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Background : Infants born with a cleft lip-palate is facial deformity requires restoration of the integrity of the soft facial tissue. Interdisciplinary management provides the necessary integration of procedures, which will yield the most satisfactory results.
Objective : To present a unique procedure combining pre-surgical orthopedic treatment and primary lip-nose repair for infants with unilateral complete cleft lip and palate.
Design : A retrospective, descriptive study.
Setting : Orthodontic Department, Faculty of Dentistry and Division of Plastic Surgery, Department of Surgery, Faculty of Medicine, Khon Kaen University
Intervention : First the patient received pre-operative orthopedic treatment. A passive obturator was used as an adjunct to aid feeding and guide growth of the lateral palatal segments. Combined primary lip and nasal reconstruction, were done during a single surgery.
Result : The patient came to hospital with complete unilateral complete cleft lip and palate. A passive obturator with lip strapping was prescribed to resolve feeding problems and guide the growth of palatal segments. A one-stage surgery combining lip and nasal reconstruction was performed. The surgical lip and nose revision yielded good early aesthetics of the soft lip and nose tissue.
Conclusion : Pre-surgical orthopedic treatment combined with primary lip-nose repair is an effective treatment of unilateral cleft lip and palate.
Key words : Obturator, unilateral complete cleft lip and cleft palate, primary lip-nose reconstruction.