title: Pre-surgical nasoalveolar moulding in patient with unilateral cleft of lip, alveolus and palate: case report.
abstract: BACKGROUND
  A 2 month-old infant with unilateral cleft lip, alveolus and palate was presented with wide alveolar defect, soft-tissue deformity and a markedly sunken nasal wing at the cleft side.
  
  
  METHODS
  The patient was treated with a moulding plate and additionally with a nasal stent. The device consisted of an acrylic plate with an attached nasal stent that lifted the nasal dome.
  
  
  RESULTS
  Under this pre-surgical treatment, the cleft edges moved closer by 9 mm and 6 mm at the alveolar ridge and palate, respectively. The nasal wing was lifted considerably.
  
  
  CONCLUSIONS
  Pre-surgical nasoalveolar moulding helped to reduce the cleft gap, improve the arch form, approximate lip segments and distinctly improve the morphology of the nose by correcting flattened nasal wings.
authors.affiliation: Department of Orthodontics, Government Dental College and Hospital, Ahmedabad, India.
authors.forename: Dolly
authors.initials: D
authors.lastname: Patel
authors.forename: Ramesh
authors.initials: R
authors.lastname: Goyal
mesh_terms: D000015:Abnormalities, Multiple / Q000175:diagnosis / Q000601:surgery; D000539:Alveolar Process / Q000002:abnormalities / Q000601:surgery*; D002971:Cleft Lip / Q000175:diagnosis / Q000601:surgery*; D002972:Cleft Palate / Q000175:diagnosis / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D009666:Nose / Q000002:abnormalities / Q000601:surgery*; D009971:Orthodontics, Corrective / Q000379:methods; D011300:Preoperative Care / Q000379:methods; D019651:Plastic Surgery Procedures / Q000379:methods*; D020127:Recovery of Function; D018570:Risk Assessment; D016896:Treatment Outcome