The aim of this study is to evaluate and compare clinically conventional Pre-surgical Naso-Alveolar Molding (PNAM) treatment versus Modified Naso-Alveolar Molding protocol (MPNAM) in cleft lip and palate patients in terms of: 1. Decreasing cleft gap. 2. Attaining columellar length. 3. Effect on maxillary growth. 4. Treatment Duration. 5. Parents acceptance.
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Attaining columellar length
Timeframe: 3 month