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This article reports an orthodontic - surgical treatment of a patient with bilateral cleft lip and palate in clinical Lip and Palate at Valle´s University. The patient had a bad skeletal and Angle Class III occlusion with anterior and posterior cross bite with severe maxillary constriction, posterior mandibular rotation and floating premaxilla. The malocclusion was corrected by standard fixed appliances 0.022x0.028 inch slot, Hyrax in the maxila and mandibular setback and advance chin finally. In addition to oral rehabilitation patient to determine an aesthetic front in the upper anterior and improve the results regarding the mini and micro aesthetics of the case.

Habib Barhoum, Escuela de Odontología,Universidad del Valle. Cali, Colombia.

Especialista en Ortodoncia, Profesor.

María-del Pilar León, Universidad del Valle. Cali, Colombia.

Odontóloga, Especialista en Ortodoncia

Neftalí-Joaquín Benjumea, Universidad del Valle. Cali, Colombia.

Odontólogo, Especialista en Cirugía Maxilofacial, Residente de Posgrado de Ortodoncia

Barhoum, H., León, M.- del P., & Benjumea, N.-J. (2017). Patient with bilateral cleft lip and palate, anterior crossbite and severe maxillary compression treated with early orthodontics, Hyrax and orthognathic monomaxilar surgery. Case report. Revista Estomatología, 24(1), 30–36. https://doi.org/10.25100/re.v24i1.5794
1. Hassan WA. Facial cleft detected: Is the palate normal?. Best Practice & Research Clinical Obstetrics and Gynaecology 2014; 28(3):379-89.
2. Rachmiel A. Treatment of Maxillary Cleft Palate:Distraction Osteogenesis Versus Orthognathic Surgery - Part One: Maxillary Distraction. J Oral Maxillofac Surg 2007; 65(4):753-7.
3. Dogan S, Oncag G, Akin Y. Craniofacial development in children with unilateral cleft lip and palate. British J Oral Maxillofacial Surg 2005; 44 (1):28-33.
4. Da Silva Filho OG, De Castro Machado FM, Coelho de Andrade AC, De Souza Freitas JA. Upper dental arch morphology of adult unoperated complete bilateral cleft lip and palate. Am J Orthod Dentofacial Orthop 1998; 114(2):154-61.
5. Dentino KM, Valstar A, Padwa BL Cleft characteristics and treatment outcomes in hemifacial microsomia compared to non-syndromic cleft lip/palate. Int J Oral Maxillofac Surg. 2016; 45(6):679-82.
6. Saman M, Gross J, Ovchinsky A, Wood-Smith D. Cleft lip and palate in the arts: A critical reflection. Cleft Palate Craniofac J. 2012; 49(2):129-36.