Abstract
Presurgical Orthopaedics is any treatment that alters the position of the segments of cleft maxilla in infancy prior to lip and palate reconstruction. There are different approaches, with different mechanics, seeking and achieving different end results. This article describes PNAM, a current approach to the traditional method of presurgical infant orthopaedics for patients with unilateral and bilateral clefts of lip and palate. The goal of PNAM is to align and approximate the alveolar cleft segments while at the same time achieving correction of nasal cartilage and soft tissue deformity.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Tolarova M, Cervenka J. Classification and birth prevalence of Orofacial clefts. American J Medical Genetics 1998; 75: 126–137.
Grayson BH, Santiago PE. Presurgical orthopaedics for cleft lip and palate in Aston SJ, Beasley RW, Thomas CHM eds. Grabb and Smiths plastic surgery. 5th ed. Philadelphia; Lipincott-Raven; 1997: 237–244.
Winters JC, Hurwitz DJ. Presurgical Orthopaedics in The Surgical Management of Unilateral Cleft Lip and Palate. Plast Reconst Surg 1995; 69: 755–764.
Lubit EC. Cleft palate orthopaedics; WHY, When, How? Am J Orthod 1976; 69: 562–571.
Huddart AG. Treatment procedures in cleft lip and palate cases. Brit Dent J 1967; 122: 185–192.
Matsuo K. Repair of cleft lip with nonsurgical correction of nasal deformity in the early neonatal period. Plast Reconst Surg 1989; 83: 25–31.
Spengler AL, Chavarria C. Presurgical nasoalveolar molding therapy for treatment of bilateral cleft lip and palate. Cleft Palate-Craniofac J 2005; 43: 321–328.
Grayson BH, Maull D. Nasoalveolar molding for infants born with clefts of lip,alveolus and palate. Clin Plast Surg 2004; 31: 149–158.
Grayson BH, Maull D. Nasoalveolar molding for infants born with clefts of lip, alveolus and palate. Clin Plast Surg 2004; 92: 428–433.
Grayson BH, Santiago PE, Brecht LE, Cutting CB. Presurgical Nasoalveolar molding in infants with cleft lip and palate. Cleft Palate Craniofacial J 1999; 36: 486–497.
Grayson BH, Cutting CB. Presurgical Nasoalveolar Orthopedic molding in primary correction of nose,lip and alveolus of infants born with unilateral and bilateral clefts. Cleft Palate Craniofac J 2001; 38: 193–198.
Singh GD, Santiago PE. Three-dimensional nasal changes following Nasoalveolar molding in patients with unilateral clrft of lip and palate: Geometric Morphometrics. Cleft Palate-Craniofac J 2005; 42/6:658–663.
Pai BC, Ko EW, Hurray CS and Liou EJ. Symmetry of nose after Presurgical nasoalveolar molding in infants with unilateral cleft lip and palate:a preliminary study. Cleft Palate-Craniofac J 2005; 43: 321–328.
Suri S, Utreja A. Management of effects of Presurgical Nasoalveolar Molding on Alveolar cleft. J Prosthet Dent 2004; 92: 428–433.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Singla, S., Kaur, M. Cleft palate habilitation. Indian J Pediatr 75, 703–708 (2008). https://doi.org/10.1007/s12098-008-0133-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12098-008-0133-3