Phased management improved functional and aesthetic outcomes in a patient with unilateral cleft lip and palate, indicating the value of orthodontic and surgical interventions.
Comprehensive rehabilitation of cleft lip and palate (CLP) necessitates a meticulously coordinated, multidisciplinary approach due to the complexity of skeletal and dental anomalies involved. This report outlines the phased management of a growing female patient presenting with unilateral CLP and congenital absence of the upper left lateral incisor. Treatment involved a sequence of orthodontic and surgical interventions including maxillary expansion with a quad-helix appliance, secondary alveolar bone grafting, canine mesialization through a tooth-borne distractor, mandibular repositioning through the inferior subapical osteotomy, genioplasty, and secondary rhinoplasty. At the 5-year follow-up, both functional and esthetic outcomes remained stable underscoring the efficacy of the interdisciplinary treatment strategy.
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Ramachandran et al. (2025) studied this question.
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