Nasoalveolar molding combined with an extra-oral strap in a patient with a bilateral complete cleft lip and palate: a case report

Main Article Content

Patama Tanchotikul

Abstract

Cleft lip and/or palate are craniofacial development deformities. The goal of using Nasoalveolar molding (NAM) is to facilitate the treatment of extreme cases to generate better outcomes. This article provides an overview of a case of a 4-day old female patient with a bilateral complete cleft lip and palate, treated with a passive obturator and CMU-NAM II (Chiang Mai-Nasoalveolar Molding II) with an extra-oral strap, while correcting the premaxilla into the midline position. This process took 4 months and 14 days. During this time, the patient was followed up every 2 weeks for adjusting the devices before performing cheiloplasty. After cheiloplasty, an obturator was fabricated and followed up every 2 months until the palate was repaired. After the follow-up period, satisfactory results were obtained. The patient is well-sucking, and has no issues pertaining to choking while milk-feeding. The shape of the nose was similar to a normal appearance with reduced cleft gaps.

Article Details

How to Cite
1.
Tanchotikul P. Nasoalveolar molding combined with an extra-oral strap in a patient with a bilateral complete cleft lip and palate: a case report. M Dent J [Internet]. 2022 Dec. 28 [cited 2024 Apr. 18];42(3):231-40. Available from: https://he02.tci-thaijo.org/index.php/mdentjournal/article/view/260225
Section
Case report

References

Theerasopon P, Ritthagol W. Historical Social Perspective and Incidence of Cleft Lip and/or Palate. Thai J Orthod 2019; 9: 26-32.

Marasri Chaiworawitkul. Incidence, Etiology, and Prevention of Cleft Lip and/or Cleft Palate. CM Dent J 2012; 33: 45-55.

Tianviwat S, Jearanai S. Epidemiology of Cleft Lip and Cleft Palate in Thailand. Thai J Orthod 2020; 10: 27-36.

Sharif F, Mahmood F, Azhar MJ, Asif A, Zahid M, Muhammad N, et al. Incidence and management of cleft lip and palate in Pakistan. J Pak Med Assoc 2019; 69: 632-9.

Allam E, Windsor LJ, Stone C. Cleft Lip and Palate: Etiology, Epidemiology, Preventive and Intervention Strategies. Anat Physiol 2014; 4: 3.

Avantaggiato A, Cura F, Girardi A, Lauritano D. Role of environmental factor in onset of orafacial cleft in Italian population. Annals Oral Maxillofac Surg 2014; 2: 3-5.

Pongsupot S, Ritthagol W. Etiology of Cleft Lip and Cleft Palate. Thai J Orthod 2019; 9: 41-9.

Masarei AG, Sell D, Habel A, Mars M, Sommerlad BC, Wade A. The nature of feeding in infants with unrepaired cleft lip and/or palate compared with healthy noncleft infants. Cleft Palate Craniofac J 2007; 44: 321-8.

Lee CTH, Garfinkle JS, Warren SM, Brecht LE, Cutting CB, Grayson BH. Nasoalveolar molding improves appearance of children with bilateral cleft lip-cleft palate. Plast Reconstr Surg 2008; 122: 1131-7.

Chaiworawitkul M. Comprehensive Cleft Care for Dentists and Orthodontists Vol 1 Changmai: Trio Advertising & Media Co.,Ltd.; 2012. 105-85.

Chaiworawitkul M. Nasoalveolar Molding in Cleft Treatment. Thai J Orthod 2016; 6: 15-20.

Chaiworawitkul M. Chiang Mai University-Nasoalveolar Molding Type II. CM Dent J 2017; 38: 47-52.

Grayson BH, Shetye PR. Presurgical nasoalveolar moulding treatment in cleft lip and palate patients. Indian J Plast Surg 2009; 42(Suppl): S56-S61.

Radhakrishnan V, Sabarinath VP, Thombare P, Hazarey PV, Bonde R, Sheorain A, Presurgical nasoalveolar molding assisted primary reconstruction in complete unilateral cleft lip palate infants. J Clin Pediatr Dent 2010; 34: 267-74.

Lo LJ. Primary correction of the unilateral cleft lip nasal deformity: achieving the excellence. Chang Gung Med J 2006; 29: 262-7.

Matsuo K, Hirose T. Preoperative non-surgical over-correction of cleft lip nasal deformity. Br J Plast Surg 1991; 44: 5-11.

Bajaj A, Rao KS, Sharma SM, Shetty V. Modified presurgical nasoalveolar molding in the infants with complete unilateral cleft lip and palate: a stepwise approach. J Maxillofac Oral Surg 2011; 10: 275-80.

Pool R, Farnworth TK. Preoperative lip taping in the cleft lip. Ann Plast Surg 1994; 32: 243-9.

Manosudprasit A, Taecha-apaikun K, Tankittiwat P, Vichitrananda V, Manosudprasit M. Presurgical Nasoalveolar Molding Techniques for Complete Bilateral Cleft Lip, and Palate Infants: Two Case Reports. Khon Koen Dent J 2022; 25: 93-108.

Kobus K, Kobus-Zaleśna K. Timing of cleft lip and palate repair. Dev Period Med 2014; 18: 79-83.

Leela-adisorn N. Breast Feeding among Cleft Lip and Cleft Palate Children without using Obturator under sufficient economy: Case report. Journal of Department of Health Service Support 2017; 13: 3-11.

Sununliganon L, Chetpakdeechit W. Guideline for multidisciplinary team approach in cleft lip and palate patient. TUH Journal online 2017; 2: 15-27.

Wirarat P, Nirunrungrueng P, Ritthagol W, Keinprasit C. Korat NAM. J Thai Assoc Orthod 2010; 9: 33-42.