Symmetry of the nose after presurgical nasoalveolar molding in infants with unilateral cleft lip and palate: A preliminary study

Betty Chien Jung Pai, Ellen Wen Ching Ko*, Chiung Shing Huang, Eric Jen Wein Liou

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

128 Scopus citations

Abstract

Objective: To assess nostril symmetry and alveolar cleft width in infants with unilateral cleft lip and palate following presurgical nasoalveolar molding (NAM). Sample and Methods: Fifty-seven newborn patients underwent presurgical nasoalveolar molding. Magnified basal view facial photos were taken at four different times: initial visit (T1), before cheiloplasty (T 2), 1 month after cheiloplasty (T3), and 1 year of age (T4). Direct measurements from the photos included: (1) nostril width on the affected and nonaffected side; (2) nostril height on the affected and nonaffected side; (3) columella-nasal base angle; and (4) width of the alveolar cleft. Nostril width and height data were used to calculate a ratio of affected to nonaffected side. Results: Effects of nasal symmetry after presurgical nasoalveolar molding were compared between the affected and nonaffected side. The nostril width ratio was 1.7, 1.2, 1.0, and 1.2 for T1 to T 4. The nostril height ratio was 0.5, 0.8, 1.0, and 0.9 for T 1 to T4. The angle of the columella was 53.3°, 69.9°, 91.2°, and 86.9° for T1 to T4. The average alveolar cleft width was 8.2 mm at T1 and closed down to 2.4 mm before cheiloplasty (T2) in cases with complete cleft. Conclusions: Infants with presurgical nasoalveolar molding improved symmetry of the nose in width, height, and columella angle, as compared to their presurgical status. There was some relapse of nostril shape in width (10%), height (20%), and angle of columella (4.7%) at 1 year of age.

Original languageEnglish
Pages (from-to)658-663
Number of pages6
JournalThe Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
Volume42
Issue number6
DOIs
StatePublished - 11 2005

Keywords

  • Presurgical nasoalveolar molding
  • Unilateral cleft lip and palate

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