Journal of Oral Science Research ›› 2021, Vol. 37 ›› Issue (10): 919-923.DOI: 10.13701/j.cnki.kqyxyj.2021.10.012

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Influence of Presurgical Nasoalveolar Molding on Postoperative Results of Unilateral Complete Cleft Lip

LIU Xiaolin1, ZHENG Qian2, LI Chenghao2, SHI Bing2, YANG Chao2*   

  1. 1. Oral and Maxillofacial Surgery, Hebei Key Laboratory of Stomatology, Hebei Clinical Research Center for Oral Diseases, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang 050017, China;
    2. State Key Laboratory of Oral Disease & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2021-02-25 Online:2021-10-28 Published:2021-10-18

Abstract: Objective: To evaluate the effect of presurgical nasoalveolar molding (PNAM) treatment on patients with one-stage unilateral complete cleft lip and palate. Methods: A total of 66 patients with one-stage unilateral complete cleft lip and palate, including 32 patients in PNAM group and 34 patients in control group, were taken photos immediately after operation, six months after operation, one year after operation, and more than one year after operation. The symmetry index of nose and lip was measured. Results: Immediately after operation, only the nasal tip symmetry index (P=0.015) and the nasal base symmetry index (P=0.016) had statistical differences. Half a year after operation, only the nasal tip symmetry index (P=0.011) had statistical difference. One year after operation, only the symmetry index of columella nasi (P=0.021) had statistical difference. For more than one year, there was no statistical difference in each index. Conclusion: PNAM treatment can improve the short-term effect of nose deformities in patients with one-stage unilateral complete cleft lip and palate after primary cheiloplasty, however, the nose tends to recur one year later.

Key words: preoperative orthodontics, PNAM, unilateral complete cleft lip and palate, cheiloplasty