Post-surgical management of cleft lip and palate: Realization of nasal conformer
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Keywords

Cleft lip-alveolar-palate
Maxillofacial Prosthesis
Nasal Conformer
Post-surgical management
Realization

How to Cite

HAMZAOUI, S., AZHARI, M., ROKHSSI, H., SAKOUT, M., & BENTAHAR , O. (2022). Post-surgical management of cleft lip and palate: Realization of nasal conformer. International Arab Journal of Dentistry (IAJD), 13(1), 49-52. Retrieved from https://journals.usj.edu.lb/iajd/article/view/675

Abstract

Background: the given important role of the post-surgical nasal conformer in the management of cleft lip and palate, the publication of this type of case reminds us of the multidisciplinary management of cleft lip and palate of newborns, and reminds us of the usefulness of having this type of device in the therapeutic arsenal even if surgical techniques have progressed.

Case presentation: This is a newborn boy from northern Morocco who was diagnosed with a unilateral cleft lip and palate. He was first placed in an orthosis with a pre-surgical conformer on his second day of life.

When he was four months, he then underwent corrective surgery in two stages: firstly, closure of the lip and nose, and secondly, closure of the alveolar region and the palate.

For the conformer that interests us in this work, it was performed after three weeks of the first surgery, in order to have better results after the second surgery

Conclusions: In summary, the presentation of this case shows us the importance of post-surgical conformers in the management of infants with cleft lip and palate and their ability to achieve better functional and aesthetic results for the patient without forgetting their psychological impact on the parents.

Background: the given important role of the post-surgical nasal conformer in the management of cleft lip and palate, the publication of this type of case reminds us of the multidisciplinary management of cleft lip and palate of newborns, and reminds us of the usefulness of having this type of device in the therapeutic arsenal even if surgical techniques have progressed.

Case presentation: This is a newborn boy from northern Morocco who was diagnosed with a unilateral cleft lip and palate. He was first placed in an orthosis with a pre-surgical conformer on his second day of life.

When he was four months, he then underwent corrective surgery in two stages: firstly, closure of the lip and nose, and secondly, closure of the alveolar region and the palate.

For the conformer that interests us in this work, it was performed after three weeks of the first surgery, in order to have better results after the second surgery

Conclusions: In summary, the presentation of this case shows us the importance of post-surgical conformers in the management of infants with cleft lip and palate and their ability to achieve better functional and aesthetic results for the patient without forgetting their psychological impact on the parents.

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References

1. Benoist M. Réhabilitation et prothèse maxillo-faciales. J. Prélat, 1978-454p.
2. J.J. AKNIN. Le point sur les fentes labio-alvéolo-palatines. Rev Orthop Dento Faciale 2008;42:391-402.
Doi: org/10.1051/odf:2008045
3. J.-C. Talmant *, J.-Ch. Talmant, J.-P. Lumineau. Traitement primaire des fentes labio-palatines. Ses grands principes. Ann Chir Plast Esthet (2016); 61(5): 348-359.
Doi: org/10.1016/j.anplas.2016.06.007
4. J.C. Talmant, J.P. Lumineau, G. Rousteau. Prise en charge des fentes labio-maxillo-palatines par l’équipe du docteur Talmant à Nantes. Article original. Annales de Chirurgie Plastique Esthétique 2002;47:116-25.
Doi: org/10.1016/S0294-1260(02)00095-X
5. J-Claude Talmant , J-Christian Talmant. Rhinoplastie de fente primaire et secondaire. Annales de Chirurgie Plastique Esthétique 2014;59(6):555-584.
Doi: org/10.1016/j.anplas.2014.08.004
6. S. Titiz, A. Aras. Presurgical Orthopedic Treatment Using Modified Nostril Retainers in Patients With Unilateral Cleft Lip With or Without Cleft Palate. The Journal of Craniofacial Surgery 2017; 28(6): 1570-1572.
Doi: 10.1097/SCS.0000000000003647
7. K. Marsuo, T. Hirose, T. Otagiri, N. Norose. Repair of Cleft Lip with Nonsurgical Correction of Nasal Deformity in the Early Neonatal Period. Plastic & Reconstructive Surgery 1989;83(1):25-31.
8. I.Ozyazgan, T. Eskitascioglu. A new reshaped nostril retainer. Plastic & Reconstructive Surgery; March 2000;105(2): 804
Doi: 10.1097/00006534-200002000-00061
9. J. Saboye. La septoplastie lors de la chéilorhinoplastie primaire dans les fentes labio-palatines unilatérales. Annales de Chirurgie Plastique Esthétique 2018;63(1):81-85.
Doi : org/10.1016/j.anplas.2017.10.002
10. A.A. Bhuskute, T.T. Tollefson. Cleft Lip Repair, Nasoalveolar Molding,and Primary Cleft Rhinoplasty. Facial Plastic Surgery Clinics of North America 2016;24(4):453-466.
Doi : org/10.1016/j.fsc.2016.06.015