Bilateral Cleft Lip and Cleft Palate

dc.contributor.authorNita Viwattanatipaen_US
dc.contributor.authorPalakorn Surakulprapaen_US
dc.contributor.authorBowornsilp Chowchuenen_US
dc.date.accessioned2011-02-24T04:34:19Z
dc.date.available2011-02-24T04:34:19Z
dc.date.created2010-04-18en_US
dc.date.issued2010-04-18en_US
dc.description.abstractBackground : Infant born with cleft lip and cleft palate problem requires treatment to restore the integrity of facial soft tissueObjective : The objective of this article is to present a treatment procedure for the bilateral compleate cleft lip and cleft palate infant.Setting : Orthodontic Department, Faculty of Dentistry, Khon-Kaen University and Srinagarind Hospital, Faculty of Medicine, Khon-Kaen UniversityIntervention : The initial treatment used a presurgical orthopedic appliance. The surgical treatment comprised gingivoperiosteoplasty, primary lip and nasal reconstruction, all done in one-stage.Result : A better early facial soft tissue esthetics was achieved.Conclusion : A Thai male infant, aged 15 days, born in Khon-Kaen Province, came to Sringarind Hospital with the problem of complete bilateral cleft lip and cleft palate. An obturator with lip strapping was delivered in order to help with the feeding problem. At the same time, time, this appliance was used to mold the primary palate and lateral palatal segments into a better relationship, and to lessen the gap width of the cleft. The reduced distance between the prolabium and lateral lip segments helped decrease soft tissue tension during and after lip repair. Besides, a special appliance, the Naso-Alveolar Molding appliance (NAM) was used for this baby in order to help molding the alar cartilages and extending the columella length before the surgery. A one-stage surgery combining the gingivoperiosteoplasty, lip and nasal reconstruction was performed. The result of this coordinated treatment brought about better early esthetics of the soft tissue lip and nose.Key words : Nasoalveolar Molding Appliances. Bilateral Cleft Lip and Cleft Palate. Presurgical Orthopedics. Primary lip and nose reconstruction. Gingivoperios teoplastyen_US
dc.identifier.citationSrinagarind Medical Journal (SMJ); Vo. 16 No. 1 January - March 2001; 54-60en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/133599
dc.language.isoen_USen_US
dc.publisherFaculty of Medicine, Khon Kaen Universityen_US
dc.rightsAcademic Affairs, Faculty of Medicine, Khon Kaen University, KhonKaen, Thailanden_US
dc.source.urihttps://thailand.digitaljournals.org/index.php/SMJ/issue/archiveen_US
dc.source.urihttps://thailand.digitaljournals.org/index.php/SMJ/article/view/3404en_US
dc.titleBilateral Cleft Lip and Cleft Palateen_US
dc.typeCase Reporten_US
Files