“The Surgical Nasoalveolar Molding (SNAM) for Unilateral Cleft Lip Nose and Palate Repair”

BACKGROUND: Cleft lip and palate is a highly prevalent birth defect affecting the upper lip and palate both aesthetically and functionally. Different techniques have been described throughout history, and during the last decades, pre- and postsurgical treatments have been added. The aim of this stud...

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Autor principal: Percy Rossell‐Perry
Formato: Artículo
Lenguaje:inglés
Publicado: 2026
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author Percy Rossell‐Perry
author_browse Percy Rossell‐Perry
author_facet Percy Rossell‐Perry
author_sort Percy Rossell‐Perry
collection Producción científica
description BACKGROUND: Cleft lip and palate is a highly prevalent birth defect affecting the upper lip and palate both aesthetically and functionally. Different techniques have been described throughout history, and during the last decades, pre- and postsurgical treatments have been added. The aim of this study is to evaluate the impact of the surgical treatment based on the surgical nasoalveolar molding method. METHODS: A comparative cohort study has been done in 45 unilateral cleft lip and palate patients treated with 2 surgical techniques based on the surgical nasoalveolar molding principle and operated on by the author. The techniques used were V-Y-Z vestibular advance (group A), and the nasal vestibule Z plasty (group B), and no type of presurgical management was performed for any of the studied patients. Postoperative outcomes have been evaluated according to the nasal symmetry degree determined through anthropometric measurements, as well as the postoperative complications report. RESULTS: During the follow-up, we observed 33% of nostril symmetry in group A and 37.5% in group B, which was not statistically significant. Major nasal revision was indicated in 9.5% (group A) and 8.3% (group B) without statistically significant differences between them. The number of associated postoperative complications was higher in group A. CONCLUSIONS: Surgical techniques based on the surgical nasoalveolar molding principle proposed by the author are an alternative for the treatment of the nasal deformity associated with the unilateral cleft lip and palate. These results should be confirmed with a longer follow-up period and experimental studies. LEVEL OF EVIDENCE: Level IV.
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spelling openalex:W7214674218“The Surgical Nasoalveolar Molding (SNAM) for Unilateral Cleft Lip Nose and Palate Repair”Percy Rossell‐Perryunilateral cleft lip and palatenasal deformitynasal symmetrypostoperative complicationscleft lip repairCleft Lip and Palate ResearchReconstructive Facial Surgery TechniquesCraniofacial Disorders and TreatmentsBACKGROUND: Cleft lip and palate is a highly prevalent birth defect affecting the upper lip and palate both aesthetically and functionally. Different techniques have been described throughout history, and during the last decades, pre- and postsurgical treatments have been added. The aim of this study is to evaluate the impact of the surgical treatment based on the surgical nasoalveolar molding method. METHODS: A comparative cohort study has been done in 45 unilateral cleft lip and palate patients treated with 2 surgical techniques based on the surgical nasoalveolar molding principle and operated on by the author. The techniques used were V-Y-Z vestibular advance (group A), and the nasal vestibule Z plasty (group B), and no type of presurgical management was performed for any of the studied patients. Postoperative outcomes have been evaluated according to the nasal symmetry degree determined through anthropometric measurements, as well as the postoperative complications report. RESULTS: During the follow-up, we observed 33% of nostril symmetry in group A and 37.5% in group B, which was not statistically significant. Major nasal revision was indicated in 9.5% (group A) and 8.3% (group B) without statistically significant differences between them. The number of associated postoperative complications was higher in group A. CONCLUSIONS: Surgical techniques based on the surgical nasoalveolar molding principle proposed by the author are an alternative for the treatment of the nasal deformity associated with the unilateral cleft lip and palate. These results should be confirmed with a longer follow-up period and experimental studies. LEVEL OF EVIDENCE: Level IV.Articlehttps://doi.org/10.1097/scs.0000000000013420W7214674218enJournal of Craniofacial Surgery1049-22751536-37322026-09-28
spellingShingle unilateral cleft lip and palate
nasal deformity
nasal symmetry
postoperative complications
cleft lip repair
Cleft Lip and Palate Research
Reconstructive Facial Surgery Techniques
Craniofacial Disorders and Treatments
Percy Rossell‐Perry
“The Surgical Nasoalveolar Molding (SNAM) for Unilateral Cleft Lip Nose and Palate Repair”
title “The Surgical Nasoalveolar Molding (SNAM) for Unilateral Cleft Lip Nose and Palate Repair”
title_full “The Surgical Nasoalveolar Molding (SNAM) for Unilateral Cleft Lip Nose and Palate Repair”
title_fullStr “The Surgical Nasoalveolar Molding (SNAM) for Unilateral Cleft Lip Nose and Palate Repair”
title_full_unstemmed “The Surgical Nasoalveolar Molding (SNAM) for Unilateral Cleft Lip Nose and Palate Repair”
title_short “The Surgical Nasoalveolar Molding (SNAM) for Unilateral Cleft Lip Nose and Palate Repair”
title_sort the surgical nasoalveolar molding snam for unilateral cleft lip nose and palate repair
topic unilateral cleft lip and palate
nasal deformity
nasal symmetry
postoperative complications
cleft lip repair
Cleft Lip and Palate Research
Reconstructive Facial Surgery Techniques
Craniofacial Disorders and Treatments
topic_facet unilateral cleft lip and palate
nasal deformity
nasal symmetry
postoperative complications
cleft lip repair
Cleft Lip and Palate Research
Reconstructive Facial Surgery Techniques
Craniofacial Disorders and Treatments
url https://doi.org/10.1097/scs.0000000000013420
work_keys_str_mv AT percyrossellperry thesurgicalnasoalveolarmoldingsnamforunilateralcleftlipnoseandpalaterepair