillary and hemi-maxillary transverse dimension, as well as a significant reduction of the alveolar cleft. The total reduction of the alveolar cleft was only achieved by combining lip adhesion with nasoalveolar molding.
Conclusion: The nasoalveolar molding-lip adhesion combination constitutes an effective binomial in the treatment of complete cleft lip-alveolus-palate.
Downloads
References
2. Agüero-Prado ID, Dallaserra M, Araya I, et al. Ortopedia prequirúrgica en el tratamiento de pacientes con fisura labio y paladar. Int j interdiscip dent. 2021;14(2):197-204. DOI: 10.4067/S2452-55882021000200197.
3. Silva Sazo J, Torres Molina R, Fierro Monti C, et al. Presurgical orthopedics in patients with cleft lip and palate: nutrition, aesthetics and gap between maxillary segments. A systematic review. Odontoestomatología [Internet]. 2021 [accessed 10/22/2023];23(38). Available from: http://www.scielo.edu.uy/pdf/ode/v23n38/en_1688-9339-ode-23-38-e303.pdf
4. Lopera Restrepo N. Ortopedia prequirúrgica en pacientes recién nacidos con labio y paladar hendidos. Rev Mex Ortodon. 2016;4(1). DOI: 10.1016/j.rmo.2016.03.085.
5. Martínez Pérez L, Imbert Fuentes Y, Simons Preval SJ, et al. Combinación de la técnica funcional con ortopedia en el tratamiento de pacientes fisurados labio-palatinos. Rev inf cient [Internet]. 2018 [accessed 10/22/2023];97(Supl 1):408-20. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1028-99332018000700408&Ing=es
6. Kurt Demirsoy K, Kutalmış Büyük S, Alpaydın T. Pediatricians’ Knowledge and Awareness on Pre-surgical Orthopedics in Newborns with Cleft Lip and Palate. J Pediatr Res [Internet]. 2022 [accessed 10/22/2023];9(1):31-37. Available from: https://jpedres.org/archives/archive-detail/article-preview/pediatricians-knowledge-and-awareness-on-pre-surgi/51086
7. Kumar V, Shakir M, Koppalkar R, et al. Presurgical nasoalveolar molding therapy in cleft lip palate infant: A successful case report. J Nat Sc Biol Med [Internet]. 2021 [accessed 10/22/2023];12(2). Available from: https://go.gale.com/ps/i.do?id=GALE%7CA669232008&sid=googleScholar&v=2.1&it=r&linkaccess=abs&issn=09769668&p=HRCA&sw=w&userGroupName=anon~2609673a&aty=open-web-entry
8. Arteaga V, Pannaci T, Hinostroza Flores M, et al. Manejo ortopédico prequirúrgico de labio y paladar hendido unilateral: Reporte de casos con diferentes abordajes. Rev odontopediatr latinoam. 2022;12(1). DOI: 10.47990/alop.v12i1.374.
9. Chinchilla-Soto G. Dobles-Jiménez AL. Evolución de la ortopedia prequirúrgica en pacientes con labio y/o paladar fisurado: revisión de literatura. Revista Científica Odontológica [Internet]. 2016 [accessed 10/22/2023];12(1):50-6. Available from: https://www.redalyc.org/pdf/3242/324248526007.pdf
10. Shiva A, Rezai MS, Etezadi T, et al. Presurgical nasoalveolar molding: A narrative review of early management in new born patient with cleft lip and palate. J Pediatr Rev [Internet]. 2019 [accessed 10/22/2023];7(4):217-22. Available from: http://jpr.mazums.ac.ir/article-1-211-en.html
11. Mulliken JB, Schmidt AG. Gustav Simon’s Band and the Evolution of labial adhesion. J Craniofac Surg [Internet]. 2013 [accessed 10/22/2023];24(1):108-14. Available from: https://pubmed.ncbi.nlm.nih.gov/23348265/
12. Riveros Carvajal CC, Calderon Guzman KX, Hurtado Cristancho KY, et al. Pre-surgical orthopedics success in patients with cleft lip and palate-Scaping review. Rev odontopediatr latinoam [Internet]. 2022 [accessed 10/22/2023];12(1). Available from: https://www.medigraphic.com/cgi-bin/new/resumenI.cgi?IDARTICULO=104098
13. Jolly J, Reddy G, Muddaiah S, et al. Presurgical nasoalveolar molding assisted primary reconstruction in 5-day old infant with unilateral cleft lip, alveolus and palate using psio-j hook appliance - a case report. Int J Adv Res [Internet]. 2019 [accessed 10/22/2023];7(4):339-47. Available from: https://www.journalijar.com/article/27593/presurgical-nasoalveolar-molding-assisted-primary-reconstruction-in-5-day-old-infant-with-unilateral-cleft-lip,-alveolus-and-palate-using-psio-j-hook-appliance--a-case-report/
14. Sharma P, Khera AK, Raghav P. Role of orthodontist in cleft lip and palate. J Oral Health Craniofac Sci [Internet]. 2021 [accessed 10/22/2023];6:8-15. Available from: https://www.craniofacialjournal.com/articles/johcs-aid1035.php#:~:text=An%20orthodontist%20plays%20a%20role,or%20orthognathic%20surgery%20if%20required
15. Alfonso Carrazana M, Hernández Rodríguez JM, Bermúdez Alemán R, et al. Crecimiento transversal del maxilar con uso de placa ortopédica prequirúrgica en pacientes con fisura labiopalatina. Medicent Electrón [Internet]. 2021 [accessed 10/22/2023];25(4):571-89. Available from: https://medicentro.sld.cu/index.php/medicentro/article/view/3255/2772
16. Thierens L, Brusselaers N, De Roo N, et al. Effects of labial adhesion on maxillary arch dimensions and nasolabial esthetics in cleft lip and palate: a systematic review. Oral Dis [Internet]. 2017 [accessed 10/22/2023];23(7):889-96. Available from: https://pubmed.ncbi.nlm.nih.gov/27878905/
17. Saskianti T, Rizki A, Limbri SC, et al. Pre-surgical Orthopedic (PSO) Pre-maxilla Appliance for Children with Cleft Lip and Palate: A Case Series. IJDM [Internet]. 2018 [accessed 10/22/2023];1(1):5-9. Available from: https://e-journal.unair.ac.id/IJDM/article/view/13801
Published
How to Cite
Issue
Section
License
All content published in this journal is Open Access, distributed under the terms of the CC BY-NC 4.0 License.
It allows:
- Copy and redistribute published material in any medium or format.
- Adapt the content.
This will be done under the following terms:
- Attribute the authors' credits and indicate whether changes were made, in which case it must be in a reasonable way.
- Non-commercial use.
- Recognize the journal where it is published.
The copyrights of each article are maintained, without restrictions.