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http://dx.doi.org/10.7181/acfs.2015.16.1.31

Complex Correction of Complete Cleft Lip with Severe Prominent Premaxilla using Lip Adhesion and Nasoalveolar Molding Device  

Seo, Bin Na (Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine)
Park, Su Han (Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine)
Yang, Jeong Yeol (Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine)
Son, Kyung Min (Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine)
Cheon, Ji Seon (Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine)
Publication Information
Archives of Craniofacial Surgery / v.16, no.1, 2015 , pp. 31-34 More about this Journal
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.
Keywords
Cleft lip; Orthodontic appliances; Case reports;
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