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Family strategy for nasoalveolar molding in infants with unilateral complete cleft lip and palate

Shiming Zhang1, Min Wu1, Jiayi Yin1

  • 1State Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases and Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, 610041, China.

Journal of Cranio-Maxillo-Facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery
|July 1, 2025
PubMed

Insights

Family nasoalveolar molding (Family-NAM) improves nasal symmetry and reduces cleft width in infants with unilateral complete cleft lip and palate. This strategy simplifies treatment for caregivers and enhances preoperative and postoperative outcomes.

Area of Science:

  • Craniofacial Surgery
  • Pediatric Dentistry
  • Orthodontics

Background:

  • Infants with unilateral complete cleft lip and palate often require presurgical orthopedic treatment.
  • Nasoalveolar molding (NAM) is a common presurgical intervention.
  • A family-centered approach to NAM (Family-NAM) may improve adherence and outcomes.

Purpose of the Study:

  • To evaluate the therapeutic outcomes of a family-centered nasoalveolar molding (Family-NAM) strategy.
  • To compare outcomes in infants with unilateral complete cleft lip and palate treated with Family-NAM versus a control group.

Main Methods:

  • Forty infants with unilateral complete cleft lip and palate were divided into Family-NAM and control groups.
  • Family-NAM was initiated seven days post-birth until primary rhinoplasty.
  • 3-D alveolar molding plates were used until primary palatoplasty.
  • Nasal symmetry and palatal dimensions were measured to assess outcomes.

Main Results:

  • Family-NAM significantly improved preoperative nasal morphology and symmetry.
  • Patients in the Family-NAM group exhibited better nasal symmetry at 6-12 months post-surgery.
  • The Family-NAM group showed a significantly narrower cleft gap before primary surgeries.

Conclusions:

  • Family-NAM is an effective strategy for reducing cleft severity and improving nasal morphology.
  • This approach simplifies presurgical molding treatment for caregivers, minimizing complications and clinic visits.
Abstract

Keywords:
Cleft nasal deformityFamily-NAMRhinoplastySurgical outcomes

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