Enhancing Surgical Outcomes: Presurgical Nasoalveolar Molding for Unilateral Cleft Lip, Alveolus, and Palate in Infants-A Progressive Clinical Report.

Lucky Yadav, Navraj Mattu, Neelam Yadav, Jaspreet Kaur Deo
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Abstract

This case report describes the successful application of presurgical nasoalveolar molding (PNAM) in the treatment of a neonate with Veau's class III cleft lip and palate of the left side. PNAM, a noninvasive method, effectively reduced the cleft deformity (from 10 mm pretreatment to 1 mm post-NAM), improved nasal esthetics, and minimized the need for extensive surgical interventions and better surgical outcomes. The treatment involved precise impression procedures, custom-made appliances, and weekly modifications to achieve optimal results. The comprehensive approach resulted in favorable esthetic outcomes, reduced scar formation, and improved lip symmetry, demonstrating the potential of PNAM as a valuable adjunctive therapy in cleft lip and palate management.

How to cite this article: Yadav L, Mattu N, Yadav N, et al. Enhancing Surgical Outcomes: Presurgical Nasoalveolar Molding for Unilateral Cleft Lip, Alveolus, and Palate in Infants-A Progressive Clinical Report. Int J Clin Pediatr Dent 2024;17(8):951-954.

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提高手术效果:婴儿单侧唇、齿槽和腭裂的术前鼻齿槽成型--渐进式临床报告。
本病例报告描述了手术前鼻齿槽成型术(PNAM)成功应用于治疗一名患有维氏 III 级左侧唇腭裂的新生儿。PNAM 是一种无创方法,可有效减少唇腭裂畸形(从治疗前的 10 毫米减少到 PNAM 后的 1 毫米),改善鼻部美观,并最大限度地减少了大量手术干预的需要,取得了更好的手术效果。治疗过程包括精确的印模程序、定制矫治器和每周的修改,以达到最佳效果。这种综合方法取得了良好的美学效果,减少了疤痕的形成,改善了唇部的对称性,证明了 PNAM 作为唇腭裂治疗中一种有价值的辅助疗法的潜力:Yadav L, Mattu N, Yadav N, et al:婴儿单侧唇、齿槽和腭裂的术前鼻齿槽成型--临床进展报告》。Int J Clin Pediatr Dent 2024;17(8):951-954.
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