A 3-year-old Maldivian boy was brought to our hospital by his parents for expert surgical treatment of his cleft deformity. The boy was born with bilateral cleft lip and palate. He previously underwent cleft lip & palate repair at a hospital in Trivandrum. The treatment done there was grossly incorrect resulting in a terrible defect. The upper lip got fused with the gums of upper front teeth. The labial vestibule or gap between the upper lip and gums of teeth was completely obliterated.
Maxillofacial Surgeon Dr. S.M. Balaji skillfully performed the upper lip and alveolus reconstruction. Preserving the blood supply, the lip and alveolus was successfully separated and reconstructed to create the labial vestibule. Pre-maxillary setback was done using Paul Black technique. Following surgery and suture removal there was good healing. The boy’s appearance, speech and eating improved significantly. The boy and his family were very happy with the defect correction and went back to their hometown and they are to return for further cleft management.
Maxillofacial Surgeon Dr. S.M. Balaji skillfully performed the upper lip and alveolus reconstruction. Preserving the blood supply, the lip and alveolus was successfully separated and reconstructed to create the labial vestibule. Pre-maxillary setback was done using Paul Black technique. Following surgery and suture removal there was good healing. The boy’s appearance, speech and eating improved significantly. The boy and his family were very happy with the defect correction and went back to their hometown and they are to return for further cleft management.
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