Citation Information :
Shaik N, Eggula A, Pudi S, Yemineni BC, Jagati S, Cheduravally TR. Presurgical Orthopedic Nasoalveolar Molding in Cleft Lip and Cleft Palate: Case Report. Int J Clin Pediatr Dent 2023; 16 (4):659-662.
Aim and objective: The present clinical report describes management of complete unilateral cleft lip and palate with presurgical nasoalveolar molding (NAM) therapy for infants.
Background: Orofacial clefts have a negative impact on the health and social integration of individuals affected. Patients undergo numerous procedures until they reach adolescence. The ultimate focus of surgical intervention is to improve the esthetic appearance of the lip and nose by improving the lip scar, nasal tip projection, and symmetry of the nasolabial complex.
Case description: This paper discusses a situation in which the parents of a three days old baby with the chief complaint of regurgitation of milk while feeding. On examination, baby had complete left-sided cleft lip and cleft palate (CL+CP).
Conclusion: Before surgery, nasoalveolar molding has been shown to be a useful adjunctive therapy for reducing hard and soft tissue cleft deformity.
Clinical significance: Passive preoperative intervention of the lip and alveolar segments helps to reduce tissue tension and is thought to improve surgical outcomes by minimizing wound healing disturbances and scarring.
Allam E, Windsor L, Stone C. Cleft lip and palate: etiology, epidemiology, preventive and intervention strategies. Anat Physiol 2014;4:940–2161. DOI: 10.4172/2161-0940.1000150
Banerjee M, Dhakar AS. Epidemiology-clinical profile of cleft lip and palate among children in India and its surgical consideration. CJS 2013;2(1):45–51.
Bennun RD, Figueroa AA. Dynamic presurgical nasal remodeling in patients with unilateral and bilateral cleft lip and palate: Modification to the original technique. Cleft Palate Craniofac J 2006;43(6):639–648. DOI: 10.1597/05-054
Mossey P, Little J. Addressing the challenges of cleft lip and palate research in India. Indian J Plast Surg. 2009;42(Suppl):S9-S18. DOI: 10.4103/0970-0358.57182
McNeil CK. Oral and facial deformity. Sir Isaac Pitman and Sons: London; 1954. p. 81–89.
Matsuo K, Hirose T. Preoperative non-surgical over-correction of cleft lip nasal deformity. Br J Plast Surg 1991;44(1):5–11. DOI: 10.1016/0007-1226(91)90168-j
Laxmikanth SM, Karagi T, Shetty A, et al. Nasoalveolar molding: a review. J Adv Clin Res Insights 2014;1(3):108–113. DOI: 10.15713/ins.jcri.28
Rossell-Perry P. The surgical nasoalveolar molding: a rational treatment for unilateral cleft lip nose deformity and literature review. Plast Reconstr Surg Glob Open 2020;8(8):e3044. DOI: 10.1097/GOX.0000000000003044
Shetty V, Vyas HJ, Sharma SM, et al. A comparison of results using nasoalveolar moulding in cleft infants treated within 1 month of life versus those treated after this period: development of a new protocol. Int J OralMaxillofac Surg 2012;41(1):28–36. DOI: 10.1016/j.ijom.2011.09.002
Splengler LA, Chavarria C, Teichgraber FJ, et al. Presurgical nasoalveolar moulding therapy for the treatment of bilateral cleft lip and palate: a preliminary study. Cleft Palate Craniofac J 2006;43(3):321–328. DOI: 10.1597/05-093.1
Clark SL, Teichgraeber JF, Fleshman RG, et al. Long-term treatment outcome of presurgical nasoalveolar moulding in patients with unilateral cleft lipand palate. J Craniofac Surg 2011;22(1):333–336. DOI: 10.1097/SCS.0b013e318200d874
Grayson BH, Shetye PR. Presurgical nasoalveolar moulding treatment in cleft lip and palate patients. Indian J Plast Surg 2009;42(Suppl):S56–S61. DOI: 10.4103/0970-0358.57188
Maull DJ, Grayson BH, Cutting CB, et al. Long term effects of nasoalveolar moulding on three dimensional nasal shape in clefts. Cleft Palate Craniofac J 1999;36(5):391–397. DOI: 10.1597/1545-1569_1999_036_0391_lteonm_2.3.co_2
