International Journal of Dentistry Research 2025; 10(2): 36-39 DOI:10.31254/dentistry.2025.10202

Case Report

A New Era in Cleft Care: Discovery of a Novel Type and Targeted Treatment- A Case Report

Prachi Vaish¹ , Mayank Goel¹ , Afroz Alam Ansari¹ , Priyambadha H. Subba¹

Prachi Vaish,Mayank Goel,Afroz Alam Ansari,Priyambadha H. Subba

1. Department of Paediatric and Preventive Dentistry, Faculty of Dental Sciences, King George’s Medical University, Lucknow- 226003, Uttar Pradesh, India

*Author to whom correspondence should be addressed.

Received: 20th February, 2025 / Accepted: 13th July, 2025 / Published : 31st August, 2025

Abstract

Presurgical orthopaedic interventions are essential in managing neonates with cleft lip and palate. While cleft lip and palate are treatable, the specific approach depends on the type and severity of the condition. Nevertheless, the case outlined below features a distinctive combination of clefts that doesn't conform to any recognized classification. The child had cleft involving only the lip and soft palate sparing the hard palate. Thus, the management had to be more towards a conservative approach to reduce trauma and improve the health of a child. In response to patient’s specific needs, we have created a novel, personalized NAM device. This appliance greatly lessens the necessity for regular visits to the craniofacial clinic. We present a case in which a newborn, before undergoing lip surgery, received treatment with a nasal elevator device and adhesive strips for three months. In conclusion, NAM therapy and nasal elevation, successfully minimized the cleft width and improved the nasal framework. This report seeks to emphasize a new type of cleft, an innovative therapeutic approach, and its practical implementation.