Pre Surgical Nasoalveolar Molding (PNAM): An orthopaedic approach for patients with cleft lip and palate

Cleft lip and palate (CLP) are the most common craniofacial anomalies, caused by both genetic and environmental factors. Management requires a multidisciplinary team (surgeons, orthodontists, pedodontists, speech therapists, nutritionists, psychologists etc.). Presurgical nasoalveolar molding (NAM), started in early infancy, aligns alveolar segments and nasal structures to improve surgical outcomes, reduce tension, and minimize revisions. Success depends on early intervention, parental compliance, accurate diagnosis, and clinical expertise.Comprehensive care also addresses speech, feeding, nutrition, aesthetics, and psychological support, with public health efforts focusing on prevention through maternal health education. Overall, timely, coordinated, and proportionate multidisciplinary care ensures better long-term functional, aesthetic, and psychosocial outcomes.