Use of Elastic Tapes in Presurgical Nasoalveolar Molding: A Case Report
Bibliographic record
Abstract
Objective:One of the objectives of presurgical nasoalveolar molding (PNAM) is to bring the lips together in order to decrease the severity of the deformity before surgery. This case report aims to present PNAM therapy of an infant with bilateral cleft lip and primary palate using prefabricated elastic tapes.Materials and Method:A 3-day-old baby girl with bilateral cleft lip and alveolus was referred to our clinic. Her extraoral examination revealed a deviated and protruded premaxilla, a deficient columella, a short prolabium, depressed alar cartilages, and separated lip segments. A PNAM appliance combined with dynamic tapes (DynaCleft, Canica Design Inc, Ontario, Canada) was delivered the same day.Results:After 3 months of PNAM therapy the premaxillary deviation was corrected, the columella and prolabium were lengthened, and projection and symmetry of the nose were obtained. The horizontal elastic tapes decreased the muscle tension and brought the lips together.Conclusion:Dynamic bands are very effective because of the active force derived from their elastic components and thus can be recommended during PNAM therapy as an alternative to conventional tapes.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.003 |
| Meta-epidemiology (narrow) | 0.003 | 0.002 |
| Meta-epidemiology (broad) | 0.001 | 0.002 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.003 | 0.002 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.002 | 0.002 |
| Research integrity | 0.008 | 0.004 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".