Presurgical Nasoalveolar Molding (PNAM) is a presurgical orthopedic technique for infants with cleft lip and palate that uses neonatal tissue plasticity to improve the position of the alveolar segments, lip, nose, and columella before surgery. It employs a molding plate, lip taping, and nasal stents, with modifications made according to growth and treatment response. Modern advances such as CAD/CAM, 3D scanning, virtual planning, and 3D printing have enhanced its precision and efficiency. With proper monitoring and parental cooperation, PNAM can facilitate surgical repair and improve functional and aesthetic outcomes.
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