Use of Nasal Conformer After Birth Effectively Improves Nostril Symmetry in Patients With Unilateral Incomplete Cleft Lip.
Purpose: To investigate the clinical effects of preoperative nasoalveolar molding (NAM) and nasal conformer use in patients with unilateral incomplete cleft lip on the basis of their medical records and images.Patients and Methods: Data and images of 16 patients born with unilateral incomplete cleft...
| Publicado en: | Journal of Oral & Maxillofacial Surgery (02782391) Vol. 76; no. 12; pp. 2612 - 2618 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
W B Saunders
Dec2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=132918969&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 132918969 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02782391 1YP jtl: Journal of Oral & Maxillofacial Surgery (02782391) issn: 02782391 maglogo: N pubinfo: dt: Dec2018 vid: 76 iid: 12 pid: 1351 pub: W B Saunders place: Philadelphia, Pennsylvania artinfo: ui: 132918969 132918969 NLM29864433 132918969 10.1016/j.joms.2018.05.003 NLM29864433 132918969 ppf: 2612 ppct: 6 formats: tig: atl: Use of Nasal Conformer After Birth Effectively Improves Nostril Symmetry in Patients With Unilateral Incomplete Cleft Lip. aug: au: Kuo, Spencer C.H. Lai, Jui-Pin Hsieh, Ching-Hua Chen, Tzu-Ying Chang, Yu-Jen Huang, Faye affil: Resident, Department of Plastic and Reconstructive Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan sug: subj: Alveolar Process Surgery Cleft Lip Surgery Surgery, Reconstructive Methods Preoperative Care Equipment and Supplies Female Retrospective Design Male Infant Human Cleft Lip Preoperative Care Methods Treatment Outcomes Alveolar Process Validation Studies Comparative Studies Evaluation Research Multicenter Studies Infant: 1-23 months Female Male ab: Purpose: To investigate the clinical effects of preoperative nasoalveolar molding (NAM) and nasal conformer use in patients with unilateral incomplete cleft lip on the basis of their medical records and images.Patients and Methods: Data and images of 16 patients born with unilateral incomplete cleft lip who were hospitalized between January 2015 and August 2017 were retrieved from the medical records. The primary outcome was the extent of improvement in columella height (CH) before cheiloplasty. Other outcome measurements included the CH, nostril width, and nostril height, which were measured by ImageJ image processing software (version 1.4; National Institutes of Health, Bethesda, MD) and presented as ratios. Mann-Whitney U tests were used to compare the non-normally distributed data.Results: Patients in the NAM group and those in the nasal conformer group showed significantly improved (P < .05) preoperative cleft-side CH-to-normal-side CH ratios compared with the corresponding ratios at birth. There was no significant difference in terms of the extent of improvement in CH between the groups.Conclusions: Preoperative use of nasal conformers in patients with unilateral incomplete cleft lip not only corrects the deformed nasal cartilage but also increases the CH and improves the overall preoperative nasal symmetry. In addition, compared with NAM, this method costs less, is more straightforward, and requires fewer outpatient clinic visits. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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