This case study details the successful bilateral cleft lip and palate repair of a young boy at Balaji Dental and Craniofacial Hospital, highlighting our expertise in restoring smiles and confidence for children with craniofacial deformities.

The Challenge:

The boy was born with a bilateral cleft lip and palate, a complex craniofacial deformity affecting the lip, nose, and palate. This presented significant challenges for both speaking and eating, and also caused cosmetic concerns for the family.

Expert Intervention:

Balaji Dental and Craniofacial Hospital, recognized for its renowned cleft lip and palate treatment team, was entrusted with the boy’s care. Our surgeons devised a meticulous two-stage surgical plan:

Stage 1: Bilateral Cleft Lip Repair (3.5 months old)

• Paul Black’s technique: This advanced technique utilizes the available tissue without making a cross incision on the prolabium, minimizing scarring and maximizing natural appearance.
• C-flap reconstruction: This technique reconstructs the nasal floor and vermillion, restoring symmetry and functional stability.
• Three-layer closure under loupe magnification: This meticulous approach ensures optimal healing and minimizes potential complications.

Stage 2: Cleft Palate Repair (10 months old)

• Delaire’s principle: This technique corrects the abnormal attachment of muscles, creating a “hammock” and restoring normal palatal structure.
• Positive suction test: This test confirms proper closure of the palate, critical for future speech development.
• Speech therapy: This supportive intervention helps children born with cleft palates develop clear and proficient speech.

Remarkable Outcome:

The combined surgeries achieved a dramatic transformation. The boy’s smile was restored with natural symmetry and function, while his palate closure ensures optimal speech development. This positive outcome reflects Balaji Dental and Craniofacial Hospital’s commitment to providing advanced care and restoring hope for children with cleft lip and palate deformities.