Surgical Nasoalveolar Molding: A Rational Treatment for Bilateral Cleft Lip Nose and Systematic Review
BACKGROUND: The purpose of this study was to evaluate the surgical outcome after using primary surgery to address bilateral cleft lip nose and palate deformities. In addition, the authors performed a systematic review to evaluate the effects of the nasoalveolar molding on non-syndromic bilateral cle...
Guardado en:
| Autores principales: | , , , |
|---|---|
| Formato: | Artículo |
| Lenguaje: | inglés |
| Publicado: |
2020
|
| Materias: | |
| Acceso en línea: | Ver en el sistema de origen Enlace permanente (DOI o Handle) Enlace permanente (DOI o Handle) |
| Etiquetas: |
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| _version_ | 1881508850083823616 |
|---|---|
| author | Percy Rossell‐Perry Claudia Olivencia-Flores Maria Pia Delgado-Jimenez Ruben Ormeño-Aquino |
| author_browse | Claudia Olivencia-Flores Maria Pia Delgado-Jimenez Percy Rossell‐Perry Ruben Ormeño-Aquino |
| author_facet | Percy Rossell‐Perry Claudia Olivencia-Flores Maria Pia Delgado-Jimenez Ruben Ormeño-Aquino |
| author_sort | Percy Rossell‐Perry |
| collection | Producción científica |
| description | BACKGROUND: The purpose of this study was to evaluate the surgical outcome after using primary surgery to address bilateral cleft lip nose and palate deformities. In addition, the authors performed a systematic review to evaluate the effects of the nasoalveolar molding on non-syndromic bilateral cleft lip and palate. METHODS: A prospective cohort study on a surgeon's surgical outcome of 25 consecutively performed primary bilateral cleft lip nasal deformity repairs was conducted and a systematic review of the literature for studies published until December 2019 was done to evaluate the effect of presurgical NAM on nasolabial aesthetics and alveolar gap. RESULTS: Since 2014, 25 consecutive patients with complete bilateral cleft have undergone primary anatomical repair of the cleft nasal deformity using primary cheilorhinoplasty. The average columella length was 4.3 ± 1.3 mm. The average ratio of the columella height to nasal height was 0.48 mm 1 year postoperatively and 0.52 mm 5 years postoperatively. Statistically significant differences have been observed between the pre and postoperative alveolar and palatal gaps after using primary cheiloplasty or bilateral lip adhesion. After systematic literature searching, 14 identified studies were qualified for the final analysis, which included 433 patients. The overall study quality according to Oxford CEBM and GRADE scale was low. CONCLUSIONS: The results of this study suggest that the proposed primary cheilorhinoplasty is a good alternative to improve nose appearance and alveolar gap in patients with primary bilateral cleft lip nose and palate deformity. Based on the available scientific evidence, definitive conclusions about the effectiveness of presurgical Naso Alveolar Molding on nasolabial aesthetics cannot be drawn. Quality of the included articles were too low to make a conclusion. |
| format | Article |
| id | oai:cris.upeu.edu.pe:20.500.15037/1305 |
| institution | UPeU |
| language | English |
| publishDate | 2020 |
| publishDateRange | 2020 |
| publishDateSort | 2020 |
| record_format | dspace |
| spelling | oai:cris.upeu.edu.pe:20.500.15037/13052026-10-30T16:15:32ZSurgical Nasoalveolar Molding: A Rational Treatment for Bilateral Cleft Lip Nose and Systematic ReviewPercy Rossell‐PerryClaudia Olivencia-FloresMaria Pia Delgado-JimenezRuben Ormeño-AquinoMedicineNoseColumellaDentistryDeformityOrthodonticsSurgeryMedicineNoseColumellaDentistryDeformityOrthodonticsSurgeryLife Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate ResearchHealth Sciences Medicine Surgery Nasal Surgery and Airway StudiesHealth Sciences Medicine Surgery Reconstructive Facial Surgery TechniquesBACKGROUND: The purpose of this study was to evaluate the surgical outcome after using primary surgery to address bilateral cleft lip nose and palate deformities. In addition, the authors performed a systematic review to evaluate the effects of the nasoalveolar molding on non-syndromic bilateral cleft lip and palate. METHODS: A prospective cohort study on a surgeon's surgical outcome of 25 consecutively performed primary bilateral cleft lip nasal deformity repairs was conducted and a systematic review of the literature for studies published until December 2019 was done to evaluate the effect of presurgical NAM on nasolabial aesthetics and alveolar gap. RESULTS: Since 2014, 25 consecutive patients with complete bilateral cleft have undergone primary anatomical repair of the cleft nasal deformity using primary cheilorhinoplasty. The average columella length was 4.3 ± 1.3 mm. The average ratio of the columella height to nasal height was 0.48 mm 1 year postoperatively and 0.52 mm 5 years postoperatively. Statistically significant differences have been observed between the pre and postoperative alveolar and palatal gaps after using primary cheiloplasty or bilateral lip adhesion. After systematic literature searching, 14 identified studies were qualified for the final analysis, which included 433 patients. The overall study quality according to Oxford CEBM and GRADE scale was low. CONCLUSIONS: The results of this study suggest that the proposed primary cheilorhinoplasty is a good alternative to improve nose appearance and alveolar gap in patients with primary bilateral cleft lip nose and palate deformity. Based on the available scientific evidence, definitive conclusions about the effectiveness of presurgical Naso Alveolar Molding on nasolabial aesthetics cannot be drawn. Quality of the included articles were too low to make a conclusion.Articlehttps://pubmed.ncbi.nlm.nih.gov/33133938https://doi.org/10.1097/gox.000000000000308210.1097/gox.0000000000003082https://hdl.handle.net/20.500.15037/1305W3097844047enPlastic & Reconstructive Surgery Global Open2169-75742020-09-012026-06-13T09:52:52Z2026-06-13T09:52:52Z |
| spellingShingle | Medicine Nose Columella Dentistry Deformity Orthodontics Surgery Medicine Nose Columella Dentistry Deformity Orthodontics Surgery Life Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate Research Health Sciences Medicine Surgery Nasal Surgery and Airway Studies Health Sciences Medicine Surgery Reconstructive Facial Surgery Techniques Percy Rossell‐Perry Claudia Olivencia-Flores Maria Pia Delgado-Jimenez Ruben Ormeño-Aquino Surgical Nasoalveolar Molding: A Rational Treatment for Bilateral Cleft Lip Nose and Systematic Review |
| title | Surgical Nasoalveolar Molding: A Rational Treatment for Bilateral Cleft Lip Nose and Systematic Review |
| title_full | Surgical Nasoalveolar Molding: A Rational Treatment for Bilateral Cleft Lip Nose and Systematic Review |
| title_fullStr | Surgical Nasoalveolar Molding: A Rational Treatment for Bilateral Cleft Lip Nose and Systematic Review |
| title_full_unstemmed | Surgical Nasoalveolar Molding: A Rational Treatment for Bilateral Cleft Lip Nose and Systematic Review |
| title_short | Surgical Nasoalveolar Molding: A Rational Treatment for Bilateral Cleft Lip Nose and Systematic Review |
| title_sort | surgical nasoalveolar molding a rational treatment for bilateral cleft lip nose and systematic review |
| topic | Medicine Nose Columella Dentistry Deformity Orthodontics Surgery Medicine Nose Columella Dentistry Deformity Orthodontics Surgery Life Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate Research Health Sciences Medicine Surgery Nasal Surgery and Airway Studies Health Sciences Medicine Surgery Reconstructive Facial Surgery Techniques |
| topic_facet | Medicine Nose Columella Dentistry Deformity Orthodontics Surgery Medicine Nose Columella Dentistry Deformity Orthodontics Surgery Life Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate Research Health Sciences Medicine Surgery Nasal Surgery and Airway Studies Health Sciences Medicine Surgery Reconstructive Facial Surgery Techniques |
| url | https://pubmed.ncbi.nlm.nih.gov/33133938 https://doi.org/10.1097/gox.0000000000003082 https://hdl.handle.net/20.500.15037/1305 |
| work_keys_str_mv | AT percyrossellperry surgicalnasoalveolarmoldingarationaltreatmentforbilateralcleftlipnoseandsystematicreview AT claudiaolivenciaflores surgicalnasoalveolarmoldingarationaltreatmentforbilateralcleftlipnoseandsystematicreview AT mariapiadelgadojimenez surgicalnasoalveolarmoldingarationaltreatmentforbilateralcleftlipnoseandsystematicreview AT rubenormenoaquino surgicalnasoalveolarmoldingarationaltreatmentforbilateralcleftlipnoseandsystematicreview |