Abstract : Rehabilitation of cleft lip and palate usually requires a team approach which includes a Plastic Surgeon, Orthodontist, Speech Therapist, Pediatrician and a Prosthodontist. Presurgical Nasoalveolar Molding (PNAM) involve correcting lip segments, lower lateral alar cartilages, and alveolar cleft segments. In present case report we have used an extraoral appliance for the reduction of unilateral cleft lip and palate.