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Nasoalveolar molding in a case of incomplete cleft lip: Is it worth doing?

Esenlik E, Aydin MA - Ann Maxillofac Surg (2015 Jan-Jun)

Bottom Line: The patient was a 15-day-old female infant with a two-thirds vertical separation of the left side of the upper lip, with an intact nasal sill.A modified molding appliance was made to improve nasal esthetics and correct the alveolar notch.Although the nasal and alveolar region abnormalities were not serious, the molding appliance improved the nasal and lip esthetics and was stable during the 4-year follow-up.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthodontics, Faculty of Dentistry, Süleyman Demirel University, Isparta, Turkey.

ABSTRACT
The purpose of this study was to evaluate the effects of presurgical nasoalveolar molding in an infant with incomplete cleft lip and alveolar notch. The patient was a 15-day-old female infant with a two-thirds vertical separation of the left side of the upper lip, with an intact nasal sill. A modified molding appliance was made to improve nasal esthetics and correct the alveolar notch. Although the nasal and alveolar region abnormalities were not serious, the molding appliance improved the nasal and lip esthetics and was stable during the 4-year follow-up.

No MeSH data available.


Related in: MedlinePlus

(a-d) Pretreatment facial and intraoral photographs and nasoalveolar molding appliance
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Figure 1: (a-d) Pretreatment facial and intraoral photographs and nasoalveolar molding appliance

Mentions: The patient was a 15-day-old female infant with an upper lip cleft on the left side. Her parent's chief complaints were cleft lip and nose aesthetics. The infant was the second child and there was no family history of congenital birth defects. Her delivery had been normal and her medical history showed no systemic disorders. Clinical examination revealed a vertical separation of two-thirds of the left side of the upper lip with an intact nasal sill. The left naris was somewhat depressed, and the nasal tip deviated to the cleft side. The cleft lip was associated with an alveolar notch [Figure 1a and b]. The objective was to close the lip parts toward each other, improve the symmetry of the nose, and correct the notching of the alveolar region. For this purpose, a modified molding appliance was made to improve nasal esthetics and to stimulate vertical growth at the alveolar notch. The appliance was designed with two nasal parts for both right and left sides. The left part was made as usual, but the right part as only a ball [Figure 1c and d]. This modification was thought to be useful to better control the nasal septum. The left side was raised weekly, using acrylic, while the other side was activated mesially to support the nasal tip and septum. In addition, an alveolar correction was made by removal of a portion of the acrylic from the intraoral area weekly. Strip bands were also used to facilitate closing the lip.


Nasoalveolar molding in a case of incomplete cleft lip: Is it worth doing?

Esenlik E, Aydin MA - Ann Maxillofac Surg (2015 Jan-Jun)

(a-d) Pretreatment facial and intraoral photographs and nasoalveolar molding appliance
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4555934&req=5

Figure 1: (a-d) Pretreatment facial and intraoral photographs and nasoalveolar molding appliance
Mentions: The patient was a 15-day-old female infant with an upper lip cleft on the left side. Her parent's chief complaints were cleft lip and nose aesthetics. The infant was the second child and there was no family history of congenital birth defects. Her delivery had been normal and her medical history showed no systemic disorders. Clinical examination revealed a vertical separation of two-thirds of the left side of the upper lip with an intact nasal sill. The left naris was somewhat depressed, and the nasal tip deviated to the cleft side. The cleft lip was associated with an alveolar notch [Figure 1a and b]. The objective was to close the lip parts toward each other, improve the symmetry of the nose, and correct the notching of the alveolar region. For this purpose, a modified molding appliance was made to improve nasal esthetics and to stimulate vertical growth at the alveolar notch. The appliance was designed with two nasal parts for both right and left sides. The left part was made as usual, but the right part as only a ball [Figure 1c and d]. This modification was thought to be useful to better control the nasal septum. The left side was raised weekly, using acrylic, while the other side was activated mesially to support the nasal tip and septum. In addition, an alveolar correction was made by removal of a portion of the acrylic from the intraoral area weekly. Strip bands were also used to facilitate closing the lip.

Bottom Line: The patient was a 15-day-old female infant with a two-thirds vertical separation of the left side of the upper lip, with an intact nasal sill.A modified molding appliance was made to improve nasal esthetics and correct the alveolar notch.Although the nasal and alveolar region abnormalities were not serious, the molding appliance improved the nasal and lip esthetics and was stable during the 4-year follow-up.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthodontics, Faculty of Dentistry, Süleyman Demirel University, Isparta, Turkey.

ABSTRACT
The purpose of this study was to evaluate the effects of presurgical nasoalveolar molding in an infant with incomplete cleft lip and alveolar notch. The patient was a 15-day-old female infant with a two-thirds vertical separation of the left side of the upper lip, with an intact nasal sill. A modified molding appliance was made to improve nasal esthetics and correct the alveolar notch. Although the nasal and alveolar region abnormalities were not serious, the molding appliance improved the nasal and lip esthetics and was stable during the 4-year follow-up.

No MeSH data available.


Related in: MedlinePlus