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Cleft palate habilitation

Shefali Singla1, Manjot Kaur

  • 1Department of Prosthodontics, Dr. H.S.J. Institute of Dental Sciences and Hospital, P.U., Chandigarh, India. shefali_singla@yahoo.com

Indian Journal of Pediatrics
|August 22, 2008
PubMed

Insights

Presurgical infant orthopaedics, including the PNAM technique, aims to improve outcomes for infants with cleft lip and palate. This method aligns jaw segments and corrects nasal deformities before surgical repair.

Area of Science:

  • Craniofacial surgery
  • Pediatric dentistry
  • Orthodontics

Background:

  • Presurgical infant orthopaedics (PSIO) encompasses treatments to reposition cleft maxilla segments in infants before surgical repair.
  • Various PSIO approaches exist, differing in mechanics and desired outcomes.
  • Traditional PSIO methods have been refined to improve infant outcomes.

Purpose of the Study:

  • To describe the Presurgical Nasal Alveolar Molding (PNAM) technique.
  • To highlight PNAM as a current approach to traditional presurgical infant orthopaedics.
  • To outline the goals of PNAM in managing unilateral and bilateral cleft lip and palate.

Main Methods:

  • PNAM involves molding devices to guide alveolar segments and nasal cartilage.
  • The technique is applied in infancy, prior to primary lip and palate reconstruction.
  • It addresses both the alveolar cleft and associated nasal deformities.

Main Results:

  • PNAM aims to align and approximate the alveolar cleft segments.
  • Simultaneously, PNAM seeks to correct nasal cartilage and soft tissue deformities.
  • This comprehensive approach targets improved esthetic and functional results.

Conclusions:

  • PNAM offers a structured method for presurgical infant orthopaedics.
  • The technique addresses key aspects of cleft lip and palate deformity.
  • Effective presurgical management can optimize surgical outcomes.

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