Case report: disjunction and protraction of a patient with cleft lip and palate

Abstract

Introduction: Cleft lip and palate (CLP) is a common congenital malformation caused by the incomplete fusion of facial structures during embryonic development. Its etiology is multifactorial, involving genetic, environmental, and nutritional factors. In Mexico, it is the third most common congenital malformation. Clinically, CLP affects feeding, speech, hearing, maxillofacial growth, and emotional well-being. Its management requires an interdisciplinary approach beginning with prenatal diagnosis. Case report: We present the case of a 7-year-old female patient diagnosed with unilateral left-sided CLP. She was treated from birth with presurgical orthopedics, followed by orthopedic treatment based on a hyrax and protraction mask to correct maxillary collapse and improve sagittal maxillary growth. Conclusion:  Comprehensive treatment allowed for the contouring of facial structures, improved lip and alveolar alignment, and facilitated subsequent surgical interventions. She currently continues to receive orthopedic follow-up, with orthodontic planning for adolescence. This case demonstrates that early, consistent, and coordinated treatment improves the patient's functional, aesthetic, and emotional prognosis, highlighting the importance of multidisciplinary work in achieving a favorable outcome for patients with CLP.