Dynamic changes in nasal symmetry after presurgical nasoalveolar molding in infants with complete unilateral cleft lip and palate
Background: Presurgical nasoalveolar molding (PNAM) technique gave a new perspective to presurgical infant orthopedics. Nasal reconstruction presents a challenge for the plastic surgeons in case of patients with unilateral cleft lip and palate (UCLP). PNAM facilitates the reshaping of the nasal cart...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | African Journal of Paediatric Surgery |
| Subjects: | |
| Online Access: | http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2020;volume=17;issue=1;spage=1;epage=4;aulast=Thakur |
| _version_ | 1818154988560449536 |
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| author | Seema Thakur Anjali Singh Vijay Kumar Diwana Alka Rani Narbir Singh Thakur |
| author_facet | Seema Thakur Anjali Singh Vijay Kumar Diwana Alka Rani Narbir Singh Thakur |
| author_sort | Seema Thakur |
| collection | DOAJ |
| description | Background: Presurgical nasoalveolar molding (PNAM) technique gave a new perspective to presurgical infant orthopedics. Nasal reconstruction presents a challenge for the plastic surgeons in case of patients with unilateral cleft lip and palate (UCLP). PNAM facilitates the reshaping of the nasal cartilage and molding of maxillary arch preoperatively. This therapy not only aids the surgical repair of lip but also enhances the overall postsurgical results with negligible postoperative scar. Aim: The aim of the study was to analyze nasal changes before and after PNAM in patients with complete UCLP. Materials and Methods: This was a retrospective review of 22 ULCP patients who underwent PNAM before lip surgeries. A series of standard basilar view photographs in 1:1 ratio were taken, and linear measurements were done directly on the photographs. Results: After PNAM therapy, there was highly significant increase in the nostril height, nostril dome height, and columella length (P < 0.001*) and highly significant reduction in the nostril width and nasal basal width (P < 0.001*). Conclusion: Significant improvement in the nasal symmetry was found after PNAM therapy in patients with complete UCLP. |
| first_indexed | 2024-12-11T14:35:15Z |
| format | Article |
| id | doaj.art-e2831816c0bc407eaa6954ce3641aae5 |
| institution | Directory Open Access Journal |
| issn | 0189-6725 |
| language | English |
| last_indexed | 2024-12-11T14:35:15Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | African Journal of Paediatric Surgery |
| spelling | doaj.art-e2831816c0bc407eaa6954ce3641aae52022-12-22T01:02:14ZengWolters Kluwer Medknow PublicationsAfrican Journal of Paediatric Surgery0189-67252020-01-011711410.4103/ajps.AJPS_5_18Dynamic changes in nasal symmetry after presurgical nasoalveolar molding in infants with complete unilateral cleft lip and palateSeema ThakurAnjali SinghVijay Kumar DiwanaAlka RaniNarbir Singh ThakurBackground: Presurgical nasoalveolar molding (PNAM) technique gave a new perspective to presurgical infant orthopedics. Nasal reconstruction presents a challenge for the plastic surgeons in case of patients with unilateral cleft lip and palate (UCLP). PNAM facilitates the reshaping of the nasal cartilage and molding of maxillary arch preoperatively. This therapy not only aids the surgical repair of lip but also enhances the overall postsurgical results with negligible postoperative scar. Aim: The aim of the study was to analyze nasal changes before and after PNAM in patients with complete UCLP. Materials and Methods: This was a retrospective review of 22 ULCP patients who underwent PNAM before lip surgeries. A series of standard basilar view photographs in 1:1 ratio were taken, and linear measurements were done directly on the photographs. Results: After PNAM therapy, there was highly significant increase in the nostril height, nostril dome height, and columella length (P < 0.001*) and highly significant reduction in the nostril width and nasal basal width (P < 0.001*). Conclusion: Significant improvement in the nasal symmetry was found after PNAM therapy in patients with complete UCLP.http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2020;volume=17;issue=1;spage=1;epage=4;aulast=Thakurcleftlippalatepresurgicalnasoalveolar molding |
| spellingShingle | Seema Thakur Anjali Singh Vijay Kumar Diwana Alka Rani Narbir Singh Thakur Dynamic changes in nasal symmetry after presurgical nasoalveolar molding in infants with complete unilateral cleft lip and palate African Journal of Paediatric Surgery cleft lip palate presurgical nasoalveolar molding |
| title | Dynamic changes in nasal symmetry after presurgical nasoalveolar molding in infants with complete unilateral cleft lip and palate |
| title_full | Dynamic changes in nasal symmetry after presurgical nasoalveolar molding in infants with complete unilateral cleft lip and palate |
| title_fullStr | Dynamic changes in nasal symmetry after presurgical nasoalveolar molding in infants with complete unilateral cleft lip and palate |
| title_full_unstemmed | Dynamic changes in nasal symmetry after presurgical nasoalveolar molding in infants with complete unilateral cleft lip and palate |
| title_short | Dynamic changes in nasal symmetry after presurgical nasoalveolar molding in infants with complete unilateral cleft lip and palate |
| title_sort | dynamic changes in nasal symmetry after presurgical nasoalveolar molding in infants with complete unilateral cleft lip and palate |
| topic | cleft lip palate presurgical nasoalveolar molding |
| url | http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2020;volume=17;issue=1;spage=1;epage=4;aulast=Thakur |
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