The double coil molder: A modified presurgical nasoalveolar molding appliance for bilateral cleft correction

Abstract

A cleft formation in infants is quite disturbing for the parents as it extremely affects the esthetics of the infant. Other than esthetics, it also disturbs the normal functioning of the infant. The reduction of this deformity in bilateral cleft patients is done by bringing the deviated premaxilla medially using a technique called presurgical nasoalveolar molding (PNAM) technique. The deviated premaxilla is mainly due to the growth of the nasal septum and the effect of its growth on the vomero-premaxillary suture. We present a case of bilateral cleft lip and palate which is treated by a double coil molder which is a modified PNAM appliance, followed by surgery of the lip and the palate. A follow-up inspection is done to check the outcome of the therapy on the long term.

Keywords

• bilateral cleft lip and palate
• double coil molder
• presurgical orthopedics