Nasoalveolar molding combined with an extra-oral strap in a patient with a bilateral complete cleft lip and palate: a case report

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Patama Tanchotikul


Cleft lip and/or palate are craniofacial development deformities. The goal of using Nasoalveolar molding (NAM) is to facilitate the treatment of extreme cases to generate better outcomes. This article provides an overview of a case of a 4-day old female patient with a bilateral complete cleft lip and palate, treated with a passive obturator and CMU-NAM II (Chiang Mai-Nasoalveolar Molding II) with an extra-oral strap, while correcting the premaxilla into the midline position. This process took 4 months and 14 days. During this time, the patient was followed up every 2 weeks for adjusting the devices before performing cheiloplasty. After cheiloplasty, an obturator was fabricated and followed up every 2 months until the palate was repaired. After the follow-up period, satisfactory results were obtained. The patient is well-sucking, and has no issues pertaining to choking while milk-feeding. The shape of the nose was similar to a normal appearance with reduced cleft gaps.

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Tanchotikul P. Nasoalveolar molding combined with an extra-oral strap in a patient with a bilateral complete cleft lip and palate: a case report. M Dent J [Internet]. 2022 Dec. 28 [cited 2024 Apr. 18];42(3):231-40. Available from:
Case report


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