{"title":"Retrospective Evaluation of Alveolar and Nasolabial Changes After Nasoalveolar Molding in Patients With Bilateral Cleft Lip and Palate.","authors":"Helin Nisa Biçici Demir, Derya Germeç Çakan","doi":"10.1177/10556656261495873","DOIUrl":null,"url":null,"abstract":"<p><p>ObjectiveTo evaluate the alveolar and nasolabial changes in infants with complete bilateral cleft lip and palate (CBCLP) with deviated and nondeviated premaxilla following nasoalveolar molding (NAM) and to compare the nasolabial changes induced by NAM with growth changes in healthy infants.DesignRetrospective case-control study.SettingTertiary care was provided at the Department of Orthodontics, Faculty of Dentistry, Yeditepe University.Patients, ParticipantsSeventeen infants with CBCLP and 17 healthy controls were included. The subgroups were created regarding premaxillary deviation.InterventionsNAM treatment.Main Outcome MeasuresLinear and angular measurements were made on 3D images obtained from intraoral plaster models and stereophotogrammetric facial images.ResultsIn patients with CBCLP, alveolar cleft widths and premaxillary protrusion were decreased (<i>P</i> < .001). In the premaxillary deviation subgroup, the deviation was reduced (<i>P</i> < .001). The philtrum median height was increased (<i>P</i> < .01) but remained shorter than normal (<i>P</i> < .001). The increase in columellar length in the CBCLP group was greater than that of the control group, exceeding the amount expected from natural growth (<i>P</i> < .05). The nasal tip protrusion was increased in the CBCLP group (<i>P</i> < .05).ConclusionFollowing the NAM, cleft widths and lip gaps were reduced, premaxilla was retracted, philtrum median height was increased, and the nasolabial profile was improved in patients with CBCLP. NAM provided alveolar and nasolabial symmetry in the CBCLP group, according to the evaluation of the subgroups. Although the initial nasolabial cleft deformities in patients with CBCLP were improved with NAM, post-NAM nasolabial morphology was still different from that of healthy infants.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656261495873"},"PeriodicalIF":1.3000,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cleft Palate-Craniofacial Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10556656261495873","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Dentistry","Score":null,"Total":0}
引用次数: 0
Abstract
ObjectiveTo evaluate the alveolar and nasolabial changes in infants with complete bilateral cleft lip and palate (CBCLP) with deviated and nondeviated premaxilla following nasoalveolar molding (NAM) and to compare the nasolabial changes induced by NAM with growth changes in healthy infants.DesignRetrospective case-control study.SettingTertiary care was provided at the Department of Orthodontics, Faculty of Dentistry, Yeditepe University.Patients, ParticipantsSeventeen infants with CBCLP and 17 healthy controls were included. The subgroups were created regarding premaxillary deviation.InterventionsNAM treatment.Main Outcome MeasuresLinear and angular measurements were made on 3D images obtained from intraoral plaster models and stereophotogrammetric facial images.ResultsIn patients with CBCLP, alveolar cleft widths and premaxillary protrusion were decreased (P < .001). In the premaxillary deviation subgroup, the deviation was reduced (P < .001). The philtrum median height was increased (P < .01) but remained shorter than normal (P < .001). The increase in columellar length in the CBCLP group was greater than that of the control group, exceeding the amount expected from natural growth (P < .05). The nasal tip protrusion was increased in the CBCLP group (P < .05).ConclusionFollowing the NAM, cleft widths and lip gaps were reduced, premaxilla was retracted, philtrum median height was increased, and the nasolabial profile was improved in patients with CBCLP. NAM provided alveolar and nasolabial symmetry in the CBCLP group, according to the evaluation of the subgroups. Although the initial nasolabial cleft deformities in patients with CBCLP were improved with NAM, post-NAM nasolabial morphology was still different from that of healthy infants.
目的评价完全性双侧唇腭裂（CBCLP）前颌偏侧和前颌不偏侧患儿鼻牙槽成形（NAM）后的牙槽和鼻唇变化，并将NAM引起的鼻唇变化与健康婴儿的生长变化进行比较。设计回顾性病例对照研究。在Yeditepe大学牙科学院正畸系提供三级医疗服务。17例CBCLP患儿和17例健康对照者被纳入研究。根据上颌前偏差建立亚组。InterventionsNAM治疗。主要观察指标对口腔内石膏模型获得的三维图像和立体摄影测量面部图像进行线性和角度测量。结果CBCLP患者牙槽裂宽度和上颌前突均明显降低（P P P P P P P P P P P）
期刊介绍：
The Cleft Palate-Craniofacial Journal (CPCJ) is the premiere peer-reviewed, interdisciplinary, international journal dedicated to current research on etiology, prevention, diagnosis, and treatment in all areas pertaining to craniofacial anomalies. CPCJ reports on basic science and clinical research aimed at better elucidating the pathogenesis, pathology, and optimal methods of treatment of cleft and craniofacial anomalies. The journal strives to foster communication and cooperation among professionals from all specialties.
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