title: Current status of presurgical infant orthopaedic treatment for cleft lip and palate patients: A critical review.
abstract: Rehabilitation of cleft lip and palate (CLP) patients is a challenge for all the concerned members of the cleft team, and various treatment modalities have been attempted to obtain aesthetic results. Presurgical infant orthopaedics (PSIO) was introduced to reshape alveolar and nasal segments prior to surgical repair of cleft lip. However, literature reports lot of controversy regarding the use of PSIO in patients with CLP. Evaluation of long-term results of PSIO can provide scientific evidence on the efficacy and usefulness of PSIO in CLP patients. The aim was to assess the scientific evidence on the efficiency of PSIO appliances in patients with CLP and to critically analyse the current status of PSIO. A PubMed search was performed using the terms PSIO, presurgical nasoalveolar moulding and its long-term results and related articles were selected for the review. The documented studies report no beneficial effect of PSIO on maxillary arch dimensions, facial aesthetics and in the subsequent development of dentition and occlusion in CLP patients. Nasal moulding seems to be more beneficial and effective in unilateral cleft lip and palate patients with better long-term results.
authors.affiliation: Department of Orthodontics and Dentofacial Orthopedics, Sharad Pawar Dental College and Hospital, Sawangi, Wardha, India.
authors.forename: P Priyanka
authors.initials: PP
authors.lastname: Niranjane
authors.affiliation: Department of Orthodontics and Dentofacial Orthopedics, Sharad Pawar Dental College and Hospital, Sawangi, Wardha, India.
authors.forename: R H
authors.initials: RH
authors.lastname: Kamble
authors.affiliation: Department of Orthodontics and Dentofacial Orthopedics, Sharad Pawar Dental College and Hospital, Sawangi, Wardha, India.
authors.forename: S Pallavi
authors.initials: SP
authors.lastname: Diagavane
authors.affiliation: Department of Orthodontics and Dentofacial Orthopedics, Sharad Pawar Dental College and Hospital, Sawangi, Wardha, India.
authors.forename: S Sunita
authors.initials: SS
authors.lastname: Shrivastav
authors.affiliation: Department of Orthodontics and Dentofacial Orthopedics, Institute of Dental Studies and Technologies, Modinagar, Kadrabad, Meerut, Uttar Pradesh, India.
authors.forename: Puneet
authors.initials: P
authors.lastname: Batra
authors.affiliation: Department of Orthodontics and Dentofacial Orthopedics, Sharad Pawar Dental College and Hospital, Sawangi, Wardha, India.
authors.forename: S D
authors.initials: SD
authors.lastname: Vasudevan
authors.affiliation: Private Practise, Dhule, Maharashtra, India.
authors.forename: Pushkar
authors.initials: P
authors.lastname: Patil
keywords: Bilateral cleft lip and palate; long-term results; nasoalveolar moulding; presurgical infant orthopaedics; unilateral cleft lip and palate