2018, Number 20
<< Back Next >>
Rev Tame 2018; 6.7 (20)
Ortopedia pre y postquirúrgica de nasoqueilopastia en una paciente con labio y paladar hendido unilateral
Noyola SP, Silva RMA, Castillo RLG, Ramírez EKM, Chávez MJM
Language: Spanish
References: 17
Page: 791-795
PDF size: 365.92 Kb.
ABSTRACT
The cleft lip and palate (CLP) a congenital craniofacial anomaly that affects aesthetically and functionally. The world incidence is 1: 500 and in Mexico 1: 750. The development of the face occurs between the fourth and twelfth week of intrauterine life, if there is a variation in that period it can generate alterations such as clefts of the lip, alveolus and / or palatine. To correct these alterations, early presurgical orthopedics is indispensable, which handles three dimensions; vertical, sagittal and transverse. The obturator plate stimulates palatal processes by bringing them closer and the nasoalveolar conformer shapes the nose, achieving better results in the primary closure of the surgical lip. A personalized comprehensive treatment should be offered to patients with CLP, improving quality of life, function and aesthetics. In this case, a 3-month-old female patient with a diagnosis of complete left unilateral CLP was presented. Printing is obtained for the elaboration of an individual teaspoon for the construction of a sealing plate. The nasochoiloplasty is performed and a nasoalveolar conformer is placed one month later. Achieving excellent results both physical and functional.
REFERENCES
Trigos I, Guzmán M. Análisis de la incidencia, prevalencia y atención del labio y paladar hendido en México. Cir Plast. 2003; 13 (1): 35-39.
Sadler W. Embriología médica con orientación clínica. 9a edición. Madrid: Panamericana; 2004.
Corbo M, Marimón M. Labio y paladar fisurado. Aspectos generales que se deben conocer en la atención primaria de salud. Rev Cubana Med Gen Integr. 2001; 17: 379-385.
Moss M. The primary role of functional matrices in facial growth. Am J Orthod. 1969; 55: 566-577
Grayson B, Santiago P, Brecht L, Cutting C. Presurgical nasoalveolar molding in patients with cleft lip and palate. Cleft Palate Craniofac J. 1999; 36: 486-498.
McNeil C. Orthodontic procedures in the treatment of congenital cleft palate. Dent Rec. 1950; 70: 126-132.
Burston WR. The early treatment of cleft palate conditions. Dent Pract. 1958; 9: 41-56.
Matsuo K, Hirose T, Tonomo T. Nonsurgical correction of congenital auricular deformities in the early neonate: a preliminary report. Plast Reconstr Surg. 1984; 73: 38-50.
Matsuo K, Hirose T, Otagiri T, Norose N. Repair of cleft lip with nonsurgical correction of nasal deformity in the early neonatal period. Plast Reconstr Surg. 1989; 83: 25-31.
Matsuo K, Hirose T. Preoperative non-surgical over-correction of cleft lip nasal deformity. Br J Plast Surg. 1991; 44: 5-11.
Grayson B, Santiago P, Brecht L, Cutting C. Presurgical nasoalveolar molding in patients with cleft lip and palate. Cleft Palate Craniofac J. 1999; 36: 486-498.
Maull D, Grayson B, Cutting C, Brecht L, Bookstein F, Khorrambad D et al. Long-term effects of nasoalveolar molding on threedimensional nasal shape in unilateral clefts. Cleft Palate Craniofac J. 1999; 36: 391-397.
Ömer S, Sament V. Anovel nostril retainer designer by a patient Aesth Plast Surg. 2009; 33: 789-790.
Mishra B, Sing A, Zaidi J, Singh G, Agrawal R, Kamar V. Presurgical nasoalveolar molding for correction of cleft lip nasal deformity: experience from northern India. Plast Surg J. 2010; 10: 443-456.
Chien-Jung B, Wen-Ching E, Shing C, Wein E. Symmetry of the nose after presurgical nasoalveolar molding in infants whit unilateral cleft lip and palate: a preliminary study. Cleft Palate Craniofac J. 2005; 42: 658-663.
Frankel R. Revista electrónica consultada el día 30 enero de 2013. Disponible en: http://www.amom.com.mx/amominfo1.htm
Moss M. The primary role of functional matrices in facial growth. Am J Orthod. 1969; 55: 566-577. Muñoz A, Castro L. Ortopedia tridimensional y manejo preoperatorio de tejidos blandos en labio paladar hendidos. Cir Plast. 2008; 1: 6-12.