A novel clinical innovation: Bilateral modified indigenous nasal elevator with calibrated force for alar dome correction in bilateral cleft lip and palate patients
Summary. Researchers developed a novel bilateral modified indigenous nasal elevator (BMINE) appliance for presurgical nasal molding in cleft lip and palate patients. The device uses stainless steel wire and acrylic to apply calibrated traction to nasal structures without interfering with feeding. In a case study, the appliance successfully reduced the intersegmental gap from 11mm to 2.5mm and improved columellar angle and nasal symmetry. The low-cost, customizable device offers an effective alternative to conventional techniques in resource-limited settings.
Cite this article
Thapa, A., Shariff, A., Ray, S., Walia, B. S., Viswambaran, M., & Nair, V. V.. (2025). A novel clinical innovation: Bilateral modified indigenous nasal elevator with calibrated force for alar dome correction in bilateral cleft lip and palate patients. Journal of Cleft Lip Palate and Craniofacial Anomalies. https://doi.org/10.4103/jclpca.jclpca_24_25
Thapa, Amrit, et al. “A novel clinical innovation: Bilateral modified indigenous nasal elevator with calibrated force for alar dome correction in bilateral cleft lip and palate patients.” Journal of Cleft Lip Palate and Craniofacial Anomalies, 2025. https://doi.org/10.4103/jclpca.jclpca_24_25.
Thapa, Amrit, Atiqulla Shariff, Saugat Ray, B. S. Walia, M. Viswambaran, and Vipin Venugopal Nair. 2025. “A novel clinical innovation: Bilateral modified indigenous nasal elevator with calibrated force for alar dome correction in bilateral cleft lip and palate patients.” Journal of Cleft Lip Palate and Craniofacial Anomalies. https://doi.org/10.4103/jclpca.jclpca_24_25.
@article{thapa-2025-novel-clinical-innovation-bilateral-modified,
title = {A novel clinical innovation: Bilateral modified indigenous nasal elevator with calibrated force for alar dome correction in bilateral cleft lip and palate patients},
author = {Amrit Thapa and Atiqulla Shariff and Saugat Ray and B. S. Walia and M. Viswambaran and Vipin Venugopal Nair},
journal = {Journal of Cleft Lip Palate and Craniofacial Anomalies},
year = {2025},
doi = {10.4103/jclpca.jclpca_24_25},
url = {https://doi.org/10.4103/jclpca.jclpca_24_25}
}
TY - JOUR TI - A novel clinical innovation: Bilateral modified indigenous nasal elevator with calibrated force for alar dome correction in bilateral cleft lip and palate patients AU - Amrit Thapa AU - Atiqulla Shariff AU - Saugat Ray AU - B. S. Walia AU - M. Viswambaran AU - Vipin Venugopal Nair JO - Journal of Cleft Lip Palate and Craniofacial Anomalies PY - 2025 DO - 10.4103/jclpca.jclpca_24_25 UR - https://doi.org/10.4103/jclpca.jclpca_24_25 ER -
Details
- DOI
- 10.4103/jclpca.jclpca_24_25
- Countries
- India
- Regions
- Asia
- Categories
- rural-healthcare, general-innovation
- Added
- 2026-09-01