Montaño ÁPL, Nonaka NAN, Gutiérrez RJF

Language: Spanish
References: 10
Page: 171-174
PDF size: 269.47 Kb.

ABSTRACT

Introduction: cleft lip and palate is a craniofacial malformation most frequent congenital and is produced by a failure to fuse facial processes during early periods in embryonic development. Objective: the objective of pre-surgical orthopedics is to facilitate the first intervention for the correction of this condition, reducing surgical trauma, obtaining less scar formation and less risk of post-surgical complications, in addition to helping the patient obtain better swallowing to improve the nutritional aspect in the baby. Material and methods: the patient came to the clinic at two weeks of age for impression taking and placement of the orthopedic device. The NAM (nasoalveolar molding) and the transport tape were placed and appointments were made once a month to evaluate the nasal stent, activate it and check that the placement of the tape was correct, as well as to check that the baby's feeding was improving. Results: an anatomical and physiological improvement is observed, as well as a 6mm decrease in the cleft lip and nasal remodeling. An improvement in swallowing and feeding with weight gain was observed. Conclusions: pre-surgical orthopedics with NAM is an acceptable and recommended therapy for patients with cleft lip and palate since it helps us to generate better surgical results in addition to collaborating with the nutritional aspect of the baby.

REFERENCES

1. Palmero J, Rodríguez M. Labio paladar hendido. Conceptos actuales. Acta Médica Grupo Ángeles. 2019; 17 (4): 372-379.

2. Rodríguez TL, Norabuena HMT. Uso del obturador palatino en pacientes con labio y paladar fisurado, reporte de un caso en el Centro Médico Naval, Lima, Perú. odontol Pediatr. 2010; 9 (1): 107-113.

3. Mejia A. Suarez D. Factores de riesgo materno predominantes asociados con labio leporino y paladar hendido en los recién nacidos. Investigación materno infantil. 2012; 4 (2): 55-62.

4. Gutierrez-Rodriguez M. peregrino-Mendoza A. Borbolla-Sala E. Bulnes-Lopez R. Beneficios del tratamiento temprano con ortopedia pre-quirúrgica en neonatos con labio y paladar hendido. Salud en Tabasco. 2012; 18 (3)

5. Ruiz Escalano G. El moldeamiento nasoalveolar en niños con fisura labiopalatina [Doctorado]. Universidad de Sevilla; 2016.

6. Sigler A. Protocolo para la planificación quirúrgica en las clínicas de labio y paladar hendidos en la zona noroeste de la República Mexicana Cir Plast Iberolatinoam. 2017; 43 (3).

7. Rossell P. Cotrina O.Técnica quirúrgica para el tratamiento de fisuras labiales unilaterales con segmento lateral corto. Acta Med Peruana. 2010; 27 (3):

8. Grayson BH, Garfinkle JS. Early cleft management: the case for nasoalveolar molding. Am J Orthod Dentofac Orthop. 2014; 145 (2): 134-142. doi: 10.1016/j.ajodo.2013.11.011.

9. Bravo L, Muñoz D, Torres F, Fierro C, Perez A. Ortopedia prequirúrgica en niños fisurados. Reporte de caso clínico. Odontoestomatología. 2015; 17: 25.

10. Chavarria C, Gateno J, Spengler A, Teichgraeber J, Xia J. Presurgical nasoalveolar molding therapy for the treatment of bilateral cleft lip and palate: A preliminary study. Cleft Palate Craniofac J. 2006; 43 (3): 321-328.