Patient at 4 wks
Note the gap beween the ridges at the front has now been reduced to 8mm.
Patient at 8 wks
Nose piece was added to mold the nostril. Note the lips are almost touching at rest.
Patient at Day 1
This patient was born with unilateral cleft, which means slit is on one side of the lip and palate (roof of the mouth) only.
Patient at Week 1
At 1-2 weeks mold of the inside of the mouth is taken so that the NAM or plate can be fabricated.
Note the large gap marked by the red wax in the patient. The ridges are about 15mm apart.
15 mm gap
Patient at Week 2
The plate is inserted and secured in place with special sticky adhesive and tape with elastics.
Note wide seperation of the lips and collapsed nostril on the affected side.
8 mm gap
Patient at Week 6 wks
The edges of the lips are closer together and the nostril width is decreasing.
Patient at 12 wks
The edges of the lips are touching with tape alone. The nose maintaines better shape without any stents.
Patienet is ready for surgery.