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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-c) Facial and intraoral photographs at 4-year follow-up
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Figure 5: (a-c) Facial and intraoral photographs at 4-year follow-up

Mentions: After establishing a more vertical left naris, the cleft lip was reconstructed at 5.5 months using the Millard technique with Mohler's modification [Figure 2]. A nasal stent was applied for retention, and she was checked monthly for 6 months [Figure 3]. The nasal stent was custom-made with acrylic (because of its rigidity) and it was more vertical on the cleft side. After removal of the nasal stent, the patient was checked annually. At the ages of 2 and 4 years, she showed no asymmetry in the frontal view and had acceptable nose and lip appearances [Figures 4 and 5]. The notch appearance at the cleft site was improved. Clinical examination of the left central and lateral deciduous teeth showed a cross-bite at 4-year of age. She has not received any other surgical interventions. Follow-up is continuing annually.


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

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

(a-c) Facial and intraoral photographs at 4-year follow-up
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 5: (a-c) Facial and intraoral photographs at 4-year follow-up
Mentions: After establishing a more vertical left naris, the cleft lip was reconstructed at 5.5 months using the Millard technique with Mohler's modification [Figure 2]. A nasal stent was applied for retention, and she was checked monthly for 6 months [Figure 3]. The nasal stent was custom-made with acrylic (because of its rigidity) and it was more vertical on the cleft side. After removal of the nasal stent, the patient was checked annually. At the ages of 2 and 4 years, she showed no asymmetry in the frontal view and had acceptable nose and lip appearances [Figures 4 and 5]. The notch appearance at the cleft site was improved. Clinical examination of the left central and lateral deciduous teeth showed a cross-bite at 4-year of age. She has not received any other surgical interventions. Follow-up is continuing annually.

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