PLANA Therapy for Infants With Bilateral Cleft Lip and Palate-Two Case Reports.
Pradip R Shetye
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Case in brief
Two infants with bilateral cleft lip and palate received presurgical lip, nose alveolar approximation (PLANA) therapy; one had a mildly protruded premaxilla and the other a significantly protruded premaxilla. The approach combined medical adhesive lip taping with a prefabricated series of nasal silicone devices to retract the premaxilla and support nasal tip projection and gradual columellar elongation. The report describes its use to achieve early presurgical objectives, reduce caregiver demands, and prepare both infants for primary reconstruction, while noting variation in premaxillary retraction between the cases.
What made this case unusual
The report applies the same PLANA approach to infants with differing degrees of premaxillary protrusion, including significant protrusion, and describes variation in retraction between them.
Diagnostic / clinical pearl
In infants with bilateral cleft lip and palate, PLANA combines lip taping and nasal silicone devices to address presurgical approximation and premaxillary retraction; the reported response varied with premaxillary protrusion.