The use of the nasoalveolar molding technique (NAM) aims to reduce passively the width of the alv... more The use of the nasoalveolar molding technique (NAM) aims to reduce passively the width of the alveolar gap, while improving the AP discrepancy but also focusing on the nose. We developed a within-subjects study in which 11 infants with unilateral lip deformity and varying degrees of alveolar gaps were treated by NAM. Patients included in the study presented alveolar gap at the first appointment to configure the molding device. Alveolar gap was then measured again at the time of lip repair to evaluate the impact of the appliance utilization, and the nostril shape was reassessed to verify the benefit relative to nose symmetry. All patients obtained significant reduction of the alveolar gap. The appliance also facilitated primary nasal positioning, significantly improving nasal symmetry and nostril shape. NAM constitutes an important adjunct to ameliorate the results of primary definitive lip repair while also improving the surgeon's ability to provide nasal symmetry.
Purpose: Long lasting facial paralysis should always be treated by dynamic restoration. However, ... more Purpose: Long lasting facial paralysis should always be treated by dynamic restoration. However, results obtained by a single muscle transfer may not provide adequate balance. The aim of this paper is to evaluate the functional result of the temporalis muscle transfer (TT) combined with lateral orbicularis oris plication (MP) in the smile reconstruction of the long lasting unilateral facial paralysis. Methods: 16 patients House Brackmann (HB) V to VI with unilateral facial paralysis (UFP) underwent TT plus MP from July 2007 to January 2008. Mean age was 59.5 years. The distance from the lip philtrum and mouth corner to the nasogenian sulcus at rest and at smiling was obtained before and after the operation and patients were followed for two years. Results: Distance to the nasogenian sulcus changed significantly (p>0.001) at smiling, improving the HB score to III in all 16 patients. Distance from the mouth corner decreased after the operation, assuring the impression of adequate f...
The use of the nasoalveolar molding technique (NAM) aims to reduce passively the width of the alv... more The use of the nasoalveolar molding technique (NAM) aims to reduce passively the width of the alveolar gap, while improving the AP discrepancy but also focusing on the nose. We developed a within-subjects study in which 11 infants with unilateral lip deformity and varying degrees of alveolar gaps were treated by NAM. Patients included in the study presented alveolar gap at the first appointment to configure the molding device. Alveolar gap was then measured again at the time of lip repair to evaluate the impact of the appliance utilization, and the nostril shape was reassessed to verify the benefit relative to nose symmetry. All patients obtained significant reduction of the alveolar gap. The appliance also facilitated primary nasal positioning, significantly improving nasal symmetry and nostril shape. NAM constitutes an important adjunct to ameliorate the results of primary definitive lip repair while also improving the surgeon's ability to provide nasal symmetry.
Purpose: Long lasting facial paralysis should always be treated by dynamic restoration. However, ... more Purpose: Long lasting facial paralysis should always be treated by dynamic restoration. However, results obtained by a single muscle transfer may not provide adequate balance. The aim of this paper is to evaluate the functional result of the temporalis muscle transfer (TT) combined with lateral orbicularis oris plication (MP) in the smile reconstruction of the long lasting unilateral facial paralysis. Methods: 16 patients House Brackmann (HB) V to VI with unilateral facial paralysis (UFP) underwent TT plus MP from July 2007 to January 2008. Mean age was 59.5 years. The distance from the lip philtrum and mouth corner to the nasogenian sulcus at rest and at smiling was obtained before and after the operation and patients were followed for two years. Results: Distance to the nasogenian sulcus changed significantly (p>0.001) at smiling, improving the HB score to III in all 16 patients. Distance from the mouth corner decreased after the operation, assuring the impression of adequate f...
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Papers by Marcos Jaeger