Management of alar webbing using a CAD-CAM splint: A case report

Alar webbing is a functional and aesthetic defect of the nasal structure noted in cleft lip and palate patients (CLP), which is thought to be due to a deficiency in nasal lining tissue. Surgical procedures have previously focused on the removal of lining or alar cartilage leading to worse post-operative defects. This case demonstrates a novel technique of releasing the tissue, followed by using a CAD-CAM splint to help mold the tissue during the healing process to better control esthetics, symmetry, and prevent relapse. The release of scarred tissue using a custom CAD-CAM stent is a promising technique that allows for symmetric healing and an overall aesthetic surgical result for patients.