Complications and solutions in presurgical nasoalveolar molding therapy

Daniel Levy-Bercowski, Amara Abreu, Eladio DeLeon, Stephen Looney, John Stockstill, Michael Weiler, Pedro E. Santiago

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

Objective: To outline three main categories of nasoalveolar molding complications, describe their etiologies and manifestations, and prescribe preventive and palliative therapy for their proper management. Estimates of the incidence of each complication also are provided. Materials and Methods: Data were collected retrospectively from the charts of 27 patients with complete unilateral cleft lip and palate treated by the first author (D.L.-B.) at the University of Puerto Rico (n = 12) and the Medical College of Georgia (n = 15). Confidence intervals for the true incidence of each complication were calculated using exact methods based on the binomial distribution. A significance level of .05 was used for all statistical tests. Results: Of the soft and hard tissue complications considered, only one (tissue irritation) had an estimated incidence greater than 10%. Compliance issues were of greater concern, with an estimated incidence of 30% for broken appointments and an estimated incidence of 26% for removal of the nasoalveolar molding appliance by the tongue. Conclusions: Although benefits outnumber the complications, it is important to address all complications in order to prevent any deleterious outcomes.

Original languageEnglish (US)
Pages (from-to)521-528
Number of pages8
JournalCleft Palate-Craniofacial Journal
Volume46
Issue number5
DOIs
StatePublished - Sep 1 2009

Fingerprint

Incidence
Binomial Distribution
Therapeutics
Puerto Rico
Cleft Lip
Cleft Palate
Palliative Care
Tongue
Compliance
Appointments and Schedules
Confidence Intervals

Keywords

  • Cleft lip and/or palate
  • Complications
  • Nasoalveolar molding
  • Presurgical

ASJC Scopus subject areas

  • Oral Surgery
  • Otorhinolaryngology

Cite this

Complications and solutions in presurgical nasoalveolar molding therapy. / Levy-Bercowski, Daniel; Abreu, Amara; DeLeon, Eladio; Looney, Stephen; Stockstill, John; Weiler, Michael; Santiago, Pedro E.

In: Cleft Palate-Craniofacial Journal, Vol. 46, No. 5, 01.09.2009, p. 521-528.

Research output: Contribution to journalArticle

@article{1464ab5a1c254562b4f96c977e530650,
title = "Complications and solutions in presurgical nasoalveolar molding therapy",
abstract = "Objective: To outline three main categories of nasoalveolar molding complications, describe their etiologies and manifestations, and prescribe preventive and palliative therapy for their proper management. Estimates of the incidence of each complication also are provided. Materials and Methods: Data were collected retrospectively from the charts of 27 patients with complete unilateral cleft lip and palate treated by the first author (D.L.-B.) at the University of Puerto Rico (n = 12) and the Medical College of Georgia (n = 15). Confidence intervals for the true incidence of each complication were calculated using exact methods based on the binomial distribution. A significance level of .05 was used for all statistical tests. Results: Of the soft and hard tissue complications considered, only one (tissue irritation) had an estimated incidence greater than 10{\%}. Compliance issues were of greater concern, with an estimated incidence of 30{\%} for broken appointments and an estimated incidence of 26{\%} for removal of the nasoalveolar molding appliance by the tongue. Conclusions: Although benefits outnumber the complications, it is important to address all complications in order to prevent any deleterious outcomes.",
keywords = "Cleft lip and/or palate, Complications, Nasoalveolar molding, Presurgical",
author = "Daniel Levy-Bercowski and Amara Abreu and Eladio DeLeon and Stephen Looney and John Stockstill and Michael Weiler and Santiago, {Pedro E.}",
year = "2009",
month = "9",
day = "1",
doi = "10.1597/07-236.1",
language = "English (US)",
volume = "46",
pages = "521--528",
journal = "Cleft Palate-Craniofacial Journal",
issn = "1055-6656",
publisher = "American Cleft Palate Craniofacial Association",
number = "5",

}

TY - JOUR

T1 - Complications and solutions in presurgical nasoalveolar molding therapy

AU - Levy-Bercowski, Daniel

AU - Abreu, Amara

AU - DeLeon, Eladio

AU - Looney, Stephen

AU - Stockstill, John

AU - Weiler, Michael

AU - Santiago, Pedro E.

PY - 2009/9/1

Y1 - 2009/9/1

N2 - Objective: To outline three main categories of nasoalveolar molding complications, describe their etiologies and manifestations, and prescribe preventive and palliative therapy for their proper management. Estimates of the incidence of each complication also are provided. Materials and Methods: Data were collected retrospectively from the charts of 27 patients with complete unilateral cleft lip and palate treated by the first author (D.L.-B.) at the University of Puerto Rico (n = 12) and the Medical College of Georgia (n = 15). Confidence intervals for the true incidence of each complication were calculated using exact methods based on the binomial distribution. A significance level of .05 was used for all statistical tests. Results: Of the soft and hard tissue complications considered, only one (tissue irritation) had an estimated incidence greater than 10%. Compliance issues were of greater concern, with an estimated incidence of 30% for broken appointments and an estimated incidence of 26% for removal of the nasoalveolar molding appliance by the tongue. Conclusions: Although benefits outnumber the complications, it is important to address all complications in order to prevent any deleterious outcomes.

AB - Objective: To outline three main categories of nasoalveolar molding complications, describe their etiologies and manifestations, and prescribe preventive and palliative therapy for their proper management. Estimates of the incidence of each complication also are provided. Materials and Methods: Data were collected retrospectively from the charts of 27 patients with complete unilateral cleft lip and palate treated by the first author (D.L.-B.) at the University of Puerto Rico (n = 12) and the Medical College of Georgia (n = 15). Confidence intervals for the true incidence of each complication were calculated using exact methods based on the binomial distribution. A significance level of .05 was used for all statistical tests. Results: Of the soft and hard tissue complications considered, only one (tissue irritation) had an estimated incidence greater than 10%. Compliance issues were of greater concern, with an estimated incidence of 30% for broken appointments and an estimated incidence of 26% for removal of the nasoalveolar molding appliance by the tongue. Conclusions: Although benefits outnumber the complications, it is important to address all complications in order to prevent any deleterious outcomes.

KW - Cleft lip and/or palate

KW - Complications

KW - Nasoalveolar molding

KW - Presurgical

UR - http://www.scopus.com/inward/record.url?scp=69949171895&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=69949171895&partnerID=8YFLogxK

U2 - 10.1597/07-236.1

DO - 10.1597/07-236.1

M3 - Article

C2 - 19929090

AN - SCOPUS:69949171895

VL - 46

SP - 521

EP - 528

JO - Cleft Palate-Craniofacial Journal

JF - Cleft Palate-Craniofacial Journal

SN - 1055-6656

IS - 5

ER -