Summary
Introduction
A 2 month-old infant with unilateral cleft lip, alveolus and palate was presented
with wide alveolar defect, soft-tissue deformity and a markedly sunken nasal wing
at the cleft side.
Methods
The patient was treated with a moulding plate and additionally with a nasal stent.
The device consisted of an acrylic plate with an attached nasal stent that lifted
the nasal dome.
Results
Under this pre-surgical treatment, the cleft edges moved closer by 9 mm and 6 mm at
the alveolar ridge and palate, respectively. The nasal wing was lifted considerably.
Conclusion
Pre-surgical nasoalveolar moulding helped to reduce the cleft gap, improve the arch
form, approximate lip segments and distinctly improve the morphology of the nose by
correcting flattened nasal wings.
Keywords
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References
- Presurgical nasoalveolar orthopedic molding in primary correction of the nose, lip, and alveolus of infants born with unilateral and bilateral clefts.Cleft Palate Craniofac J. May 2001; 38: 193-198
- Long term study of midface growth in unilateral cleft lip and palate patients following gingivoperiosteoplasty.American Cleft Palate-Craniofacial Association, April, 1999
- Presurgical nasoalveolar molding in infants with cleft lip and palate.Cleft Palate Craniofac J. 1999; 36: 486-498
- Symmetry of the nose after presurgical nasoalveolar molding in infants with unilateral cleft lip and palate: a preliminary study.Cleft Palate Craniofac J. 2005; 42: 658-663
- The progressive changes of nasal symmetry and growth after nasoalveolar molding: a three-year follow-up study.Plast Reconstr Surg. 2004; 114: 858-864
Article info
Publication history
Published online: July 18, 2011
Accepted:
June 7,
2011
Received:
January 28,
2011
Identification
Copyright
© 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
