A modified presurgical alveolar molding technique for treatment of cleft in Down syndrome
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Craniofacial clefts are extremely rare deformities. Tessier’s classification is a widely accepted system that is based on clinical, radiographical, and surgical observations. The Tessier No. 0 cleft most commonly affects the upper lip, nose, and palate. This case presentation aims to report the outcome of a modified presurgical alveolar molding (PAM) appliance used in the treatment of an infant with Tessier No. 0 cleft as an alternate approach to mold such defects before surgery. The modified PAM appliance consisted of reciprocal parts connected by a helix. The segments were approximated by stripping the appliance at the midline in a V-shaped manner and the force was exerted by the extraoral elastics. The procedure gave results in 8 weeks, which may be regarded as a reasonable duration. The anterior cleft gap, which was 13 mm before the treatment, was reduced to 3 mm after the treatment by using modified PAM appliance. On a 21-month follow-up period, oral reshaping was regarded successful due to stability of the improved oral mold.
Abstract
Craniofacial clefts are extremely rare deformities. Tessier’s classification is a widely accepted system that is based on clinical, radiographical, and surgical observations. The Tessier No. 0 cleft most commonly affects the upper lip, nose, and palate. This case presentation aims to report the outcome of a modified presurgical alveolar molding (PAM) appliance used in the treatment of an infant with Tessier No. 0 cleft as an alternate approach to mold such defects before surgery. The modified PAM appliance consisted of reciprocal parts connected by a helix. The segments were approximated by stripping the appliance at the midline in a V-shaped manner and the force was exerted by the extraoral elastics. The procedure gave results in 8 weeks, which may be regarded as a reasonable duration. The anterior cleft gap, which was 13 mm before the treatment, was reduced to 3 mm after the treatment by using modified PAM appliance. On a 21-month follow-up period, oral reshaping was regarded successful due to stability of the improved oral mold.
참고문헌 (19)
- Kawamoto HH, "Plastic surg", pp.2952~2955 (1990), W.B. Saunders
- Ozaki W, "Craniofacial surgery:science and surgical technique", pp.309~331 (2002), W.B. Saunders
- Rintala AE, "Epidemiology of orofacial clefts in Finland : a review", Ann Plast Surg, 17, pp.456~459 (1986)
- Starck WJ, "Surgical repair of a median cleft of the upper lip", J Oral Maxillofac Surg, 52, pp.1217~1219 (1994)
- Kawamoto HK, "Pediatric plastic surgery", pp.175~225 (1998), Appleton & Lange, cop
- Tessier P, "Anatomical classification facial, craniofacial and latero-facial clefts", J Maxillofac Surg, 4, pp.69~92 (1976)
- Grayson BH, "Presurgical nasoalveolar molding in infants with cleft lip and palate", Cleft Palate Craniofac J, 36, pp.486~498 (1999)
- Grayson BH, "Presurgical nasoalveolar orthopedic molding in primary correction of the nose, lip, and alveolus of infants born with unilateral and bilateral clefts", Cleft Palate Craniofac J, 38, pp.193~198 (2001)
- Grayson BH, "Nasoalveolar molding for infants born with clefts of the lip, alveolus, and palate", Semin Plast Surg, 19, pp.294~301 (2005)
- Grayson BH, "Comprehensive cleft care", pp.701~720 (2009), McGraw-Hill Medical
- Grayson BH, "Early cleft management : the case for nasoalveolar molding", Am J Orthod Dentofacial Orthop, 145, pp.134~142 (2014)
- Matsuo K, "Nonsurgical correction of congenital auricular deformities in the early neonate : a preliminary report", Plast Reconstr Surg, 73, pp.38~51 (1984)
- McNeil CK, "Orthodontic procedures in the treatment of congenital cleft palate", Dent Rec (London), 70, pp.126~132 (1950)
- Georgiade NG, "Maxillary arch alignment in the bilateral cleft lip and palate infant, using pinned coaxial screw appliance", Plast Reconstr Surg, 56, pp.52~60 (1975)
- Hotz M, "Comprehensive care of cleft lip and palate children at Zürich university : a preliminary report", Am J Orthod, 70, pp.481~504 (1976)
- Gong X, "Correction of maxillary deformity in infants with bilateral cleft lip and palate using computer-assisted design", Oral Surg Oral Med Oral Pathol Oral Radiol, 114(5 Suppl), pp.S74~S78 (2012)
- Doruk C, "Extraoral nasal molding in a newborn with unilateral cleft lip and palate : a case report", Cleft Palate Craniofac J, 42, pp.699~702 (2005)
- Monasterio L, "Comparative study of nasoalveolar molding methods : nasal elevator plus DynaCleft® versus NAM-Grayson in patients with complete unilateral cleft lip and palate", Cleft Palate Craniofac J, 50, pp.548~554 (2013)
- Bongaarts CA, "Infant orthopedics has no effect on maxillary arch dimensions in the deciduous dentition of children with complete unilateral cleft lip and palate(Dutchcleft)", Cleft Palate Craniofac J, 43, pp.665~672 (2006)