Arch Craniofac Surg.  2015 Apr;16(1):31-34. 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 BN
• Park SH
• Yang JY
• Son KM
• Cheon JS

• KMID: 2266943
• DOI: http://doi.org/10.7181/acfs.2015.16.1.31

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.

Keyword

Cleft lip; Orthodontic appliances; Case reports

MeSH Terms

Cleft Lip*
Cleft Palate
Fungi*
Humans
Infant
Lip*
Maxilla
Orthodontic Appliances