USE OF THE NASOALVEOLAR MOLDING FOR BREASTFEEDING SUPPORT IN THE MANAGEMENT OF PATIENTS WITH CLEFT LIP, ALVEOLUS, AND PALATE: A CASE REPORT

Segura Marzal R.M.; Cahuana-Vilchez J.E.; Vidal Chavez S.R.; Rojas Bautista R.M.; Cruz Guillen C.S.; Miranda Soriano E.J. · Revista de la Facultad de Medicina Humana (2025) · DOI: 10.25176/rfmh.v25i2.7057

Resumen

Introduction: Cleft lip, alveolus, and palate (CLAP) defects pose a significant challenge to the growth and nutritional development of newborns in early life, as they limit the ability to generate effective suction during breastfeeding. Nasoalveolar molding (NAM) has emerged as an effective presurgical treatment for nasal and palatal reshaping; however, its benefits on the nutritional status of breastfed infants remain underexplored. Clinical case: This case report describes a male neonate, 30 minutes after birth, diagnosed with a complete unilateral left-sided cleft lip-alveolus-palate and presenting feeding difficulties during direct breastfeeding. The use of a nasoalveolar molding device led to notable improvements in overall health, significant weight gain, and enhanced comfort during feeding with breast milk.

Instituciones: Universidad Nacional Mayor de San Marcos