The Effect of Nasoalveolar Molding on Nasal Airway Anatomy: A 9-Year Follow-up of Patients With Unilateral Cleft Lip and Palate

被引：12

作者：

Massie, Jonathan P. ^{[1
]}

Bruckman, Karl ^{[1
]}

Rifkin, William J. ^{[1
]}

Runyan, Christopher M. ^{[2
]}

Shetye, Pradip R. ^{[1
]}

Grayson, Barry ^{[1
]}

Flores, Roberto L. ^{[1
]}

机构：

[1] NYU Langone Med Ctr, Hansjorg Wyss Dept Plast Surg, New York, NY USA

[2] Wake Forest Sch Med, Plast & Reconstruct Surg, Winston Salem, NC USA

来源：

CLEFT PALATE-CRANIOFACIAL JOURNAL | 2018年 / 55卷 / 04期

关键词：

nasoalveolar molding; presurgical infant orthopedics; nasal anatomy; nasal airway; DEFORMITY; SYMMETRY; CHILDREN; SURGEONS;

D O I：

10.1177/1055665617744062

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

Objective: To determine the effects of nasoalveolar molding (NAM) on nasal airway architecture. Design: Retrospective case-control study of patients with unilateral cleft lip treated with NAM vs without NAM. Setting: Tertiary referral center specializing in cleft and craniofacial care. Patients, Participants, and Interventions: Thirty-six patients with complete unilateral cleft lip and alveolus: 19 with NAM therapy and 17 without NAM therapy. Main Outcome Measures: Cone beam computed tomography (CBCT) scans were compared in multiple coronal sections and were evaluated for linear and angular septal deviation, inferior turbinate hypertrophy, and linear and 2-dimensional airway area. Results: There were no significant differences in linear or angular septal deviation, inferior turbinate area, linear stenosis, or airway area between NAM- and non-NAM-treated patients. Conclusions: NAM effectively molds the external nasal cartilage and structures but may have limited effects on internal nasal structures.

引用

页码：596 / 601

页数：6

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