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Revista de Odontopediatría Latinoamericana

versión On-line ISSN 2174-0798

Resumen

RODRIGUEZ MENA, Katia Denisse; LOPEZ NUNEZ, Benjamín  y  MONDRAGON BAEZ, Tatiana Dinhora. Pre-surgical orthopedics in a one-year-old patient with nonsyndromic cleft lip and palate without prior cheiloplasty: case report. Rev Odontoped Latinoam [online]. 2023, vol.13, e-234632.  Epub 25-Mar-2024. ISSN 2174-0798.  https://doi.org/10.47990/alop.v13i.632.

Cleft lip/palate (CLP) occurs due to the lack of fusion of numerous facial processes during the first weeks of embryonic development. The use of presurgical orthopedics helps us correct the bone collapse that patients with CLP may present, as well as stimulate the growth of the palatal segments by starting its use in the first hours of life. Due to the pandemic caused by COVID, many patients did not receive care, generating a need for treatment focused on their characteristics.

Aim.

Generate transverse development in a 1-year-old male patient and rotate the left maxillary segment to form the arch, and thus, favor the prognosis of surgery for the patient with cleft lip and palate without cheiloplasty at one year of age.

Presentation of the case.

Male patient with cleft lip and palate without cheiloplasty at one year of age presents to cleft lip and palate clinic. YOU HAVE TO SMILE, JOIN US Efforts. He reports having been treated with pre-surgical orthopedics. Clinically, a cleft lip and palate is observed, in addition to the collapsed left maxillary segment, generating a lack of continuity and arch perimeter. The treatment phase consisted of a removable plate joined in its central part by three helixes, to rotate the left maxillary segment.

Results.

Adequate maxillary development was generated and the arch was formed.

Conclusions.

It is important to highlight the characteristics of each case in order to generate a treatment plan suitable for the patient’s needs, since this improves the postsurgical prognosis.

Palabras clave : Cleft palate; Lip; Orthopedics.

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