Nonsurgical Repositioning of the Premaxilla Using a “Lasso” Elastic Band Technique in Conjunction With Presurgical Lip, Alveolus, and Nose Approximation (PLANA)
Abstract
This case report presents a patient with bilateral complete cleft lip and palate with a severely deviated and rotated premaxilla. The infant was treated with a combination of lip taping and presurgical lip, alveolus, and nose approximation (PLANA) therapy for 3 months before primary lip and nose repair. Derotation and centering of the premaxilla was accomplished using a "Lasso" elastic band system, facilitating PLANA therapy. This treatment protocol promoted an esthetic lip and nose repair, while minimizing soft tissue tension and avoiding a surgical premaxillary setback.
Fields of Study & Subjects
Cleft Lip and Palate Research
Reconstructive Facial Surgery Techniques
Nasal Surgery and Airway Studies
Publication details
- Journal / source
- Journal of Craniofacial Surgery
- Publisher
- Ovid Technologies (Wolters Kluwer Health)
- Publication date
- 12 January 2026
- Language
- EN