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Review
. 2025 Nov;33(4):497-507.
doi: 10.1016/j.fsc.2025.06.006. Epub 2025 Aug 23.

Nasoalveolar Molding

Mairaj K Ahmed  1 , Jeremiah Y Kim  2 , Lisa R Jolly  3
Affiliations
Review

Nasoalveolar Molding

Mairaj K Ahmed et al. Facial Plast Surg Clin North Am. 2025 Nov.

Abstract

Nasoalveolar molding (NAM) is a presurgical infant orthopedic therapy that brings the alveolar segments in closer opposition and realigns the soft tissue and cartilaginous tissues of the lip and nose in patients with cleft lip and palate. NAM offers clinical and nonclinical benefits with improvements to various palatal, alveolar, and nasolabial parameters; possible reduction in revision surgery and financial burden; and psychosocial benefits to caregivers. Many variations have been made to NAM appliances and protocols, with emerging digital workflows holding great promise for improving patient, caregiver, and clinician experience. Clinical indications, treatment timeline, and challenges of NAM treatment are discussed.

Keywords: CLP; Cleft lip and palate; NAM; Nasoalveolar molding; PSIO; Presurgical infant orthopedics.

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Conflict of interest statement

Disclosures The authors have nothing to disclose.