title: Presurgical nasoalveolar remodeling - an experience in the journey of cleft lip and palate.
abstract: OBJECTIVE
  To assess the effect of presurgical nasoalveolar molding (PNAM) therapy in the management of patients with nonsyndromic unilateral cleft lip and palate (UCLP).
  
  
  METHODS
  Ten patients with UCLP treated from 2009 to 2012. The initiation for PNAM treatment was 7 days and the average time of the treatment was 175 days. Measurements on patients and of casts were made, and statistical analysis was used to evaluate the changes in pre- and posttreatment measurements.
  
  
  RESULTS
  Subsequent to PNAM treatment, there was a statistically considerable rise in cleft nostril height and columellar width. There was reduction in both intraoral cleft width and columellar deviation, which was significant statistically.
  
  
  CONCLUSIONS
  PNAM treatment reduces alveolar cleft width. It enhances symmetry of the nose by changing columellar angulation, preserving alar width bilaterally, gaining height of the nostril on the affected side, and increasing columellar length.
authors.affiliation: Oral and Maxillofacial Surgery Department, VYWS Dental College and Hospital, Amaravati, Maharashatra, India.
authors.forename: Ranjit Suresh
authors.initials: RS
authors.lastname: Mandwe
authors.affiliation: Orthodontia Department, SDK Dental College and Hospital, Nagpur, Maharashatra, India.
authors.forename: Swapna
authors.initials: S
authors.lastname: Puri
authors.affiliation: Oral and Maxillofacial Surgery Department, VYWS Dental College and Hospital, Amaravati, Maharashatra, India.
authors.forename: Shrikant
authors.initials: S
authors.lastname: Shingane
authors.affiliation: Oral and Maxillofacial Surgery Department, VYWS Dental College and Hospital, Amaravati, Maharashatra, India.
authors.forename: Ganesh
authors.initials: G
authors.lastname: Pawar
authors.affiliation: Oral and Maxillofacial Surgery Department, VYWS Dental College and Hospital, Amaravati, Maharashatra, India.
authors.forename: Vivek Ramdas
authors.initials: VR
authors.lastname: Kolhe
authors.affiliation: Prosthodontics Department, VYWS Dental College and Hospital, Amaravati, Maharashatra, India.
authors.forename: Atul
authors.initials: A
authors.lastname: Alsi
keywords: PNAM; UCLP; cleft lip; orthodontic resin; presurgical nasoalveolar molding; unilateral cleft lip and palate