A case report of nasoalveolar molding procedure using modified MU hook in a bilateral cleft lip and palate

The objective of nasoalveolar molding is to provide an approximation of lip and palatal segments, to reduce tension in the tissues in a nonsurgical way along with reshaping of gums, lips, and nostrils to give a symmetrical appearance, and help in narrowing the cleft width before surgery. The goal of this case report is to describe the use of a modified MU hook appliance in a case of a bilateral cleft lip and palate. This appliance aids in lengthening the columella and significantly improves the surgical outcome. This report also highlights the benefits, adjustments required, proper training for parents, and clinical management of the appliance.