A 2 month-old infant with unilateral cleft lip, alveolus and palate was presented with wide alveolar defect, soft-tissue deformity and a markedly sunken nasal wing at the cleft side.
The patient was treated with a moulding plate and additionally with a nasal stent. The device consisted of an acrylic plate with an attached nasal stent that lifted the nasal dome.
Under this pre-surgical treatment, the cleft edges moved closer by 9 mm and 6 mm at the alveolar ridge and palate, respectively. The nasal wing was lifted considerably.
Pre-surgical nasoalveolar moulding helped to reduce the cleft gap, improve the arch form, approximate lip segments and distinctly improve the morphology of the nose by correcting flattened nasal wings.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Journal of Plastic, Reconstructive & Aesthetic Surgery
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Presurgical nasoalveolar orthopedic molding in primary correction of the nose, lip, and alveolus of infants born with unilateral and bilateral clefts.Cleft Palate Craniofac J. May 2001; 38: 193-198
- Long term study of midface growth in unilateral cleft lip and palate patients following gingivoperiosteoplasty.American Cleft Palate-Craniofacial Association, April, 1999
- Presurgical nasoalveolar molding in infants with cleft lip and palate.Cleft Palate Craniofac J. 1999; 36: 486-498
- Symmetry of the nose after presurgical nasoalveolar molding in infants with unilateral cleft lip and palate: a preliminary study.Cleft Palate Craniofac J. 2005; 42: 658-663
- The progressive changes of nasal symmetry and growth after nasoalveolar molding: a three-year follow-up study.Plast Reconstr Surg. 2004; 114: 858-864
Published online: July 18, 2011
Accepted: June 7, 2011
Received: January 28, 2011
© 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.