Complications During Grayson Presurgical Nasoalveolar Molding Method in Nonsyndromic Infants With Complete Unilateral Cleft Lip and Palate
| Autor: | Gonzalo Andrés Garcés Alvear, Andrea Ormeño Quintana, Carolina Macarena Gutiérrez Melis, María Ignacia Beatriz Moreno Soza |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
business.industry
Nasoalveolar Molding Nostril Cleft Lip Soft tissue Dentistry Infant General Medicine Nose Nasal bleeding Cleft Palate medicine.anatomical_structure Skin irritation Otorhinolaryngology Preoperative Care medicine Alveolar Process Humans Surgery Nasal stent Gingival ulceration Complication business Eating problems |
| Zdroj: | The Journal of craniofacial surgery. 32(6) |
| ISSN: | 1536-3732 |
| Popis: | INTRODUCTION Within the treatment protocols of patients with cleft lip and palate, the nasoalveolar molding (NAM) acquire more followers every day.Their benefits have been well documented, but not equally their complications. The purpose of this study was to describe the complications produced during treatment with Grayson presurgical NAM in nonsyndromic infants with complete unilateral cleft lip and palate. METHODS Bibliographic review on 8 databases using search algorithms. By applying the exclusion and inclusion criteria, 21 articles were detected, which were analyzed in full text. Complication, cause, and solution data were presented in supplemental tables. RESULTS Complications are related to soft tissues, hard tissues, and those derived from care. SOFT TISSUES irritation, ulceration, gingival, facial, or nasal bleeding. Candidiasis. An overexpanded nostril creation to improper placement or modifications of the nasal stent at home.The most frequent were lip and cheeks skin irritation by taping, and gingival ulceration due to excessive pressure. HARD TISSUES misalignment of alveolar segments and the premature eruption of teeth. DERIVED FROM CARE inadequate device retention, adherence problems to treatment, poor/excessive care of the caregiver, intolerance to the device, eating problems, breathing, and socioeconomic issues. CONCLUSIONS The main complications occur in soft tissues, related to the retention mechanisms and an inadequate adjustment of the device.The benefits of NAM exceed the complications. It is necessary to know them to avoid any harmful results since they could prolong or stop the treatment, compromising the result. The active collaboration of the family in the insertion and maintenance of the device is crucial for success. |
| Databáze: | OpenAIRE |
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