NYU Nasoalveolar Molding Protocol: From Birth to Adulthood

摘要

INTRODUCTION: One of the most actively debated therapies for patients with a cleft is nasoalveolar molding (NAM). Although supporters cite improvements in nasal symmetry, nasal aesthetics, columellar length, cost benefit, and nasal revision rates, one of the most convincing criticisms of NAM is the absence of reports on its effects at facial maturity, the target timepoint of assessment for cleft care interventions. This study reports clinical outcomes of NAM to facial maturity including rates of revision surgery to the lip and nose, incidence of secondary alveolar bone graft (ABG), and orthognathic surgery (OGS), and effects on facial growth.