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Nasoalveolar Molding
Mairaj K Ahmed1, Jeremiah Y Kim2, Lisa R Jolly3
1Division of Orthodontics, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA; Division of Plastic and Reconstructive Surgery, Departments of Dentistry/Oral Maxillofacial Surgery, Otolaryngology and Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA; Department of Surgery, New York Eye and Ear Infirmary, New York, NY, USA.
Abstract:
Nasoalveolar molding (NAM) is a presurgical infant orthopedic therapy that brings the alveolar segments in closer opposition and realigns the soft tissue and cartilaginous tissues of the lip and nose in patients with cleft lip and palate. NAM offers clinical and nonclinical benefits with improvements to various palatal, alveolar, and nasolabial parameters; possible reduction in revision surgery and financial burden; and psychosocial benefits to caregivers. Many variations have been made to NAM appliances and protocols, with emerging digital workflows holding great promise for improving patient, caregiver, and clinician experience. Clinical indications, treatment timeline, and challenges of NAM treatment are discussed.
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