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Correlation between Nasoalveolar Molding and Surgical, Aesthetic, Functional and Socioeconomic Outcomes Following Primary Repair Surgery: a Systematic Review J Oral Maxillofac Res 2017;8(3):e2 doi:10.5037/jomr.2017.8302 Abstract | HTML | PDF | XML |
Correlation between Nasoalveolar Molding and Surgical, Aesthetic, Functional and Socioeconomic Outcomes Following Primary Repair Surgery: a Systematic Review
1Division of Orthodontics, Faculty of Dentistry, McGill University, Montreal, Quebec, Canada.
2Department of Dentistry and Oral/Maxillofacial Surgery, Icahn School of Medicine at Mount Sinai, New York, USA.
3Departments of Dentistry, Pediatrics, Surgery and Medical Education, Mount Sinai Cleft and Craniofacial Center, Icahn School of Medicine at Mount Sinai, New York, USA.
Corresponding Author:
Division of Orthodontics, Faculty of Dentistry
McGill University
Strathcona Bldg. Room M-72, 3640 University Street, QC H3A 0C7, Montreal, Quebec
Canada
Phone: 1-514-398-7203 Ext. 094894 (Lab)
Fax: 1-514-398-8900
E-mail: sophie.maillard@mail.com
ABSTRACT
Objectives: The authors performed a systematic review to evaluate the potential beneficial effects of the nasoalveolar molding appliance on nonsyndromic unilateral clefts of the lip and/or palate prior to primary lip repair.
Material and Methods: A literature search was performed using three electronic databases (PubMed, Embase, Web of Science) and three journals (“Cleft Palate-Craniofacial journal”, “Plastic and Reconstructive Surgery Journal” and “American Journal of Orthodontics and Dentofacial Orthopaedic”) from January 1980 to April 2017. Data extraction was performed with tables treating different subjects: surgical, aesthetical, functional, socio-economical effects of nasoalveolar molding (NAM) appliances and the evolution of NAM appliances, especially three-dimensional technology.
Results: Of the 145 articles retrieved in the literature surveys, 28 were qualified for the final analysis and 20 studies were excluded because of their small sample size (less than 10 patients) and/or too long follow-up (exceeded 18 months). Four randomized controlled trials were available. Although literature allowed discussing the short-term benefits of NAM appliance and the three-dimensional technology, scientific evidence is lacking.
Conclusions: Based on the results, nasoalveolar molding appliances have positive surgical, aesthetical, functional and socio-economical effects on unilateral clefts of the lip and/or palate treatment before the primary repair surgeries. Three-dimensional technology results in a more efficient and predictable nasoalveolar molding appliance treatment. However, nasoalveolar molding appliance effect in a short term remains unclear with the available literature. Further studies that integrate three-dimensional technology in a large scale are still needed.
J Oral Maxillofac Res 2017;8(3):e2
doi: 10.5037/jomr.2017.8302
Accepted for publication: 29 May 2017
Keywords: cleft lip; cleft palate; orthodontic appliances; newborn infant.
To cite this article: Correlation between Nasoalveolar Molding and Surgical, Aesthetic, Functional and Socioeconomic Outcomes Following Primary Repair Surgery: a Systematic Review J Oral Maxillofac Res 2017;8(3):e2 URL: http://www.ejomr.org/JOMR/archives/2017/3/e2/v8n3e2ht.htm |
Received: 8 January 2017 | Accepted: 29 May 2017 | Published: 30 September 2017
Copyright: © The Author(s). Published by JOMR under CC BY-NC-ND 3.0 licence, 2017.