Complex Correction of Complete Cleft Lip with Severe Prominent Premaxilla using Lip Adhesion and Nasoalveolar Molding Device.
10.7181/acfs.2015.16.1.31
- Author:
Bin Na SEO
1
;
Su Han PARK
;
Jeong Yeol YANG
;
Kyung Min SON
;
Ji Seon CHEON
Author Information
1. Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine, Gwangju, Korea. jyyang@chosun.ac.kr
- Publication Type:Case Report
- Keywords:
Cleft lip;
Orthodontic appliances;
Case reports
- MeSH:
Cleft Lip*;
Cleft Palate;
Fungi*;
Humans;
Infant;
Lip*;
Maxilla;
Orthodontic Appliances
- From:Archives of Craniofacial Surgery
2015;16(1):31-34
- CountryRepublic of Korea
- Language:English
-
Abstract:
Nasoalveolar molding (NAM) device is an effective treatment for protruding maxilla in infants with cleft palate. However, only a few studies have investigated the effect of NAM devices on the treatment of protruding maxilla in infants with cleft lip only. We have designed a combination treatment using NAM devices prior to cheiloplasy for cleft lip-only patients with severe anterior protrusion of the premaxilla. Three cleft lip-only infants with 1-cm or more of premaxilla protrusion were included. Definitive cheiloplasty was performed at 6 months of age without any preoperative correction in infant 1. Cheiloplasty was performed in conjunction with the use of NAM device and lip adhesion in infants 2 and 3. Postoperative columella length and anterior-posterior dimension of the protruding premaxilla were compared amongst the infants. We were able to obtain satisfactory postoperative columella length and general nasal appearance.
