Nasoalveolar Molding (NAM)
- It improves the shape and position of the lip and nose. ...
- The removable appliance becomes something like a pacifier, meaning children tend to adapt well to the treatment.
- The therapy also provides the ease of feeding and breathing for the child.
- Using this therapy can reduce the number of surgeries needed to repair the lip and palate.
What is Nam (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.
Can Nasoalveolar molding correct cleft lip and palate?
The Cleft Palate and Craniofacial Institute at St. Louis Children’s Hospital is one of few centers in the Midwest with expertise in nasoalveolar molding (NAM) to correct cleft lip and palate . The NAM procedure uses an orthodontic device in the mouth to help shape and improve the position of the nose.
What is Nam molding for cleft palate?
Nasoalveolar (pronounced nay-zoh-al-VEE-uh-ler) molding (NAM) is a nonsurgical way to reshape the gums, lip and nostrils with a plastic plate before cleft lip and palate surgery. Pre-surgery molding may decrease the number of surgeries your child needs because it makes the cleft less severe.
What is the Seattle alar molding device for cleft nose?
Our craniofacial team designed and patented a new device for treating cleft nose called the Seattle alar molding (SAM) device. It may decrease the number of visits your child needs to improve the symmetry of their nose before surgery. If needed, the SAM device can be used at the same time as a standard NAM plate that molds your baby’s gums.
What causes Hairlip?
In a few cases, cleft lip and palate is associated with: the genes a child inherits from their parents (although most cases are a one-off) smoking during pregnancy or drinking alcohol during pregnancy. obesity during pregnancy.
What is Nasoalveolar molding technique?
The Nasoalveolar Molding (NAM) technique utilizes wire and acrylic nasal stents attached to an intraoral denture. This appliance is used to mold the nasal cartilages, premaxilla, and alveolar ridges into normal form and position during the neonatal period.
When do you use Nasoalveolar molding?
The best time to begin NAM is 1 to 2 weeks after birth. At birth there is a high level of hyaluronic acid in an infant's body. This helps make the cartilage in the nose and gum easier to shape. The level of hyaluronic acid begins to fall off after 6 weeks of age.
How do you make Nasoalveolar molding?
0:423:39Nasoalveolar Molding - YouTubeYouTubeStart of suggested clipEnd of suggested clipThe molding plate is inserted at a 90 degree angle and rotate it into the mouth. Using one finger toMoreThe molding plate is inserted at a 90 degree angle and rotate it into the mouth. Using one finger to stabilize the plate. Two additional retention tapes are then used to secure the device in. Place.
What is Palatoplasty surgery?
A palatoplasty is a surgical procedure used to correct or reconstruct the PALATE in a person with a CLEFT PALATE.
What is a submucous cleft palate?
A submucous cleft palate (SMCP) results from a lack of normal fusion of the muscles within the soft palate as the baby is developing in utero. It occurs in about 1 in 1,200 children. There is no single cause of SMCP, but current research suggests a combination of genetic and environmental factors.
How does a baby eat with cleft palate?
In the presence of a cleft palate, breastfeeding in the traditional manner is often not recommended, but there are alternative methods for providing breast milk to your baby. Pumping breast milk and using specialty bottles are supported as a way of feeding a baby with a cleft palate.
Can babies noses be molded?
Nasoalveolar (pronounced nay-zoh-al-VEE-uh-ler) molding (NAM) is a nonsurgical way to reshape the gums, lip and nostrils with a plastic plate before cleft lip and palate surgery. Pre-surgery molding may decrease the number of surgeries your child needs because it makes the cleft less severe.
What is taping for cleft lip?
What is Dynacleft you ask? 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 a Breck feeder?
Further, some nipples are designed with attached wings to help close the cleft and prevent nasal uptake or leakage. If neither a specialized bottle nor a cup provides your baby with enough nutrition, we'll teach you to use the Breck Feeder (a syringe with a feeding tube extension).
What is in a hospital Nam?
Overview. Nasoalveolar molding (NAM) is an orthopedic appliance used to actively mold and reposition nose and mouth tissues before surgery. We perform this procedure in the Cleft and Craniofacial Program at Children's Hospital.
What is NAM device?
If your child is born with a cleft lip or cleft palate, a customized orthodontic device called nasoalveolar molding (NAM) can help correct your child's cleft. It allows for fewer surgeries to achieve a symmetrical appearance.
What is van der Woude syndrome?
What is Van der Woude syndrome? Patient with cleft lip and palate as well as lower lip pits, characteristic of Van der Woude syndrome. Van der Woude syndrome is a rare genetic disorder characterized by various structural deformities of the mouth. The disorder affects between 1 and 3 children in every 100,000.
How does a baby eat with cleft palate?
In the presence of a cleft palate, breastfeeding in the traditional manner is often not recommended, but there are alternative methods for providing breast milk to your baby. Pumping breast milk and using specialty bottles are supported as a way of feeding a baby with a cleft palate.
What is a NAM device for cleft palate?
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.
Can babies noses be molded?
Nasoalveolar (pronounced nay-zoh-al-VEE-uh-ler) molding (NAM) is a nonsurgical way to reshape the gums, lip and nostrils with a plastic plate before cleft lip and palate surgery. Pre-surgery molding may decrease the number of surgeries your child needs because it makes the cleft less severe.
What to expect during nasoalveolar mold?
What can I expect during Nasoalveolar Molding (NAM)? Babies born with cleft lip and palate visit the Children’s Health℠ cleft orthodontist within two weeks of their birth. At their initial visit, the pediatric orthodontist will take an impression of the gums that is used to make the NAM appliance.
Why is my nose deformed?
The separation of these structures also causes a deformity of the nose because the nostril straddles each side of the cleft. In most cases, several staged surgeries are required to restore normal function and appearance to the affected structures.
What is NAM in lip surgery?
In most cases, several staged surgeries are required to restore normal function and appearance to the affected structures. Nasoalveolar molding (NAM) therapy was introduced to improve the results of cleft lip repair. NAM is started shortly after birth to guide the growth of the facial bones to narrow the gap in the gums.
What is a NAM?
NAM is an effective technique that is applied by parents daily. We find that parents receive a huge sense of satisfaction by playing an active role in helping improve their child’s results from cleft surgery by taking part in the NAM process. Read more +.
What is a nasoalveolar?
Nasoalveolar (pronounced nay-zoh-al-VEE-uh-ler) molding (NAM) is a nonsurgical way to reshape the gums, lip and nostrils with a plastic plate before cleft lip and palate surgery. Pre-surgery molding may decrease the number of surgeries your child needs because it makes the cleft less severe. It reduces the cleft inside the mouth.
What happens after molding a child's nose?
After molding is complete, your child will have surgery to pull their lip together and to further shape their nose. We use surgical techniques designed to decrease the size of the incisions and the number of surgeries your child needs to get good results (better shape of the lip and nose).
How long does a baby wear a molding plate?
Your baby wears the molding plate 24 hours a day, 7 days a week, including when they are feeding. The plate is held in place using small rubber bands that are taped to your baby’s cheeks.
What is the post called that slides into the baby's nostril?
This post (called a nasal stent) slides easily into the baby’s nostril. It slowly lifts up the nose and shapes the nostril on the side of the cleft. YouTube.
What is a nasoalveolar molding?
Nasoalveolar molding, also called NAM, is a technique that greatly reduces the number of procedures needed to correct cleft-related issues.
How does a NAM work?
During the procedure to have a NAM device placed, your pediatric dentist will take a mold of your baby’s mouth to ensure that the appliance is perfectly fit. Once the NAM device is crafted, your baby will wear the device indefinitely until it’s time to make adjustments.
What is a NAM device?
A NAM device is an orthodontic device placed in the mouth that assists in the shaping and positioning of the nose and lips. An orthodontic surgeon places the appliance in your baby’s mouth and greatly improves the results for a child struggling with a cleft that affects one or both sides of their mouth.
Why do plastic surgeons use NAM?
The NAM procedure uses an orthodontic device in the mouth to help shape and improve the position of the nose. This makes it easier for plastic surgeons to form a symmetric lip and nose, achieving a more natural appearance after one procedure.
How does NAM work?
NAM begins as soon as possible — as early as the baby’s first week of life. Here’s how the process works: A pediatric dentist makes 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.
How does tape help a baby's nose?
At the same time, tape connected to the appliance pulls down on the nose. The stretching raises the flattened, cleft side of the nostril. This process gradually improves the baby’s appearance and improves the position and shape of the nose.
