Surgical and Aesthetic Outcome in Complete Cleft Lip Repair; Comparative Study With and Without Nasoalveolar Molding | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Article 3, Volume 49, Issue 1, January 2025, Pages 21-33 PDF (1.36 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2025.405185 | ||
| Authors | ||
| Mohamed Abdelhalim* 1; Ayman M Abdelmofeed1; Mohamed Ramadan2; Mohamed I Abourizk2; Ahmed Moussa3; Mohmed ELZOHIRY3; Kamal Aly3; Mohamed Elsherbiny* 3 | ||
| 1Plastic Surgery Unit, Faculty of Medicine, Benha University | ||
| 2General Surgery Department, Faculty of Medicine, Benha University | ||
| 3The Department of Pediatric Surgery, Faculty of Medicine, Mansoura University | ||
| Abstract | ||
| Background/Purpose: Several studies have been developed to enhance the repair of cleft lip anomaly since it is typically not sufficient in patients with large gaps in the lips. Objective: The purpose of this study is to assess the use of nasoalveolar molding (NAM) as regards the surgical and cosmetic results following full cleft lip surgery. Methods: 44 patients were diagnosed with complete cleft lip and hospitalized to the pediatric surgery department between May 2018 and May 2020 were included in this study. They were divided randomly into two groups; the non-NAM group and the NAM group, each group had 22 patients. Four distinct times were recorded for magnified basal view facial photos: The first visit (T1), the period before to cheiloplasty (T2), the period one month after the cheiloplasty (T3), and the period six months following cheiloplasty (T4). The following measurements were taken directly from the pictures: (1) Nostril height on both sides; (2) Nostril width on both sides; (3) Columella angle on both sides; and (4) Alveolar gap width. Photos with a standard 1:1 ratio were captured. Straight linear measurements were taken on the images. Results: There was a statistically significant narrowing of the alveolar gap in the molded group. The study revealed improved nasal symmetry regarding nasal height, width, and columella angle in molded groups. There was an improvement of results up to six months follow-up with no relapse. The hypertrophic scar risks and notched lip were lower in the molded group. Vermilion volume homogeneity was better in the NAM group. Other parameters of surgical interference like time of surgery, extent of muscle dissection, and surgical difficulty were in favor of the NAM group. Conclusions: Presurgical NAM is an effective procedure in improving the surgical and aesthetic outcomes in complete cleft lip patients. | ||
| Keywords | ||
| Cleft lip; Nasoalveolar molding; Alveolar gap; Nasal symmetry | ||
| References | ||
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