Abstract
A Cleft is a congenital abnormal space or gap in the upper lip and palate. Although plastic surgery has made great advances in the area of cleft surgery, aesthetical corrections of the decient columella and nasal cartilages were difcult. presurgical naso-alveolar molding (PNAM) at an early stage is used to reduce soft tissue and cartilaginous deformity. This article presents a case report of a 6-day-old baby boy with a left-sided unilateral incomplete cleft lip and palate, with no signicant medical history or any associated systemic illness. He was referred with the primary need for a feeder plate. The width of the cleft was measured from the base of the alveolus on one side to the other and was approximately 7 mm. The nal impression was made with a custom tray. NAM appliance was fabricated and inserted in the patient's mouth. Orthodontic wire of 21 gauzes was used for wire bending to support the acrylic forming a nasal bulb. In 2 months, the followup patient was recalled at each 15 days intervals for 1 and a half months for activation and modication of the plate to gradually approximate the alveolar segments. After 2 months of follow-up, it was shown that the cleft palate gap was reduced to 3mm from 7mm. PNAM allows overall improvement in the aesthetics of nasolabial complex in cleft conditions and minimizes the extent and the numbers of surgery. The cleft deformity was signicantly reduced in size with the NAM therapy in the present case
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