AI Article Synopsis

  • Cleft lip and palate is a common birth defect that affects appearance and various aspects of life, making effective treatment essential.
  • The study compared two techniques for presurgical nasoalveolar molding (NAM) in infants: the traditional intraoral method and a newer extraoral method.
  • Results showed that both techniques had similar effectiveness in improving nasal and alveolar structures, but the extraoral method may offer better compliance by requiring fewer hospital visits and reducing stress for families.

Article Abstract

Objectives: Cleft lip and palate is a common congenital anomaly that impairs the aesthetics, speech, hearing, and psychological and social life of an individual. To achieve good aesthetic outcomes, presurgical nasoalveolar molding (NAM) has become important. Currently, the intraoral NAM technique is widely practiced. Numerous modifications have been made to intraoral NAM techniques, but the original problem of compliance leading to discontinuation of treatment remains unsolved. Therefore, the present study compared an extraoral NAM technique with the intraoral NAM technique.

Materials And Methods: Twenty infants with complete unilateral cleft lip and palate were included and divided into two equal groups. Group A received the intraoral NAM technique, and Group B received the extraoral NAM technique. Pre- and postoperative extraoral and intraoral measurements were recorded.

Results: Groups A and B did not differ significantly in any extraoral or intraoral parameter.

Conclusion: The extraoral NAM technique is as effective as the intraoral NAM technique in achieving significant nasal and alveolar changes in com-plete unilateral cleft lip and palate patients. Additionally, it reduces the need for frequent hospital visits for activation and the stress associated with the insertion and removal of the intraoral NAM plate, thereby improving compliance.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8408650PMC
http://dx.doi.org/10.5125/jkaoms.2021.47.4.257DOI Listing

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