Abstract
Cleft lip and palate may show considerable variation in severity and form. Extensive clefts with extreme deficiency in hard and soft tissue present a challenge to obtain functional and aesthetic results at the end of the surgery. To reduce the severity of the initial cleft deformity and to achieve better aesthetic and functional outcomes in cleft lip and palate children, pre-surgical naso-alveolar moulding can be applied using an intraoral moulding plate with specially designed nasal stents. Naso-alveolar moulding enables reduction of the alveolar gap width, retraction of the deviated larger segment in unilateral clefts and pre-maxilla in bilateral clefts, correction of the nasal cartilage deformity and elongation and uprighting of the columella in bilateral cases.
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