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Volume 27, Issue 133, March 2023

PNAM (Presurgical Nasoalveolar Molding) therapy-first step in preparation of infant for cleft lip and palate repair

Jeni Ann Mathew¹, Ranjit H Kamble², Pallavi S Daigavane³, Ruchika Pandey¹

¹PG student, Department of Orthodontics and Dentofacial Orthopedics, Sharad Pawar Dental College & Hospital, Datta Meghe Institute of Higher Education & Research, Sawangi (Meghe) Wardha, Maharashtra, India
²Head of Department, Department of Orthodontics and Dentofacial Orthopedics, Sharad Pawar Dental College & Hospital, Datta Meghe Institute of Higher Education & Research, Sawangi (Meghe) Wardha, Maharashtra, India
³Associate Professor, Department of Orthodontics and Dentofacial Orthopedics, Sharad Pawar Dental College & Hospital, Datta Meghe Institute of Higher Education & Research, Sawangi (Meghe) Wardha, Maharashtra, India

ABSTRACT

A month-old male infant along with parents had reported to Sharad Pawar Dental College. The infant’s parents had complained of lip and palate deformity in the child. On examination, it was found that the patient had unilateral cleft lip and palate on the left side. Objective: The aim was closure of the defect to prepare the child for surgery with better esthetic results. Case presentation: A month-old infant had reported with parents who had been traumatized mentally as the child had lip and palate deformity since birth. They wanted to get it corrected. The child had been advised to undergo PNAM therapy before surgery. Conclusion: As a result of PNAM therapy defect was closed to a greater extent from 15 mm to 5mm in lip and palate, to avoid greater tension while surgery.

Keywords: Cleft, counselling, compliance, PNAM (presurgical nasoalveolar molding), nasal molding, approximation and nasal stent