Nasoalveolar Molding Improves Long-Term Nasal Symmetry in Complete Unilateral Cleft Lip–Cleft Palate Patients

@article{Barillas2009NasoalveolarMI,
  title={Nasoalveolar Molding Improves Long-Term Nasal Symmetry in Complete Unilateral Cleft Lip–Cleft Palate Patients},
  author={Ingrid Barillas and Wojciech Dec and Stephen M. Warren and Court B. Cutting and Barry H. Grayson},
  journal={Plastic and Reconstructive Surgery},
  year={2009},
  volume={123},
  pages={1002-1006}
}
Background: Nasoalveolar molding was developed to improve dentoalveolar, septal, and lower lateral cartilage position before cleft lip repair. Previous studies have documented the long-term maintenance of columella length and nasal dome form and projection. The purpose of the present study was to determine the effect of presurgical nasoalveolar molding on long-term unilateral complete cleft nasal symmetry. Methods: A retrospective review of 25 consecutively presenting nonsyndromic complete… 

Nasoalveolar Molding Therapy for the Treatment of Unilateral Cleft Lip and Palate Improves Nasal Symmetry and Maxillary Alveolar Dimensions

TLDR
Nasoalveolar molding improves nasal symmetry and achieves an improvement of all maxillary alveolar dimensions, increasingAlveolar rim width, reducing the size of alveolars cleft gap, and improving shape of the maxillary dental arch.

A Comparative Assessment of Nasal Appearance following Nasoalveolar Molding and Primary Surgical Repair for Treatment of Unilateral Cleft Lip and Palate

TLDR
In children with complete unilateral cleft lip and palate, nasoalveolar molding was associated with better overall nasal aesthetics and improved cleft nostril height and cleft medial lip height at approximately 5 years of age.

Long-Term Comparison of the Aesthetic Outcomes between Nasoalveolar Molding– and Non–Nasoalveolar Molding–Treated Patients with Unilateral Cleft Lip and Palate

TLDR
It is found that at 5-year postoperative follow-up, nasoalveolar molding–treated patients had improved nasolabial aesthetics and fewer revision operations.

NASAL SYMMETRY ACHIEVED BY NASOALVEOLAR MOLDING IN CLEFT LIP AND PALATE PATIENTS- A LITERATURE REVIEW

TLDR
Nasal symmetry is preferably well acheived by Nasoalveolar Molding according to the Cochrane data base, hand search articles and books since 1994-2010.

Effect of Presurgical Nasoalveolar Molding on Nasal Symmetry in Unilateral Complete Cleft Lip/Palate Patients after Primary Cheiloplasty without Concomitant Nasal Cartilage Dissection

TLDR
PNAM as an early-stage adjunctive therapy for nasal deformity correction is beneficial before primary cheiloplasty, but it is insufficient to maintain long-term nostril symmetry after primary cheilloplasty without nasal cartilage dissection.

Nasoalveolar molding in complete cleft lip nasal deformity patients.

TLDR
No statistical significant difference was found in nostril height, width, collumelar lenght, interalar distance and nostril symetry between unilateral complete cleft lip/palate patients undergoing NAM and incomplete clefts lip patients/palates with no need of presurgical moulding, proving NAM combined with primary nasal correction is a very efficient management for cleftlip/Palate children with outstanding results.

The Surgical Nasoalveolar Molding: A Rational Treatment for Unilateral Cleft Lip Nose Deformity and Literature Review

TLDR
Primary cheilorhinoplasty alone is a good approach to improve nose appearance and alveolar gap in patients with unilateral cleft lip nose and palate deformity and available scientific evidence is not sufficient to demonstrate that combined use of presurgical nasoalveolar molding and primary surgery provides better nasolabial aesthetic outcomes than does primary surgery alone.

Nasal Outcomes of Presurgical Nasal Molding in Complete Unilateral Cleft Lip and Palate

TLDR
Nasal molding combined with lip surgery repair according to the Millard procedure provides superior nasal symmetry than surgery alone for nostril height-width ratios and alar groove ratios.

Is Presurgical Nasoalveolar Molding Therapy More Effective in Unilateral or Bilateral Cleft Lip–Cleft Palate Patients?

TLDR
There are differences in efficacy between unilateral and bilateral cleft lip–cleft palate patients undergoing nasoalveolar molding, and understanding these differences may help physicians and dentists better shape expectations.

Discussion on: Nasoalveolar Molding Therapy for the Treatment of Unilateral Cleft Lip and Palate Improves Nasal Symmetry and Maxillary Alveolar Dimensions.

TLDR
The authors find improvements in a half dozen different nasal symmetry measurements as well as an improvement in all maxillary alveolar dimensions, an increase in theAlveolar rim width and shape of the maxillary dental arch, and, finally, a reduction in the size of alveolars cleft gap.
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