Orthognathic Surgery in Labiopalatin Fissure patient

Abstract

INTRODUCTION: Labial and/or palatine fissures (FL±P) are common congenital malformations of the face, occurring between the fourth and ninth week of the embryonic period. The etiology still uncertain indicates genetic, environmental or mixed factors, occurring due to poor junction of the maxillary and frontonasal processes. They are classified according to the incisive foramen in incisor pre-foramen cleft, incisor post-foramen cleft, incisor transforamus fissure and rare facial clefts. However surgeries of early age of the lip and palate inhibit facial growth, then orthognathic surgery for correction is necessary. OBJECTIVE: The present study aimed to present a case report on orthognathic surgery in a fissured patient, showing the importance of the treatment for the rehabilitation of the patient. CASE REPORT: The study was a leucoderma patient, male, 21 years old, with a left lateral unilateral transforamid fissure, who sought the Santo Antônio Hospital of Irma Dulce Social Works for rehabilitation, to which the patient underwent surgical treatment of advancement of maxilla and mentoplasty. FINAL CONSIDERATIONS: It is imperative that patients with cleft lip and palate have to be evaluated and followed up in referral centers by a multidisciplinary team composed mainly of surgeons, orthodontists and speech therapists. In this case, the patient is in postoperative follow-up and is satisfied with the treatment proposed.