Attiguppe Prabhakar Ramasetty, Karuna Y M, Yavagal Chandrashekar, Naik Saraswathi V, Deepak B M, Maganti Rekhamani, Krishna Chaithanya G
Department of Pedodontics and Preventive Dentistry, Bapuji Dental College and Hospital, Davangere, Karnataka, India.
Contemp Clin Dent. 2016 Oct-Dec;7(4):569-573. doi: 10.4103/0976-237X.194104.
Cleft lip and palate (CLP) is the most common congenital craniofacial anomaly. Rehabilitation of CLP generally requires a team approach. Alveolar and nasal reconstruction for these patients is a challenge for the reconstructive surgeon. Various procedures have been attempted to reduce the cleft gap, so as to obtain esthetic results postsurgically. The presurgical nasoalveolar molding (PNAM) technique, developed by Grayson, is a new approach to presurgical infant orthopedics. PNAM reduces the severity of the initial cleft alveolar and nasal deformity. Thus, it enables the surgeon and the patient to enjoy the benefits associated with repair of a cleft deformity that is minimal in severity. This article presents a brief insight into PNAM with a case series of three different cases (one unilateral and two bilateral) which underwent PNAM treatment and gave an excellent surgical prognosis.
唇腭裂（CLP）是最常见的先天性颅面畸形。唇腭裂的修复通常需要团队协作。对这些患者进行牙槽突和鼻重建对整形外科医生来说是一项挑战。人们尝试了各种手术来缩小腭裂间隙，以便术后获得美观的效果。由格雷森开发的术前鼻牙槽塑形（PNAM）技术是一种术前婴儿矫形的新方法。PNAM可减轻初始牙槽突裂和鼻畸形的严重程度。因此，它能让外科医生和患者享受到因修复严重程度最小的腭裂畸形而带来的益处。本文通过一个包含三个不同病例（一例单侧和两例双侧）的病例系列，简要介绍了PNAM，这些病例接受了PNAM治疗并获得了良好的手术预后。
