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Presurgical Nasoalveolar Molding (PNAM) is a specialized, non-surgical orthopedic technique used in infants with cleft lip and palate to improve surgical outcomes. Initiated within the first few weeks of life, PNAM helps gradually reshape the nasal cartilage, align the alveolar segments, and reduce the cleft gap before primary surgical repair. This process involves a custom-made molding plate that is adjusted weekly to guide the soft tissues and bone into a more favorable position. By improving nasal symmetry and reducing the severity of the cleft, PNAM enhances both functional and aesthetic results, potentially minimizing the need for future corrective surgeries. It plays a crucial role in comprehensive cleft care, optimizing conditions for successful surgical intervention.