The Effect of Nasoalveolar Molding on Nasal Airway Anatomy

Objective:To determine the effects of nasoalveolar molding (NAM) on nasal airway architecture.Design:Retrospective case-control study of patients with unilateral cleft lip treated with NAM vs without NAM.Setting:Tertiary referral center specializing in cleft and craniofacial care.Patients, Participa...

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Bibliographic Details
Published in:The Cleft palate-craniofacial journal 2018-04, Vol.55 (4), p.596-601
Main Authors: Massie, Jonathan P, Bruckman, Karl, Rifkin, William J, Runyan, Christopher M, Shetye, Pradip R, Grayson, Barry, Flores, Roberto L
Format: Article
Language:English
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Summary:Objective:To determine the effects of nasoalveolar molding (NAM) on nasal airway architecture.Design:Retrospective case-control study of patients with unilateral cleft lip treated with NAM vs without NAM.Setting:Tertiary referral center specializing in cleft and craniofacial care.Patients, Participants, and Interventions:Thirty-six patients with complete unilateral cleft lip and alveolus: 19 with NAM therapy and 17 without NAM therapy.Main Outcome Measures:Cone beam computed tomography (CBCT) scans were compared in multiple coronal sections and were evaluated for linear and angular septal deviation, inferior turbinate hypertrophy, and linear and 2-dimensional airway area.Results:There were no significant differences in linear or angular septal deviation, inferior turbinate area, linear stenosis, or airway area between NAM- and non-NAM-treated patients.Conclusions:NAM effectively molds the external nasal cartilage and structures but may have limited effects on internal nasal structures.
ISSN:1055-6656
1545-1569
DOI:10.1177/1055665617744062