What is nasoalveolar molding?

Nasoalveolar molding (NAM) is a presurgical therapy used to reduce the size of the cleft or palate deformity of the lip, gum and nose before surgical repair. The goal of NAM is to reduce the size of the cleft deformity of the lip, gum and nose (oronasal deformity) before surgical repair.

When do you use Nasoalveolar molding?

The objective of NAM therapy is accomplished before the primary surgical repair. Surgical closure of the lip and nose is performed from 3–4 months of age. [16–18] Bilateral cleft patients tend to take one to two additional months to achieve presurgical clinical objectives.

How does NAM device work?

NAM works by gently directing the growth of your baby’s gums and the shape of their nose during the first few months after birth, when these tissues are soft and easy to mold. Parents work with a Seattle Children’s orthodontist during NAM therapy.

What is NAM device?

Nasoalveolar Molding (NAM) is a nonsurgical method of reshaping the gums, lip and nose before cleft lip and palate surgery. The NAM appliance is a small removable device similar to an orthodontic retainer. It gradually applies pressure to decrease the severity of the cleft and improve the shape of the nose.

What is presurgical orthopedics?

In presurgical orthopedic therapy, orthodontic techniques are used to mold the maxillary, alveolar, and nasal tissues of an infant with a unilateral or bilateral cleft lip and palate. Other terms used for these techniques are neonatal infant orthopedics, presurgical infant orthopedics, and nasal-alveolar molding.

Can I breastfeed my baby with cleft lip and palate?

Can my baby breastfeed? Babies with a cleft lip, but no cleft palate, can usually breastfeed. With a cleft palate, poor suction can make it very difficult. You can pump your breast milk and feed your baby with a special bottle provided by a feeding specialist or speech therapist.

What is taping for cleft lip?

Dynacleft is a self-adhesive tape that helps to align both the bones and soft tissues for patients born with a complete cleft lip and cleft palate. This tape is placed on your child’s face during the months leading up to the surgery.

What is Cheiloplasty procedure?

Primary cleft lip repair (cheiloplasty)

The goals of primary cleft lip repair involve reconstruction of the normal anatomy and function of the lip, correction of the nasal deformity, and construction of the floor of the nose and proper alignment of the maxillary segments (gum-line).

What does cleft palate sound like?

Compensatory misarticulations are speech problems that are unique to children with a cleft palate. These sounds can sound like the pause in the middle of the word, “uh-oh” (a glottal stop). They can also sound like growling or “throat” sounds.

What is cleft palate surgery?

Cleft palate repair is a surgery to fix a cleft, or hole, in the palate, or the roof of the mouth. Your child’s cleft palate surgery will be done under general anesthesia (an-es-THEEZ-ya), which means that he or she will be sound asleep during the surgery.

Who developed Nam?

NAM begins as soon as possible, and as early as the baby’s first week of life. Dr Da Silveira and her team make a mold of the newborn’s mouth. This mold is used to create the NAM device, which is similar to an orthodontic retainer. Except for cleaning, the baby wears the device 24 hours a day.

Who invented the NAM?

The Non-Aligned Movement was founded and held its first conference (the Belgrade Conference) in 1961 under the leadership of Josip Broz Tito of Yugoslavia, Gamal Abdel Nasser of Egypt, Jawaharlal Nehru of India, Kwame Nkrumah of Ghana, and Sukarno of Indonesia.

Can you tell from ultrasound if baby has cleft lip?

Cleft lip may be detected with ultrasound beginning around the 13th week of pregnancy. As the fetus continues developing, it may be easier to accurately diagnose a cleft lip. Cleft palate that occurs alone is more difficult to see using ultrasound.

How does a baby with cleft palate eat?

Most babies born with a cleft lip (and no cleft palate) feed well without any special equipment. They usually can breastfeed or use a regular bottle-feeding system. The only change needed might be positioning the nipple so the baby can latch.

Can babies with cleft palate use a pacifier?

The doctor will decide when the palate incision is healed enough to add milk products and then pureed foods. See the education sheet, “Cleft palate repair: Feeding your child”. Again, all feedings should be followed by a water rinse. No nipples, pacifiers, or straws are permitted.

At what age would you perform definitive lip repair following lip adhesion?

The lip adhesion procedure was performed at the age of two to eight weeks postnatal, and definitive lip closure, at the age of four to six months.

How long does cleft lip surgery take to heal?

It usually takes about 3 to 4 weeks for the incision to heal. The incision will leave a pink or red scar. You can expect the scar to feel hard and tight at first. The scar should fade and become softer and flatter in the months and years after surgery.

How long does it take to heal from cleft palate surgery?

How to Protect the Cleft Palate Repair. Once you get home, your child’s palate will take three weeks or more to heal.

Who performs lip surgery?

There are several specialists who can perform lip augmentation, including: Plastic surgeons. Dermatologists. Cosmetic facial surgeons.

Is cleft palate a disability?

FACT: A cleft is not a ‘disability’. It may affect a child in ways that mean they need extra help, but most children with a cleft are not affected by any other condition and are capable of doing just as well at school as any other child.

Does cleft palate affect breathing?

Clefts of the lip and palate frequently produce nasal deformities that tend to reduce the size of the nasal airway. Approximately 70% of the cleft population have nasal airway impairment and about 80% “mouth-breathe” to some extent.

What can I expect after palate repair?

For the first few days after surgery, you may see the following things:

  1. There may be a small amount of blood in the mucous or saliva (spit) for several days. …
  2. More clear drainage (mucous) than usual may come from the nose for several weeks. …
  3. Your child may snore and sound congested for several weeks.

How serious is cleft palate?

Cleft palate is the most common birth defect that occurs. It happens in about 1 in 700 births. It is not a fatal problem. Most children born with clefts do well in developed countries.

Can cleft lip scar be removed?

Surgery under general anesthesia is often required to close the opening caused by a cleft lip or palate. During the surgery, a plastic surgeon will make minimal incisions on the outer edges of the separated tissues and sew the lip together. Small, dissolvable stitches are commonly used to reduce visible scarring.

When was the NAM is published?

Surgery under general anesthesia is often required to close the opening caused by a cleft lip or palate. During the surgery, a plastic surgeon will make minimal incisions on the outer edges of the separated tissues and sew the lip together. Small, dissolvable stitches are commonly used to reduce visible scarring.

What is the main cause of cleft palate?

Cleft lip and cleft palate are thought to be caused by a combination of genes and other factors, such as things the mother comes in contact with in her environment, or what the mother eats or drinks, or certain medications she uses during pregnancy.

How can I prevent my baby from having a cleft lip?

What can you do to help prevent cleft lip and cleft palate in your baby?

  1. Take folic acid. …
  2. Don’t smoke or drink alcohol. …
  3. Get a preconception checkup. …
  4. Get to a healthy weight before pregnancy and talk to your provider about gaining a healthy amount of weight during pregnancy.

Why do cleft lips happen?

What Causes Cleft Lip? During the first 6 to 10 weeks of pregnancy, the bones and skin of a baby’s upper jaw, nose, and mouth normally come together (fuse) to form the roof of the mouth and the upper lip. A cleft lip happens when parts of the upper lip and/or gum do not fuse together completely.

How do doctors repair a cleft palate?

In palate repair surgery, a plastic surgeon will: Close the cleft in layers. Rearrange and repair the muscles of the soft palate so they work better during speech. Make two incisions (cuts) on each side of the palate behind the gums to ease tension on the palate repair.

Can a cleft lip fix itself?

Despite the growing incidence of oral clefts, these defects can be successfully repaired, but it is crucial that parents-to-be and parents of newborns diagnosed with such conditions take a proactive role in devising their child’s treatment plan, say physicians at the Johns Hopkins Children’s Center, which sees more …

Can cleft babies have dummies?

Some Cleft Teams feel that sucking on a dummy after surgery will damage the repair, so it’s best to ask to be sure. The timing of palate repair surgery will vary, so depending on your child’s age they may be weaned but still using a bottle for milk or other liquids.

Do pacifiers push teeth out?

Have you ever worried that the pacifier will affect your baby’s teeth? If so, we have good news for you: if your child is still very young, the pacifier sucking habit likely will not cause dental problems. Sucking is a natural reflex for infants that helps them feel calm and relaxed.

What are the long term effects of cleft palate?

Cleft palate alone was associated with elevated risks for death (hazard ratio, 3.4), intellectual disability (relative risk, 11.5), anxiety disorders (RR, 2.9), autism spectrum disorders (RR, 6.6), severe learning disabilities, cerebral palsy, epilepsy, and musculoskeletal disorders, when compared with the unaffected …

Why do they remove cleft lips at 3 months?

Given these developments, we question whether a delay in repair until 3–6 months of age is still necessary. Early cleft lip repair may provide additional benefits such as improved appearance of surgical scars, accelerated weight gain from ease of feeding, and heightened maternal-infant socialization.

What is Rule of 10 in timing of surgical repair of orofacial cleft?

Most repairs are done at about 12 weeks of age. This allows the appearance of any birth-related illness to be noted and treated, the child to gain weight and establish a reasonable hematocrit. This is frequently referred to as the “Rule of 10s” (10 weeks old, weight of 10 pounds and 10 grams of hemoglobin).

What is Rule of 10 timing of surgical repair of Oro facial cleft?

Although not absolute, a general and easy rule for timing of cleft lip repair is a rule of 10s: at least 10 pounds and at least 10 weeks of age. The choice of procedure is up to the plastic surgeon and related to the clinical presentation.