Presurgical Nasal Molding in a Bilateral Cleft Lip and Palate Patient with Patau Syndrome Using a Novel Bhatia's Hook: A Case Report.

Q3 Dentistry
Virag Bhatia, P Afeefa, Ram K Ratre, Sandhya Jain, Abhilasha Kanesh, Oshin Sharma
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引用次数: 0

Abstract

Aims and background: Presurgical nasoalveolar molding (PNAM) is a technique used in cleft lip and palate (CLP) patients to reshape the alveolus, lips, and nostrils before surgical intervention, thereby reducing cleft severity.

Case description: This case report presents a 2-month-old male diagnosed with bilateral CLP and provisional Patau syndrome, characterized by additional anomalies such as right hind limb hypomobility and polysyndactyly. Due to the patient's cardiac condition, conventional nasoalveolar molding (NAM) was contraindicated. Instead, a modified nasal hook named Bhatia's hook was designed and fabricated using stainless steel wire and cold-cure acrylic, designed to mold the nasal structures without alveolar manipulation. The treatment objectives included improving nasal projection, reducing alar width and cleft gap, retracting the premaxilla, and centering the premaxilla. Over a 4-month period, biweekly adjustments led to significant improvements in nasal tip elevation, reduced septal deviation, decreased premaxillary protrusion, and minimized cleft size. Cheiloplasty performed at 6 months resulted in more effective surgical outcomes, including enhanced columella length and external nasal morphology.

Conclusion: The successful management of this case underscores the potential of customized nasal hooks in improving surgical results for CLP patients with complicating factors.

Clinical significance: This modified nasal hook approach offers a viable alternative for nasal molding in patients with complex medical conditions, providing ease of fabrication and consistent force application.

How to cite this article: Bhatia V, Afeefa P, Ratre RK, et al. Presurgical Nasal Molding in a Bilateral Cleft Lip and Palate Patient with Patau Syndrome Using a Novel Bhatia's Hook: A Case Report. Int J Clin Pediatr Dent 2025;18(5):587-590.

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新型Bhatia钩鼻整形术治疗双侧唇腭裂伴Patau综合征1例。
目的和背景:手术前鼻肺泡成型(PNAM)是一种用于唇腭裂(CLP)患者手术前重塑肺泡、嘴唇和鼻孔的技术,从而减轻唇裂的严重程度。病例描述:这个病例报告了一个2个月大的男性,被诊断为双侧CLP和暂时性Patau综合征,其特征是额外的异常,如右后肢活动能力低下和多指。由于患者的心脏状况,传统的鼻肺泡成型(NAM)是禁忌的。取而代之的是,一种名为Bhatia的改良鼻钩被设计和制造,使用不锈钢丝和冷固化丙烯酸,旨在塑造鼻结构,而不需要操作牙槽。治疗目标为改善鼻突、缩小鼻翼宽度、缩小鼻翼间隙、缩小前颌、使前颌居中。在4个月的时间里,每两周进行一次调整,显著改善了鼻尖抬高,减少了鼻中隔偏曲,减少了上颌前突出,并减小了唇裂大小。6个月时进行的鼻翼成形术获得了更有效的手术结果,包括小柱长度和外鼻形态的增加。结论:该病例的成功处理强调了定制鼻钩在改善伴有并发症的CLP患者手术效果方面的潜力。临床意义:这种改良的鼻钩入路为复杂医疗状况患者的鼻成型提供了可行的替代方法,提供了易于制造和一致的力应用。如何引用本文:Bhatia V, afefa P, Ratre RK等人。新型Bhatia钩鼻整形术治疗双侧唇腭裂伴Patau综合征1例。中华临床儿科杂志,2015;18(5):587-590。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.20
自引率
0.00%
发文量
135
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