Early presurgical infant orthopedics with rhinoplasty appliance (R.A.S.) in a 21-day-old infant with left unilateral cleft Lip: A case report with 6-month follow-up

Key Points

• This case report aims to evaluate the effectiveness of early presurgical infant orthopedics using a rhinoplasty appliance for an infant with unilateral cleft lip.
• Utilized a rhinoplasty appliance based on the Mejía technique.
• Administered four sequential appliances over a four-month period with nasal stents.
• Completed primary cheiloplasty at six months of age.
• Significant reduction in the cleft gap observed.
• Improved nasal symmetry was achieved.
• Stable outcomes maintained at the six-month follow-up.