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WELCOME TO INNOVATIVE PRESURGICAL THERAPY FOR PATIENTS WITH CLEFTS
Current PSIO Methods Challenges Include
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Advantages of PLANA therapy using LipAlignTM Tapes and NoseAlign® Devices
Matsuo, K. and T. Hirose (1988). "Nonsurgical correction of cleft lip nasal deformity in the early neonate." Ann Acad Med Singap 17(3): 358-365.
INNOVATIVE SOLUTION FOR PRE-SURGICAL THERAPY -PLANA
Presurgical Lip, Alveolus, and Nose Approximation (PLANA) is an innovative solution for infants with cleft lip and palate that uses NoseAlign® devices and LipAlignTM medical adhesive tapes to approximate displaced nasolabial structures. The NoseAlign® device is simple to use in patients with incomplete and complete unilateral or bilateral clefts in conjunction with OTC medical adhesive tapes and orthodontic elastics. The device is prescribed and supervised by a treating physician or a dentist.
The NoseAlign® device can be used daily for 20-22 hours and the device must be removed for cleaning at least twice a day. The device is available in 3 different sizes and the prescribing physician/dentist will usually start with lip tape and NoseAlign® device size # 1. Each device is used for up to 3-4 weeks, and the device size needs to be changed to keep up with the growth of the face. The decision to transition to the next size of the device is determined by the treating physician or dentist. Generally, the three different sizes of NoseAlign® devices are employed for a total of 9 to 12 weeks, and they are discontinued immediately after the primary reconstructive surgery of the cleft lip.