Case Report| Volume 65, ISSUE 1, P122-126, January 2012

Pre-surgical nasoalveolar moulding in patient with unilateral cleft of lip, alveolus and palate: Case report

  • Dolly Patel
    Department of Orthodontics, Government Dental College and Hospital, Ahmedabad, India
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  • Ramesh Goyal
    Corresponding author. E/502, Neelkanth Apartment Part-II, Nr. BSNL office, Ghoda camp, Shahibaug, Ahmedabad-380004, Gujarat, India. Tel.: +91 079 22684696/6463, +919909424746(mobile).
    Department of Orthodontics, Government Dental College and Hospital, Ahmedabad, India
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      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.


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