Pre Surgical Nasoalveolar Molding (PNAM) to Reduce Cleft Severity in a Nonsyndromic Unilateral Cleft Lip and Palate (UCLP) Patient
Samra Bokhari
National Institute of Child Health, Karachi, Pakistan.
Iram Bokhari
Jinnah Post Graduate Medical Center, Karachi, Pakistan.
Irfan Qamaruddin
Orthodontic Unit, School of Dentistry, Universiti Sains Malaysia, Kota Bharu, Malaysia.
Mohammad Khursheed Alam *
Orthodontic Department, Baqai Medical University, Karachi, Pakistan.
*Author to whom correspondence should be addressed.
Abstract
Introduction: Pre surgical nasoalveolar molding (PNAM) is a viable option in reducing the severity of the cleft resulting in easier surgical repair and the lip and the nose heal under minimal tension and this leads to less scar formation.
Presentation of Case: A case report with UCLP treated by PNAM appliance is described here.
Discussion: Orthopedic molding reduces the deformity and thus reduces the number of surgeries to achieve superior post-surgical esthetics.
Conclusion: PNAM resulted in well aligned alveolar segments, approximated lip, improved columella-philtrum region and nose.
Keywords: Cleft lip and palate, PNAM, pre surgical infant orthopedic appliance.