A Longitudinal Study of The Nasal Symmetry in Unilateral Cleft Lip And Palate Patients Treated With Nasoalveolar Molding
Background Nasoalveolar molding (NAM) has been extensively used as a presurgical technique in the treatment of unilateral cleft lip and palate (UCLP) over the last two decades. It has proven to be a useful tool to reduce the cleft size, improve nasal symmetry, and increase the columellar length. The...
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2020-08-01
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| Series: | Indian Journal of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1714768 |
| _version_ | 1818605974149136384 |
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| author | Tulasi Nayak Renu Parmar Krishnamurthy Bonanthaya Pritham Shetty |
| author_facet | Tulasi Nayak Renu Parmar Krishnamurthy Bonanthaya Pritham Shetty |
| author_sort | Tulasi Nayak |
| collection | DOAJ |
| description | Background Nasoalveolar molding (NAM) has been extensively used as a presurgical technique in the treatment of unilateral cleft lip and palate (UCLP) over the last two decades. It has proven to be a useful tool to reduce the cleft size, improve nasal symmetry, and increase the columellar length. The long-term stability of these findings has not been conclusively proven.
Methods In this longitudinal study, the nasal symmetry of 24 NAM treated UCLP patients was evaluated to assess the 5-year stability of NAM. The basal photographs were shot postcheiloplasty (T1), at 1-year follow-up (T2), at 3-year follow-up (T3), and 5-year follow-up (T4) appointments.
Results In this study, we found that NAM was a useful adjuvant in achieving nasal symmetry in patients with UCLP in the immediate postoperative period. However, as the patients aged, there was a gradual loss of mean nasal height (by 22.83%) and columella length (by 24.89%), a mean gain in nasal width (by 40.25%) and alar base width (by 40.69%), and an increase in the columella deviation (by 3.46%) from the T1 to the T4 follow-up.
Conclusion Although there is no conclusive evidence, the loss of symmetry may be due to the unequal growth on the cleft and noncleft sides. These patients will be followed-up till end of growth for a definite conclusion on the long-term effect of NAM. |
| first_indexed | 2024-12-16T14:03:29Z |
| format | Article |
| id | doaj.art-36c59768657c4bcf905fc8aff6b35295 |
| institution | Directory Open Access Journal |
| issn | 0970-0358 1998-376X |
| language | English |
| last_indexed | 2024-12-16T14:03:29Z |
| publishDate | 2020-08-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj.art-36c59768657c4bcf905fc8aff6b352952022-12-21T22:28:59ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2020-08-01530337137610.1055/s-0040-1714768A Longitudinal Study of The Nasal Symmetry in Unilateral Cleft Lip And Palate Patients Treated With Nasoalveolar MoldingTulasi Nayak0Renu Parmar1Krishnamurthy Bonanthaya2Pritham Shetty3Department of Oral and Maxillofacial Surgery, Dayananda Sagar College of Dental Sciences, Jayanagar, Bengaluru, IndiaDepartment of Oral and Maxillofacial Surgery, Smile Train Cleft Centre, Bhagwan Mahaveer Jain Hospital, BangaloreDepartment of Oral and Maxillofacial Surgery, Smile Train Cleft Centre, Bhagwan Mahaveer Jain Hospital, BangaloreDepartment of Oral and Maxillofacial Surgery, Smile Train Cleft Centre, Bhagwan Mahaveer Jain Hospital, BangaloreBackground Nasoalveolar molding (NAM) has been extensively used as a presurgical technique in the treatment of unilateral cleft lip and palate (UCLP) over the last two decades. It has proven to be a useful tool to reduce the cleft size, improve nasal symmetry, and increase the columellar length. The long-term stability of these findings has not been conclusively proven. Methods In this longitudinal study, the nasal symmetry of 24 NAM treated UCLP patients was evaluated to assess the 5-year stability of NAM. The basal photographs were shot postcheiloplasty (T1), at 1-year follow-up (T2), at 3-year follow-up (T3), and 5-year follow-up (T4) appointments. Results In this study, we found that NAM was a useful adjuvant in achieving nasal symmetry in patients with UCLP in the immediate postoperative period. However, as the patients aged, there was a gradual loss of mean nasal height (by 22.83%) and columella length (by 24.89%), a mean gain in nasal width (by 40.25%) and alar base width (by 40.69%), and an increase in the columella deviation (by 3.46%) from the T1 to the T4 follow-up. Conclusion Although there is no conclusive evidence, the loss of symmetry may be due to the unequal growth on the cleft and noncleft sides. These patients will be followed-up till end of growth for a definite conclusion on the long-term effect of NAM.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1714768cleft lipcleft noselong termnasal symmetrynasoalveolar molding |
| spellingShingle | Tulasi Nayak Renu Parmar Krishnamurthy Bonanthaya Pritham Shetty A Longitudinal Study of The Nasal Symmetry in Unilateral Cleft Lip And Palate Patients Treated With Nasoalveolar Molding Indian Journal of Plastic Surgery cleft lip cleft nose long term nasal symmetry nasoalveolar molding |
| title | A Longitudinal Study of The Nasal Symmetry in Unilateral Cleft Lip And Palate Patients Treated With Nasoalveolar Molding |
| title_full | A Longitudinal Study of The Nasal Symmetry in Unilateral Cleft Lip And Palate Patients Treated With Nasoalveolar Molding |
| title_fullStr | A Longitudinal Study of The Nasal Symmetry in Unilateral Cleft Lip And Palate Patients Treated With Nasoalveolar Molding |
| title_full_unstemmed | A Longitudinal Study of The Nasal Symmetry in Unilateral Cleft Lip And Palate Patients Treated With Nasoalveolar Molding |
| title_short | A Longitudinal Study of The Nasal Symmetry in Unilateral Cleft Lip And Palate Patients Treated With Nasoalveolar Molding |
| title_sort | longitudinal study of the nasal symmetry in unilateral cleft lip and palate patients treated with nasoalveolar molding |
| topic | cleft lip cleft nose long term nasal symmetry nasoalveolar molding |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1714768 |
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