Comparative evaluation of nasal and alveolar changes in complete unilateral cleft lip and palate patients using intraoral and extraoral nasoalveolar molding techniques: randomized controlled trial

Kalaskar Ritesh; Bhaje Priyanka; Sharma Priyanka; Balasubramanian Shruti; Ninawe Nupur; Ijalkar Rajesh

doi:10.5125/jkaoms.2021.47.4.257

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자료유형: 학술저널

저자정보: Kalaskar Ritesh (Department of Pediatric and Preventive Dentistry Government Dental College) Bhaje Priyanka (Department of Pediatric and Preventive Dentistry Government Dental College) Sharma Priyanka (Department of Pediatric and Preventive Dentistry Government Dental College) Balasubramanian Shruti (Department of Pediatric and Preventive Dentistry Government Dental College) Ninawe Nupur (Department of Pediatric and Preventive Dentistry Government Dental College) Ijalkar Rajesh (Department of Pediatric and Preventive Dentistry Government Dental College)

저널정보: 대한구강악안면외과학회 대한구강악안면외과학회지 대한구강악안면외과학회지 제47권 제4호

발행연도: 2021.8

수록면: 257 - 268 (12page)

DOI: 10.5125/jkaoms.2021.47.4.257

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Objectives: Cleft lip and palate is a common congenital anomaly that impairs the aesthetics, speech, hearing, and psychological and social life of an individual. To achieve good aesthetic outcomes, presurgical nasoalveolar molding (NAM) has become important. Currently, the intraoral NAM technique is widely practiced. Numerous modifications have been made to intraoral NAM techniques, but the original problem of compliance leading to discontinuation of treatment remains unsolved. Therefore, the present study compared an extraoral NAM technique with the intraoral NAM technique. Materials and Methods: Twenty infants with complete unilateral cleft lip and palate were included and divided into two equal groups. Group A received the intraoral NAM technique, and Group B received the extraoral NAM technique. Pre- and postoperative extraoral and intraoral measurements were recorded. Results: Groups A and B did not differ significantly in any extraoral or intraoral parameter. Conclusion: The extraoral NAM technique is as effective as the intraoral NAM technique in achieving significant nasal and alveolar changes in complete unilateral cleft lip and palate patients. Additionally, it reduces the need for frequent hospital visits for activation and the stress associated with the insertion and removal of the intraoral NAM plate, thereby improving compliance.

#Cleft lip and palate #Nasal and alveolar changes #Extraoral NAM technique #Nasal stent #Compliance

참고문헌 (40)

참고문헌 신청

Barry H. Grayson / 2014 / Early cleft management: The case for nasoalveolar molding / American Journal of Orthodontics and Dentofacial Orthopedics 145(2):134~142

P.A. Mossey / 2011 / Global Oral Health Inequalities / Advances in Dental Research 23(2):247~258

Peter A Mossey / 2009 / Cleft lip and palate / The Lancet 374(9703):1773~1785

Michael J. Dixon / 2011 / Cleft lip and palate: understanding genetic and environmental influences / Nature Reviews Genetics 12(3):167~178

Mossey PA / 2002 / Cleft lip and palate: from origin to treatment / Oxford University Press :127~158

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