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The nance obturator, a new fixed obturator for patients with cleft palate and fistula

Borzabadi Farahani, Ali, Groper, John N., Tanner, Aaron M., Urata, Mark M., Panossian, Andre and Yen, Stephen L.-K. 2012. The nance obturator, a new fixed obturator for patients with cleft palate and fistula. Journal of Prosthodontics 21 (5) , pp. 400-403. 10.1111/j.1532-849X.2012.00853.x

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Abstract

In patients with fistulas that impair function (e.g., feeding, resonance, intelligibility), obturators are used to improve feeding and reduce nasal air emission by occluding the abnormal opening between the oral and nasal cavities. This report describes a novel method for occluding an anterior palatal fistula in patients with cleft palates. The new design for a fixed obturator is based on the Nance appliance, which was originally used as a space maintainer, but has been redesigned for closing an anterior palatal fistula in a patient with cleft lip and palate. The Nance obturator may be used when the surgical closure of the fistula is not feasible and a removable device is not successful. As it is a fixed device, it does not require remaking with maxillary growth. The new design may also function as a fixed space maintainer to preserve molar anchorage and maxillary transverse width.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Dentistry
Publisher: Wiley
ISSN: 1059-941X
Date of First Compliant Deposit: 25 October 2024
Date of Acceptance: 31 October 2011
Last Modified: 22 Nov 2024 17:00
URI: https://orca.cardiff.ac.uk/id/eprint/173351

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