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The Effects of Presurgical Nasoalveolar Molding on the Midface Symmetry of Children with Unilateral Cleft Lip and Palate: A Long-term Follow-up Study

AlHayyan, Wasmiya A., DMD, MSD in Pediatric Dentistry*,†; Pani, Sharat Chandra, DMD, MDS in Pediatric Dentistry; AlJohar, Aziza J., ABPD, MEd§; AlQatami, Fawzi M., DMD, MSD, ABO*

Plastic and Reconstructive Surgery – Global Open: July 9, 2018 - Volume Latest Articles - Issue - p
doi: 10.1097/GOX.0000000000001764
Latest Articles: PDF Only

Background: Midface symmetry is an important indicator of success of complete unilateral cleft lip and palate (CUCLP) treatment. There is little literature on the long-term effects of presurgical nasoalveolar molding (PNAM) on midface symmetry in children treated for CUCLP. This study aimed to compare children with CUCLP who underwent PNAM before surgical interventions, children who did not receive PNAM, and age- and sex-matched controls in terms of midface symmetry.

Methods: We evaluated 39 frontal facial photographs of 13 patients with CUCLP who underwent PNAM as part of the treatment (group 1: PNAM), 13 patient with CUCLP who did not undergo PNAM (group 2: no nasoalveolar molding), and 13 age- and sex-matched controls. The children were evaluated in their fifth year of life. Three midline and 3 bilateral orthopometric midface landmarks were programmed using a custom software (OnyxCeph3, Image Instruments GmbH, Germany), and corresponding linear measurements from the midline were obtained and compared between the groups using 1-way analysis of variance and Scheffe’s post hoc test.

Results: Significant differences were observed between the control and CUCLP groups for the measurements of the proanasale, subnasale, and zygion. However, there were no significant differences between the PNAM and no nasoalveolar molding groups for the 6 midface landmarks.

Conclusions: PNAM does not seem to significantly impact the long-term midface symmetry in children with CUCLP.

This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

From the *Cleft Clinic, Amiri Hospital, Kuwait City, Kuwait

Riyadh Colleges of Dentistry and Pharmacy, Riyadh City, Kingdom of Saudi Arabia

Pediatric Dentistry, Riyadh College of Dentistry and Pharmacy (RCDP), Riyadh, Kingdom of Saudi Arabia

§Cleft Lip Craniofacial Program KFSHRC, Satalite Pediatric Dentistry Clinic Children Cancer Center (KFCCC), Riyadh, Kingdom of Saudi Arabia.

Published online 9 July 2018.

Received for publication December 1, 2017; accepted March 1, 2018.

Disclosure: The authors have no financial interest to declare in relation to the content of this article. The Article Processing Charge was paid for by the authors.

Wasmiya A. AlHayyan, DMD, MSD in Pediatric Dentistry, Cleft Center, Al-Amiri Hospital, Kuwait City, Kuwait

Copyright © 2018 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Society of Plastic Surgeons. All rights reserved.