Kalaskar Ritesh, Bhaje Priyanka, Sharma Priyanka, Balasubramanian Shruti, Ninawe Nupur, Ijalkar Rajesh
Department of Pediatric and Preventive Dentistry, Government Dental College & Hospital, Nagpur, India.
J Korean Assoc Oral Maxillofac Surg. 2021 Aug 31;47(4):257-268. doi: 10.5125/jkaoms.2021.47.4.257.
Cleft lip and palate is a common congenital anomaly that impairs the aesthetics, speech, hearing, and psychological and social life of an individual. To achieve good aesthetic outcomes, presurgical nasoalveolar molding (NAM) has become important. Currently, the intraoral NAM technique is widely practiced. Numerous modifications have been made to intraoral NAM techniques, but the original problem of compliance leading to discontinuation of treatment remains unsolved. Therefore, the present study compared an extraoral NAM technique with the intraoral NAM technique.
Twenty infants with complete unilateral cleft lip and palate were included and divided into two equal groups. Group A received the intraoral NAM technique, and Group B received the extraoral NAM technique. Pre- and postoperative extraoral and intraoral measurements were recorded.
Groups A and B did not differ significantly in any extraoral or intraoral parameter.
The extraoral NAM technique is as effective as the intraoral NAM technique in achieving significant nasal and alveolar changes in com-plete unilateral cleft lip and palate patients. Additionally, it reduces the need for frequent hospital visits for activation and the stress associated with the insertion and removal of the intraoral NAM plate, thereby improving compliance.
唇腭裂是一种常见的先天性畸形，会损害个体的美观、言语、听力以及心理和社交生活。为了获得良好的美学效果，术前鼻牙槽骨塑形（NAM）变得至关重要。目前，口内NAM技术被广泛应用。对口内NAM技术已进行了诸多改进，但导致治疗中断的依从性这一原始问题仍未得到解决。因此，本研究将口外NAM技术与口内NAM技术进行了比较。
纳入20例单侧完全性唇腭裂婴儿，并将其平均分为两组。A组接受口内NAM技术，B组接受口外NAM技术。记录术前和术后的口外及口内测量数据。
A组和B组在任何口外或口内参数上均无显著差异。
在使单侧完全性唇腭裂患者的鼻腔和牙槽骨产生显著变化方面，口外NAM技术与口内NAM技术同样有效。此外，它减少了因激活而频繁就诊的需求以及与口内NAM板插入和取出相关的压力，从而提高了依从性。
