ID 113505
Title Alternative
Effectiveness of PNAM on nasal form
Author
Kuroda, Yuko Kuroda Orthodontic Clinic
Hassan, Ali H. King Abdulaziz University
Content Type
Journal Article
Description
Objectives: To evaluate the effectiveness of pre-surgical nasoalveolar molding (PNAM) in patients with unilateral cleft lip nasal deformities.
Methods: This was a retrospective study involving 29 patients with unilateral cleft lip and palate defects, of whom 13 were treated with palatal devices with nasal stents (PNAM group) and 16 were treated with palatal devices without nasal stents or surgical tapes (control group). Submental oblique photographs and orthodontic models were longitudinally obtained at the initial visit (T1) and immediately before (T2) and after cheiloplasty (T3). Asymmetry of the external nose, degree of columellar shifting, nasal tip/ala nose ratio, nasal base angle, interalveolar gap, and the sagittal difference in the alveolar gap were measured. The study was conducted in the Orthodontic Clinic at Tokushima University Hospital, Tokushima, Japan between 1997 and 2012.
Results: At T1, there were no significant intergroup differences in the first 4 asymmetry parameters. At T2, the PNAM group showed a significant improvement in all values compared to the control group. At T3, the PNAM group showed significant improvement in nasal asymmetry and columellar shifting. Model analysis showed significantly greater changes in the inter-alveolar gap and the sagittal difference of the alveolar cleft gap from T1 to T2 in the PNAM group.
Conclusion: The use of PNAM is indispensable for pre-surgical orthodontic treatment at the early postnatal age.
Journal Title
Saudi Medical Journal
ISSN
03795284
16583175
NCID
AA10619460
Volume
39
Issue
2
Start Page
169
End Page
178
Published Date
2018-02
Rights
This article published is distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC) https://creativecommons.org/licenses/by-nc/4.0/.
EDB ID
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
Publisher
departments
University Hospital
Oral Sciences
Medical Sciences