Article Menu

Export Article

More by Authors Links

Article Data

  • Views 986
  • Dowloads 192

Case Reports

Open Access

A Staged Expansion Screw Protocol to Retract the Premaxilla In BCLP Infants with Delayed Nasoalveolar Molding

  • Rohan Bhagat1,*,
  • Meghna Vandekar1
  • Nikhilesh R. Vaid2
  • Jae Hyun Park3,4
  • Yoon-Ah Kook5

1YMT Dental College, Navi Mumbai, India

2European University Dental College, DHCC- Dubai, UAE

3Postgraduate Orthodontic Program, Arizona School of Dentistry & Oral Health, A.T. Still University, Mesa, USA

4Graduate School of Dentistry, Kyung Hee University, Seoul, South Korea

5Department of Orthodontics, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea

DOI: 10.17796/1053-4625-45.2.9 Vol.45,Issue 2,April 2021 pp.123-128

Published: 01 April 2021

*Corresponding Author(s): Rohan Bhagat E-mail: rohanbhagat@gmail.com

PDF (511.39 kB) View Full-text

Abstract

Currently, the treatment protocol for cleft palate at several centers around the world involves primary lip repair around 3-4 months of age, using presurgical nasoalveolar molding, which is done soon after birth. Unfortunately, in cases where treatment is delayed, the potential for repositioning the nasoalveolar apparatus is severely limited. The purpose of this paper is to illustrate a novel use of an expansion screw appliance to aid in the faster and more efficient active molding of the premaxillary and lateral maxillary segments in infants for whom the start of PNAM therapy is delayed, without the side effects commonly seen with pin-retained active molding appliances.

Keywords

Cleft lip and cleft palate; Presurgical nasoalveolar molding; Nasoalveolar molding; Expansion screw appliance

Cite and Share

Rohan Bhagat,Meghna Vandekar,Nikhilesh R. Vaid,Jae Hyun Park,Yoon-Ah Kook. A Staged Expansion Screw Protocol to Retract the Premaxilla In BCLP Infants with Delayed Nasoalveolar Molding. Journal of Clinical Pediatric Dentistry. 2021. 45(2);123-128.

URL:

https://www.jocpd.com/articles/10.17796/1053-4625-45.2.9

References

1. Tai K, Park JH, Tanino M, Sato Y. Orthodontic treatment of a bilateral cleft lip and palate patient with bilateral tooth transpositions and congenitally missing teeth. J Clin Pediatr Dent, 35:225-231, 2010.

2. Mulliken JB, Wu JK, Padwa BL. Repair of bilateral cleft lip: review, revisions, and reflections. J Craniofac Surg, 14:609-20, 2003.

3. Mulliken JB. Bilateral complete cleft lip and nasal deformity: an anthropometric analysis of staged to synchronous repair. Plast Reconstr Surg, 96:9-23, 1995.

4. Mulliken JB. Primary repair of bilateral cleft lip and nasal deformity. Plast Reconstr Surg, 108:181-194, 2001.

5. Broadbent TR, Woolf RM. Cleft lip nasal deformity. Ann Plast Surg, 12:216- 234, 1984.

6. McComb H. Primary repair of the bilateral cleft lip nose: a 15-year review and a new treatment plan. Plast Reconstr Surg, 86:882-893, 1990.

7. McComb H. Primary repair of the bilateral cleft lip nose: a 4-year review. Plast Reconstr Surg, 94:37-47, 1994.

8. Mulliken JB. Correction of the bilateral cleft lip nasal deformity: evolution of a surgical concept. Cleft Palate Craniofac J, 29:540-545, 1992.

9. Trott JA, Mohan N. A preliminary report on open tip rhinoplasty at the time of lip repair in bilateral cleft lip and palate: the Alor Setar experience. Br J Plast Surg, 46:215-222, 1993.

10. Cutting C, Grayson B, Brecht L, Santiago P, Wood R, Kwon S. Presurgical columellar elongation and primary retrograde nasal reconstruction in one-stage bilateral cleft lip and nose repair. Plast Reconstr Surg, 101:630-639, 1998.

11. Matsuo K, Hirose T. Nonsurgical correction of cleft lip nasal deformity in the early neonate. Ann Acad Med Singapore, 17:358-365, 1988.

12. Grayson BH, Garfinkle JS. Early cleft management: The case for nasoalveolar molding. Am J Orthod Dentofacial Orthop, 145: 134-142, 2014.

13.Shetty V, Vyas HJ, Sharma SM, Sailer HF. A comparison of results using nasoalveolar molding in cleft infants treated within 1 month of life versus those treated after this period: development of a new protocol. Int J Oral Maxillofac Surg, 41:28-36, 2012.

14. Mishra B, Singh AK, Zaidi J, Singh GK, Agrawal R, Kumar V. Presurgical nasoalveolar molding for correction of cleft lip nasal deformity: experience from northern India. J Plast Surg, 10:443-457, 2010.

15. Da Silveira AC, Oliveira N, Gonzalez S, Shahani M, Reisberg D, Daw JL, Cohen M. Modified nasal alveolar molding appliance for management of cleft lip defect. J Craniofac Surg, 14:700-703, 2003.

16. Hardingham TE, Muir H. The specific interaction of hyaluronic acid with cartilage proteoglycans. Biochim Biophys Acta, 279:401-405, 1972.

17. Georgiade NG, Latham RA. Maxillary arch alignment in the bilateral cleft lip and palate infant, using the pinned coaxial screw appliance. Plast Reconstr Surg, 56:52-60, 1975.

18. Neha, Tripathi T, Rai P, Bhandari PS. Nasoalveolar molding: Use of reverse expansion screw in retraction of cleft premaxilla in a case of bilateral cleft lip and palate. J Cleft Lip Palate Craniofac Anomal, 2:143-146, 2015.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,500 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Biological Abstracts Easily discover critical journal coverage of the life sciences with Biological Abstracts, produced by the Web of Science Group, with topics ranging from botany to microbiology to pharmacology. Including BIOSIS indexing and MeSH terms, specialized indexing in Biological Abstracts helps you to discover more accurate, context-sensitive results.

Google Scholar Google Scholar is a freely accessible web search engine that indexes the full text or metadata of scholarly literature across an array of publishing formats and disciplines.

JournalSeek Genamics JournalSeek is the largest completely categorized database of freely available journal information available on the internet. The database presently contains 39226 titles. Journal information includes the description (aims and scope), journal abbreviation, journal homepage link, subject category and ISSN.

Current Contents - Clinical Medicine Current Contents - Clinical Medicine provides easy access to complete tables of contents, abstracts, bibliographic information and all other significant items in recently published issues from over 1,000 leading journals in clinical medicine.

BIOSIS Previews BIOSIS Previews is an English-language, bibliographic database service, with abstracts and citation indexing. It is part of Clarivate Analytics Web of Science suite. BIOSIS Previews indexes data from 1926 to the present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Scopus: CiteScore 2.0 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Submission Turnaround Time

Conferences

Top