Cleft Lip and Palate Repair #33052
Procedures Performed
Cleft Lip and Palate RepairLeFort I Maxillary Advancement
Patient Information
EthnicityWhite
Age17 years
Procedure Details
TechniqueBilateral cleft lip repair with Millard and Mulliken based technique.Child with Van Der Woude syndrome treated with presurgical orthopedics with a Latham appliance to align premaxilla with lateral palatal segments prior to cleft lip repair with gingivoperialveoloplasty and first stage cleft lip tip rhinoplasty. Once he reached skeletal maturity he required a Le Fort I maxillary advancement to correct his midface hypoplasia
Photo Taken6 months post-op
Case Notes
This case involves a 17-year-old male with Van Der Woude syndrome who underwent cleft lip and palate repair, using Millard and Mulliken based techniques. Pre-surgical orthopedics with a Latham appliance was utilized to align the premaxilla with the lateral palatal segments before gingivoperialveoloplasty and first-stage cleft lip tip rhinoplasty. Upon reaching skeletal maturity, a LeFort I maxillary advancement addressed the midface hypoplasia. The post-operative images at six months show a beautiful result and long term follow up photographs show a handsome young man with little evidence of his previous cleft.