International Journal of Clinical Pediatric Dentistry

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VOLUME 17 , ISSUE 8 ( August, 2024 ) > List of Articles

CASE REPORT

Enhancing Surgical Outcomes: Presurgical Nasoalveolar Molding for Unilateral Cleft Lip, Alveolus, and Palate in Infants—A Progressive Clinical Report

Lucky Yadav, Navraj Mattu, Neelam Yadav, Jaspreet Kaur Deo

Keywords : Alveolar cleft segments, Bilateral cleft lip and palate, Case report, Cleft lip, Infant feeding, Nasoalveolar molding

Citation Information : Yadav L, Mattu N, Yadav N, Deo JK. Enhancing Surgical Outcomes: Presurgical Nasoalveolar Molding for Unilateral Cleft Lip, Alveolus, and Palate in Infants—A Progressive Clinical Report. Int J Clin Pediatr Dent 2024; 17 (8):951-954.

DOI: 10.5005/jp-journals-10005-2916

License: CC BY-NC 4.0

Published Online: 23-09-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

This case report describes the successful application of presurgical nasoalveolar molding (PNAM) in the treatment of a neonate with Veau's class III cleft lip and palate of the left side. PNAM, a noninvasive method, effectively reduced the cleft deformity (from 10 mm pretreatment to 1 mm post-NAM), improved nasal esthetics, and minimized the need for extensive surgical interventions and better surgical outcomes. The treatment involved precise impression procedures, custom-made appliances, and weekly modifications to achieve optimal results. The comprehensive approach resulted in favorable esthetic outcomes, reduced scar formation, and improved lip symmetry, demonstrating the potential of PNAM as a valuable adjunctive therapy in cleft lip and palate management.


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  1. 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
  2. Grayson BH, Cutting C, Wood R. Preoperative columella lengthening in bilateral cleft-lip and palate. Plast Reconstr Surg 1993;92(7):1422–1423.
  3. McNeil CK. Oral and facial deformity. Sir Isaac Pitman and Sons: London; 1954. pp. 81–89.
  4. 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
  5. Shaik N, Eggula A, Pudi S, et al. Presurgical orthopedic nasoalveolar molding in cleft lip and cleft palate: case report. Int J Clin Pediatr Dent 2023;16(4):659–662. DOI: 10.5005/jp-journals-10005-2487
  6. Yadav L, Bamal R, Jaswal A, et al. Secondary alveolar bone moulding in cleft lip and cleft palate: a review. Int J Appl Dent Sci 2022;8(1):471–477. DOI: 10.22271/oral.2022.v8.i1g.1465
  7. Hegde RJ, Kharkar VR, Kamath S. Presurgical nasoalveolar molding in unilateral cleft lip and palate. Contemp Clin Dent 2015;6(4):567–569. DOI: 10.4103/0976-237X.169865
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