CC BY-NC-ND 4.0 · Indian J Plast Surg
DOI: 10.1055/s-0040-1714768
Original Article

A Longitudinal Study of The Nasal Symmetry in Unilateral Cleft Lip And Palate Patients Treated With Nasoalveolar Molding

Tulasi Nayak
1  Department of Oral and Maxillofacial Surgery, Dayananda Sagar College of Dental Sciences, Jayanagar, Bengaluru, India
,
Renu Parmar
2  Department of Oral and Maxillofacial Surgery, Smile Train Cleft Centre, Bhagwan Mahaveer Jain Hospital, Bangalore
,
Krishnamurthy Bonanthaya
2  Department of Oral and Maxillofacial Surgery, Smile Train Cleft Centre, Bhagwan Mahaveer Jain Hospital, Bangalore
,
Pritham Shetty
2  Department of Oral and Maxillofacial Surgery, Smile Train Cleft Centre, Bhagwan Mahaveer Jain Hospital, Bangalore
› Author Affiliations
  

Abstract

Background Nasoalveolar molding (NAM) has been extensively used as a presurgical technique in the treatment of unilateral cleft lip and palate (UCLP) over the last two decades. It has proven to be a useful tool to reduce the cleft size, improve nasal symmetry, and increase the columellar length. The long-term stability of these findings has not been conclusively proven.

Methods In this longitudinal study, the nasal symmetry of 24 NAM treated UCLP patients was evaluated to assess the 5-year stability of NAM. The basal photographs were shot postcheiloplasty (T1), at 1-year follow-up (T2), at 3-year follow-up (T3), and 5-year follow-up (T4) appointments.

Results In this study, we found that NAM was a useful adjuvant in achieving nasal symmetry in patients with UCLP in the immediate postoperative period. However, as the patients aged, there was a gradual loss of mean nasal height (by 22.83%) and columella length (by 24.89%), a mean gain in nasal width (by 40.25%) and alar base width (by 40.69%), and an increase in the columella deviation (by 3.46%) from the T1 to the T4 follow-up.

Conclusion Although there is no conclusive evidence, the loss of symmetry may be due to the unequal growth on the cleft and noncleft sides. These patients will be followed-up till end of growth for a definite conclusion on the long-term effect of NAM.



Publication History

Publication Date:
04 August 2020 (online)

© .

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India