Effectiveness of Nasoalveolar Molding in the Unilateral Cleft Lip and Cleft Palate

Primer Autor
Espinoza Espinoza, Gerardo Enrique
Co-autores
Castillo Mariqueo, Gabriela Edith#Almeida Arriagada, Eduardo Enrique#Iturriaga Bustos, Teresita del Pilar#Munoz Navarro, Sergio
Título
Effectiveness of Nasoalveolar Molding in the Unilateral Cleft Lip and Cleft Palate
Editorial
LIPPINCOTT WILLIAMS & WILKINS
Revista
JOURNAL OF CRANIOFACIAL SURGERY
Lenguaje
en
Resumen
Background: Cleft lip and palate develops during embryogenesis due to an alteration in the fusion of the tissues which will form the upper lip and palate. The rate of occurrence in Chile is 1.6 per 1000 live births. The object of the present study was to determine the effectiveness of the Grayson nasoalveolar molding appliance in reducing the gap between the alveolar segments in cases of unilateral cleft lip and palate by sex, age at start of treatment, initial gap between the alveolar segments, and number of checkups. Methods: The study design was quasi-experimental, with measurements taken before and after surgery and no control group. The authors studied the medical records and models of a sample of 52 patients with complete unilateral cleft lip and palate who were discharged after treatment using Grayson nasoalveolar molding appliance. Treatment was considered effective when the final gap was 3 mm or less. Then the percentage of cases in which treatment was effective, applying statistical tests, including log regression, to assess the influence of other variables was calculated. Results: The authors observed that the Grayson nasoalveolar molding appliance was effective in 69.23% of patients. Of the variables studied, the initial gap presented statistically significant differences (initial gap of 8-12 mm, effectiveness 82.61%), in the log regression, the same variable presented a statistically significant difference in the adjusted odds of effectiveness. Conclusion: Grayson nasoalveolar molding appliance presents good effectiveness in reducing the gap between the alveolar segments in patients with unilateral cleft lip and palate, especially in cases with a gap of 8 to 12 mm.
Tipo de Recurso
Artículo original
doi
10.1097/SCS.0000000000004724
Formato Recurso
pdf
Palabras Claves
Cleft lip# cleft palate# Grayson NAM device# nasoalveolar molding# presurgical orthopedics
Ubicación del archivo
http://dx.doi.org/10.1097/SCS.0000000000004724
Categoría OCDE
Surgery
Materias
labio hendido# paladar hendido# Dispositivo Grayson NAM# moldeado nasoalveolar# ortopedia prequirúrgica
Disciplinas de la OCDE
Odontología, Cirugía y Medicina Oral
Cirugía
Otros Temas de Medicina Clínica
Id de Web of Science
WOS:000446583200076
Título de la cita (Recomendado-único)
Effectiveness of Nasoalveolar Molding in the Unilateral Cleft Lip and Cleft Palate
Identificador del recurso (Mandatado-único)
Artículo original
Versión del recurso (Recomendado-único)
version publicada
Editorial
LIPPINCOTT WILLIAMS & WILKINS
Revista/Libro
JOURNAL OF CRANIOFACIAL SURGERY
Categoría WOS
Cirugía
ISSN
1049-2275
Idioma
en
Formato
pdf
Tipo de ruta
hibrida
Access Rights
metadata
Derechos de acceso
metadata
Colecciones
Colección Publicaciones Científicas
Revisa las metricas alternativas de Almetrics
Revisa las citaciones de Dimensions