Archives of Medicine and Health Sciences

REVIEW ARTICLE
Year
: 2014  |  Volume : 2  |  Issue : 1  |  Page : 36--47

Nasoalveolar molding treatment in presurgical infant orthopedics in cleft lip and cleft palate patients


N. Retnakumari1, S. Divya2, S. Meenakumari3, P. S. Ajith4 
1 Professor and Head of Pedodontics, Government Dental College, Kozhikode, Kerala, India
2 Post Graduate Student of Pedodontics, Government Dental College, Kozhikode, Kerala, India
3 Assistant Surgeon (Pediatrician) Taluk Hospital, Ambalappuzha, Alleppey, Kerala, India
4 Consultant Surgeon (Plastic Surgery), General Hospital, Changanassery, Kottayam, India

Correspondence Address:
N. Retnakumari
Professor and Head of Pedodontics, Government Dental College, Kozhikode, Kerala-673008
India

The nasoalveolar molding (NAM) technique is a new approach to presurgical infant orthopedics that reduces the severity of the initial cleft alveolar and nasal deformity. This technique facilitates the primary surgical repair of the nose and lip to heal under minimal tension, thereby reducing scar formation and improving the esthetic result. NAM technique is the nonsurgical, passive method of bringing the gum and lip together by redirecting the forces of natural growth. NAM has proved to be an effective adjunctive therapy for reducing hard and soft tissue cleft deformity before surgery. This paper reviews the basic principles of NAM therapy, various types of appliances used in this therapy, protocol followed, and a critical evaluation of the advantages and disadvantages of this technique. Universally authors have agreed the positive outcome of NAM for better esthetics after cleft lip and palate (CLP) repair, but the long-term effects of this therapy are yet to be substantiated. Despite a relative paucity of high-level evidence, NAM appears to be a promising technique that deserves further research.


How to cite this article:
Retnakumari N, Divya S, Meenakumari S, Ajith PS. Nasoalveolar molding treatment in presurgical infant orthopedics in cleft lip and cleft palate patients.Arch Med Health Sci 2014;2:36-47


How to cite this URL:
Retnakumari N, Divya S, Meenakumari S, Ajith PS. Nasoalveolar molding treatment in presurgical infant orthopedics in cleft lip and cleft palate patients. Arch Med Health Sci [serial online] 2014 [cited 2020 Oct 22 ];2:36-47
Available from: https://www.amhsjournal.org/article.asp?issn=2321-4848;year=2014;volume=2;issue=1;spage=36;epage=47;aulast=Retnakumari;type=0