Complications During Grayson Presurgical Nasoalveolar Molding Method in Nonsyndromic Infants With Complete Unilateral Cleft Lip and Palate.
Journal
The Journal of craniofacial surgery
ISSN: 1536-3732
Titre abrégé: J Craniofac Surg
Pays: United States
ID NLM: 9010410
Informations de publication
Date de publication:
01 Sep 2021
01 Sep 2021
Historique:
entrez:
13
9
2021
pubmed:
14
9
2021
medline:
16
9
2021
Statut:
ppublish
Résumé
Within the treatment protocols of patients with cleft lip and palate, the nasoalveolar molding (NAM) acquire more followers every day.Their benefits have been well documented, but not equally their complications. The purpose of this study was to describe the complications produced during treatment with Grayson presurgical NAM in nonsyndromic infants with complete unilateral cleft lip and palate. Bibliographic review on 8 databases using search algorithms. By applying the exclusion and inclusion criteria, 21 articles were detected, which were analyzed in full text. Complication, cause, and solution data were presented in supplemental tables. Complications are related to soft tissues, hard tissues, and those derived from care. irritation, ulceration, gingival, facial, or nasal bleeding. Candidiasis. An overexpanded nostril creation to improper placement or modifications of the nasal stent at home.The most frequent were lip and cheeks skin irritation by taping, and gingival ulceration due to excessive pressure. misalignment of alveolar segments and the premature eruption of teeth. inadequate device retention, adherence problems to treatment, poor/excessive care of the caregiver, intolerance to the device, eating problems, breathing, and socioeconomic issues. The main complications occur in soft tissues, related to the retention mechanisms and an inadequate adjustment of the device.The benefits of NAM exceed the complications. It is necessary to know them to avoid any harmful results since they could prolong or stop the treatment, compromising the result. The active collaboration of the family in the insertion and maintenance of the device is crucial for success.
Identifiants
pubmed: 34516070
doi: 10.1097/SCS.0000000000007532
pii: 00001665-202109000-00047
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
2159-2162Informations de copyright
Copyright © 2021 by Mutaz B. Habal, MD.
Déclaration de conflit d'intérêts
The authors report no conflicts of interest.
Références
Kamble VD, Parkhedkar RD, Sarin SP, et al. Simplifying cleft surgery by presurgical nasoalveolar molding (PNAM) for infant born with unilateral cleft lip, alveolus, and palate: a clinical report. J Prosthodont Res 2013; 57:224–231.
Fisher MD, Fisher DM, Marcus JR. Correction of the cleft nasal deformity: from infancy to maturity. Clin Plast Surg 2014; 41:283–299.
Rau A, Ritschl LM, Mücke T, et al. Nasoalveolar Molding in Cleft Care—Experience in 40 Patients from a Single Centre in Germany. PLoS One 2015; 10:e0118103.
Shi B, Sommerlad BC. Cleft Lip and Palate Primary Repair. New York: Springer; 2013.
Murthy PS, Deshmukh S, Bhagyalakshmi A, et al. Pre surgical nasoalveolar molding: changing paradigms in early cleft lip and palate rehabilitation. J Int Oral Health 2013; 5:70–80.
Harfin J, Satravaha S Jr, KF. Clinical Cases in Early Orthodontic Treatment: An Atlas of When, How and Why to Treat. New York: Springer; 2017.
Grayson BH, Santiago PE, Brecht LE, et al. Presurgical nasoalveolar molding in infants with cleft lip and palate. Cleft Palate Craniofac J 1999; 36:486–498.
Bennun RD. The real origin of presurgical nasal molding for cleft nose deformity and its posterior evolution. J Craniofac Surg 2017; 28:305–307.
Chang C-S, Wallace CG, Pai BC-J, et al. Comparison of two nasoalveolar molding techniques in unilateral complete cleft lip patients: a randomized, prospective, single-blind trial to compare nasal outcomes. Plast Reconstr Surg 2014; 134:275–282.
Liao Y-F, Hsieh Y-J, Chen I-J, et al. Comparative outcomes of two nasoalveolar molding techniques for unilateral cleft nose deformity. Plast Reconstr Surg 2012; 130:1289–1295.
Abbott MM, Meara JG. Nasoalveolar molding in cleft care: is it efficacious? Plast Reconstr Surg 2012; 130:659–666.
Patel PA, Rubin MS, Clouston S, et al. Comparative study of early secondary nasal revisions and costs in patients with clefts treated with and without nasoalveolar molding. J Craniofac Surg 2015; 26:1229–1233.
Levy-Bercowski D, Abreu A, DeLeon E, et al. Complications and solutions in presurgical nasoalveolar molding therapy. Cleft Palate Craniofac J 2009; 46:521–528.
Alzain I, Batwa W, Cash A, et al. Presurgical cleft lip and palate orthopedics: an overview. Clin Cosmet Investig Dent 2017; 9:53–59.
Grayson BH, Shetye PR. Presurgical nasoalveolar moulding treatment in cleft lip and palate patients. Indian J Plast Surg 2009; 42:S56–S61.
Grayson BH, Maull D. Nasoalveolar molding for infants born with clefts of the lip, alveolus, and palate. Clin Plast Surg 2004; 31:149–158. vii.
Shetye PR, Grayson BH. NasoAlveolar molding treatment protocol in patients with cleft lip and palate. Semin Orthodont 2017; 23:261–267.
Retnakumari N, Divya S, Meenakumari S, et al. Nasoalveolar molding treatment in presurgical infant orthopedics in cleft lip and cleft palate patients. Arch Med Health Sci 2014; 2:36–47.
Ahmed MM, Brecht LE, Cutting CB, et al. 2012 American Board of Pediatric Dentistry College of Diplomates annual meeting: the role of pediatric dentists in the presurgical treatment of infants with cleft lip/cleft palate utilizing nasoalveolar molding. Pediatr Dent 2012; 34:e209–e214.
Smith KS, Henry BT, Scott MA. Presurgical dentofacial orthopedic management of the cleft patient. Oral Maxillofac Surg Clin North Am 2016; 28:169–176.
Li W, Liao L, Dai J, et al. Effective retropulsion and centralization of the severely malpositioned premaxilla in patients with bilateral cleft lip and palate: a novel modified presurgical nasoalveolar molding device with retraction screw. J Craniomaxillofac Surg 2014; 42:1903–1908.
Worley ML, Patel KG, Kilpatrick LA. Cleft Lip and Palate. Clin Perinatol 2018; 45:661–678.
Punga R, Sharma SM. Presurgical orthopaedic nasoalveolar molding in cleft lip and palate infants: a comparative evaluation of cases done with and without nasal stents. J Maxillofac Oral Surg 2013; 12:273–288.
Sischo L, Clouston S, Phillips C, et al. Caregiver responses to early cleft palate care: A mixed method approach. Health Psychol 2016; 35:474–482.
Sischo L, Broder HL, Phillips C. Coping with cleft: a conceptual framework of caregiver responses to nasoalveolar molding. Cleft Palate Craniofac J 2015; 52:640–650.
Dean RA, Wainwright DJ, Doringo IL, et al. Assessing burden of care in the patient with cleft lip and palate: factors influencing completion and noncompletion of nasoalveolar molding. Cleft Palate Craniofac J 2019; 56:759–765.
Bennun RD, Figueroa AA. Dynamic presurgical nasal remodeling in patients with unilateral and bilateral cleft lip and palate: modification to the original technique. Cleft Palate Craniofac J 2006; 43:639–648.
Zeytinoglu S, Davey MP, Crerand C, et al. Experiences of couples caring for a child born with cleft lip and/or palate: impact of the timing of diagnosis. J Marital Fam Ther 2016; 43:82–99.
Grayson BH, Cutting CB. 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 2001; 38:193–198.
Monasterio L, Ford A, Gutiérrez C, et al. 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 2013; 50:548–554.
Ritschl L, Rau A, Grill F, et al. Pitfalls and solutions in virtual design of nasoalveolar molding plates by using CAD/CAM technology – a preliminary clinical study. J Craniomaxillofac Surg 2016; 44:453–459.
Gong X, Dang R, Xu T, et al. Full digital workflow of nasoalveolar molding treatment in infants with cleft lip and palate. J Craniofac Surg 2020; 31:367–371.
Zheng J, He H, Kuang W, et al. Presurgical nasoalveolar molding with 3D printing for a patient with unilateral cleft lip, alveolus, and palate. Am J Orthod Dentofacial Orthop 2019; 156:412–409.
Grill FD, Ritschl LM, Dikel H, et al. Facilitating CAD/CAM nasoalveolar molding therapy with a novel click-in system for nasal stents ensuring a quick and user-friendly chairside nasal stent exchange. Sci Rep 2018; 8:12084.
Shetty V, Vyas HJ, Sharma SM, et al. A comparison of results using nasoalveolar moulding in cleft infants treated within 1 month of life versus those treated after this period: development of a new protocol. Int J Oral Maxillofac Surg 2012; 41:28–36.