Expanded Use of the PLANA Device for Neonatal Nasal Deformity Correction

This case report details the innovative use of the Presurgical Lip, Alveolus, and Nose Approximation (PLANA) device in correcting a neonatal nasal deformity unrelated to cleft lip and palate. The patient, a 2-week-old female, presented with a significant unilateral nasal deformity characterized by septal deviation and depression of the nasal dome. Traditionally utilized in cleft lip and palate cases, the PLANA device was repurposed to address this unique presentation. Over a period of ten weeks, the device was used to reshape the nasal cartilage, resulting in significant improvement in nasal symmetry and septal alignment. This report highlights the device's potential for broader applications in neonatal nasal deformity correction and emphasizes the importance of early intervention during the neonatal period when tissues are most malleable.