Differential approach to the treatment of children with cleft lip and palate in the period of neonatal development

Fig.1. Photo of patient K, before 1 month of 
age, Diagnosis: Bilateral cleft lip and palate
Fig.2. Position of the intermaxillary bone (2 
months) before treatment and (4 months) 
before surgery 

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Journal of Medicine
Vol. 2, No. 3 (2022): Issue 1
의학 저널
[e-mail]
https://krsjournal.com
47 
Fig.3. Result of primary cheiloplasty on day 2 
after surgery 
Conclusion 
Thus, 
modern 
technology 
of 
orthodontic preparation for surgery with the 
use 
of 
appliance 
construction, 
its 
modifications and mini-implants allows us to 
reduce preoperative orthodontic preparation, 
introduce 
active 
elements 
into 
the 
construction, normalise the intermaxillary 
bone position and the upper jaw shape 
followed by primary cheilorinoplasty (one-
stage, unilateral, bilateral). For a successful 
early orthodontic preparation, a secure 
fixation of the appliance is essential. This 
shortens the treatment period, creates 
favourable 
conditions 
for 
primary 
cheilorinoplasty, 
the 
course 
of 
the 
postoperative period, and prevents the 
development of secondary deformities of the 
maxillofacial region, significantly reducing 
the rehabilitation period of bilateral CCLP 
patients with good aesthetic results.
Disclosure 
No potential conflict of interest 
relevant to this article was reported. 
Author contributions 
MNE: study design, search, study 
selection, data collection, data analysis, 
drafting the article and final approval. MME: 
search, study selection, data collection, 
revising the article and final approval. BOK: 
search, study selection, data collection, 
revising the article and final approval. NJM: 
revising the article, final approval. PJSh: 
conception, study design, data analysis, 
drafting the article and final approval.
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