Evaluation of Aesthetic Outcomes of Two-Stage Cleft Lip Repair versus Pre-Operative Nasoalveolar Molding Prior to Single Stage Repair in Unilateral Cleft Lip Patients: A Randomized Controlled Trial
Ahmed, M., Mohamed, M., Emara, D., Mobarak, F. (2025). Evaluation of Aesthetic Outcomes of Two-Stage Cleft Lip Repair versus Pre-Operative Nasoalveolar Molding Prior to Single Stage Repair in Unilateral Cleft Lip Patients: A Randomized Controlled Trial. EKB Journal Management System, 16(2), 78-82. doi: 10.21608/omx.2025.363432.1279
Mohamed Ashraf Ahmed; Mohamed Ali Mohamed; Dawlat Emara; Fahmy Mobarak. "Evaluation of Aesthetic Outcomes of Two-Stage Cleft Lip Repair versus Pre-Operative Nasoalveolar Molding Prior to Single Stage Repair in Unilateral Cleft Lip Patients: A Randomized Controlled Trial". EKB Journal Management System, 16, 2, 2025, 78-82. doi: 10.21608/omx.2025.363432.1279
Ahmed, M., Mohamed, M., Emara, D., Mobarak, F. (2025). 'Evaluation of Aesthetic Outcomes of Two-Stage Cleft Lip Repair versus Pre-Operative Nasoalveolar Molding Prior to Single Stage Repair in Unilateral Cleft Lip Patients: A Randomized Controlled Trial', EKB Journal Management System, 16(2), pp. 78-82. doi: 10.21608/omx.2025.363432.1279
Ahmed, M., Mohamed, M., Emara, D., Mobarak, F. Evaluation of Aesthetic Outcomes of Two-Stage Cleft Lip Repair versus Pre-Operative Nasoalveolar Molding Prior to Single Stage Repair in Unilateral Cleft Lip Patients: A Randomized Controlled Trial. EKB Journal Management System, 2025; 16(2): 78-82. doi: 10.21608/omx.2025.363432.1279

Evaluation of Aesthetic Outcomes of Two-Stage Cleft Lip Repair versus Pre-Operative Nasoalveolar Molding Prior to Single Stage Repair in Unilateral Cleft Lip Patients: A Randomized Controlled Trial

Egyptian Journal of Oral and Maxillofacial Surgery
Volume 16, Issue 2, April 2025, Page 78-82  XML PDF (677.12 K)
Document Type: Original Article
DOI: 10.21608/omx.2025.363432.1279
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Authors
Mohamed Ashraf Ahmed email 1; Mohamed Ali Mohamed2; Dawlat Emara3; Fahmy Mobarak4
1oral and maxillofacial surgery, faculty of dentistry, Cairo university
2oral and maxillofacial surgery, faculty of dentistry, Cairo university, Egypt
3plastic surgery, faculty of medicine, Cairo university, Egypt
4Cairo university
Abstract
Background: Cleft lip with or without cleft palate is the most common congenital craniofacial anomaly. Presurgical nasoalveolar molding (PNAM) is a development in cleft care that allows for shaping and contouring of the lip and nose for easier closure. We aimed to evaluate the aesthetic outcomes and nasal symmetry after lip repair without nasoalveolar molding (NAM) in comparison with using PNAM prior to lip repair in unilateral cleft lip patients.
Methods: This randomized controlled trial was carried out on 20 patients with until lateral cleft lip, from 6 weeks to 2 years, non-syndromic patients. Using two stage surgery without NAM in a group of patients with unilateral cleft lip repair. Another group with presurgical NAM with single stage repair of unilateral cleft lip patients.
Results: Ratio nasal width, height measurements and alveolar gap measurements at S1, S2 and S3 were insignificantly different between both groups. Relapse occurred in 3 (30%) patients and not in 7 (70%) patients in the two-stage surgery group.
Conclusions: The study showed no difference in the aesthetic outcomes (Ratio nasal width and height measurements and alveolar gap measurements) between lip repair without NAM in comparison with using PNAM prior to lip repair in unilateral cleft lip patients.
Keywords
Aesthetic; Two-Stage Cleft Lip Repair; Naso-alveolar Molding; Unilateral Cleft Lip
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