Authors : Arie Pratama Putra; Dharma PTR Maluegha; Nadia Tamara Putri

Volume/Issue : Volume 9 - 2024, Issue 5 - May

Google Scholar : https://tinyurl.com/32avjekd

Scribd : https://tinyurl.com/tsvwc3zm

DOI : https://doi.org/10.38124/ijisrt/IJISRT24MAY1449

Abstract : Background: Cleft lip and palate, are spaces or gaps in the alveolus, palate, or upper lip. They are the most common congenital anomaly of the orofacial region with etiologies rooted in genetic and environmental factors. As the result of these structural abnormalities, patients with cleft lip and palate have speech difficulties, feeding problems, reduced nasal airflow, and aesthetic issues. Patient with cleft lip and palate need to be treated at the appropriate time and age to achieve functional and aesthetic well-being. Case History: A 4-month-old male, born with cleft lip up the nostrils, upper gum and palate on left side, experienced feeding difficulties, came to DR. H. Moch Ansari Saleh Hospital Banjarmasin. The patient then underwent a modified Millard technique with paranasal flap. Conclusion: The modified Millard technique and paranasal flap can be considered a viable option for treating unilateral cleft lip as it provides good aesthetic results by minimizing lip scarring. Although primary nasoplasty remains controversial, primary nasoplasty during cleft lip repair gives good results with limited or no effect on nasal growth. When the patient reach 9-months old, another surgery to restore the palate was scheduled.

Keywords : Cleft Lip and Palate, Modified Millard Technique, Paranasal Flap, Reconsctrution.

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