Cleft Lip Repair, Nasoalveolar Molding, and Primary Cleft Rhinoplasty

Facial Plast Surg Clin North Am. 2016 Nov;24(4):453-466. doi: 10.1016/j.fsc.2016.06.015.


Cleft lip and palate are the fourth most common congenital birth defect. Management requires multidisciplinary care owing to the complexity of these clefts on midface growth, dentition, Eustachian tube function, and lip and nasal cosmesis. Repair requires planning, but can be performed systematically to reduce variability of outcomes. The use of primary rhinoplasty at the time of cleft lip repair can improve nose symmetry and reduce nasal deformity. Use of nasoalveolar molding ranging from lip taping to the use of preoperative infant orthopedics has played an important role in improving functional and cosmetic results of cleft lip repair.

Keywords: Cleft lip; Cleft palate; Cleft rhinoplasty; Nasoalveolar molding; Subunit cleft repair.

Publication types

  • Review
  • Video-Audio Media

MeSH terms

  • Alveolar Process / abnormalities*
  • Cleft Lip / surgery*
  • Cleft Palate / surgery*
  • Humans
  • Orthodontic Appliances*
  • Preoperative Care / methods*
  • Rhinoplasty / methods*
  • Surgical Flaps