Orthognathic Surgery in a Patient with Cleft Lip and Palate : A Case Report

Abstract

Background : Developmental disorders of the maxilla are commonly found in the cleft lip and palate patients. Although these patients obtain orthodontic treatments, the defects may still exist. Therefore, in several cases the combination of orthodontic and surgical treatments is needed.

Objective : To present the surgical treatment of a patient with cleft lip and palate who has malocclusion and jaw relationship disorder. Orthodontic treatment combined with surgery of the jaw is also presented.

Result : A case of Thai male 21-year-old who possessed congenital unilateral cleft lip and palate, had history of repairing the cleft defect with iliac bone graft when he was 14-year-old. The orthodontic treatment combined with two-jaw surgery was performed and the result was very satisfied after 6 months follow up.

Conclusion : Team approach for treatments in the patients with cleft lip and palate was necessary. Early orthodontic treatment may help preventing jaw developmental disorder. However, patients who have abnormality of jaw relationship should be approached with the combination of orthodontic and surgical treatment for to gain functional and facial cosmetic outcome.