Nasoalveolar molding is a nonsurgical method of reshaping the gums, lip and nostrils before cleft lip and palate surgery, lessening the severity of the cleft. Surgery is performed after the molding is complete, approximately three to six months after birth.
NAM is used mainly for children with large clefts and has revolutionized cleft repair.
In the past, fixing a large cleft required multiple surgeries between birth and age 18, putting the child at risk for psychological and social adjustment problems.
The first procedure pulled the lip together, a second improved the position of the lip, another two would be for the nose, then another — often including a bone graft — would close the palate, and so on.
With nasoalveolar molding, the orthodontist and surgeon can improve a large cleft in the months before surgery. This helps the surgeon get a better shape of the nose and a thinner scar in only one surgery.
A better result in the first surgery means fewer surgeries later in childhood.
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