The Effect of Presurgical Nasoalveolar Molding on Oronasal Fistula Following Primary Palatoplasty.

Autor:	Siriwiroj S; Plastic & Reconstructive Unit, Department of Surgery, Faculty of Medicine, Khon Kaen University., Pisek P; Department of Orthodontics, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand., Punyavong P; Plastic & Reconstructive Unit, Department of Surgery, Faculty of Medicine, Khon Kaen University., Jenwitheesuk K; Plastic & Reconstructive Unit, Department of Surgery, Faculty of Medicine, Khon Kaen University., Surakunprapha P; Plastic & Reconstructive Unit, Department of Surgery, Faculty of Medicine, Khon Kaen University., Winaikosol K; Plastic & Reconstructive Unit, Department of Surgery, Faculty of Medicine, Khon Kaen University.
Jazyk:	angličtina
Zdroj:	The Journal of craniofacial surgery [J Craniofac Surg] 2024 Mar-Apr 01; Vol. 35 (2), pp. 412-414. Date of Electronic Publication: 2023 Nov 20.
DOI:	10.1097/SCS.0000000000009872
Abstrakt:	Objective: Presurgical nasoalveolar molding (PNAM) is widely used in cleft care protocol. This study investigated the correlation between PNAM and oronasal fistula after primary palatoplasty. Methods: A case-controlled study of 80 unilateral and bilateral complete cleft palate patients who underwent cleft palate repair were enrolled. Patients were divided into 2 groups: (1) no PNAM use and (2) PNAM use. The incidence of oronasal fistula and postoperative complications were compared between groups. Results: Forty patients in each group demonstrated the same baseline characteristics. The PNAM group showed a significantly lower postoperative oronasal fistula rate (15% versus 50%, P =0.003). Palatal cleft width wider than 12.5 mm increases the odds ratio of fistula formation by 1.19-fold ( P =0.037), and the PNAM protected against postoperative palatal fistula formation (odds ratio 0.20, P =0.003). Conclusion: Presurgical nasoalveolar molding can reduce postoperative oronasal fistula in wide-gap Veau type III and IV cleft palate. Competing Interests: The authors report no conflicts of interest. (Copyright © 2023 by Mutaz B. Habal, MD.)
Databáze:	MEDLINE
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