Presurgical orthopedics in a patient with cleft lip and palate without cheiloplasty at one year of age.

Abstract

Introduction. Cleft lip/palate (CLP) occurs due to the failure of numerous facial processes to fuse at an early stage of embryonic development. The use of pre-surgical orthopedics helps us correct the bone collapse that patients with CLP may present, as well as stimulate the growth of the palatal segments. Goal. Generate transverse development in a 1-year-old male patient and rotate the left maxillary segment to form the arch, and thus, favor the prognosis of the surgery of the patient with cleft lip and palate without cheiloplasty at one year of age. Description of the case. Male patient with cleft lip and palate without cheiloplasty at one year of age presents to the cleft lip and palate clinic. YOU HAVE TO SMILE, JOIN US. He reports having been treated with pre-surgical orthopedics. Clinically, a cleft lip and palate is observed, in addition to the collapsed left maxillary segment, generating a lack of continuity and arch perimeter. The treatment consisted of two phases. In the first phase, maxillary expansion was performed with a removable plate with a hyrax screw. Phase two consisted of a removable plate joined in its central part by three helixes, to rotate the left maxillary segment. Results. Adequate maxillary development was generated and the arch was shaped. Conclusions. It is important to highlight the characteristics of each case in order to generate a treatment plan suitable for the needs of the patient, since this improves the prognosis and post-surgery.