Premaxillary Setback With Posterior Vomerine Ostectomy and Complete Bilateral Cleft Lip Repair: Report of a Case With Challenging Anatomy

Cleft Palate Craniofac J. 2023 Nov;60(11):1494-1498. doi: 10.1177/10556656221104028. Epub 2022 Jul 27.

Abstract

Congenital clefts of the lip and/or palate are among the most common craniofacial malformations. Patients with bilateral cleft of the lip often present with projected premaxilla. Premaxillary setback with a vomerine ostectomy posterior to the vomero-premaxillary suture, bilateral cleft lip repair, bilateral gingivoperiosteoplasties, and primary cleft lip rhinoplasty are achieved in a single-stage surgery that provides a valuable alternative to patients, especially in the outreach settings. In this article, we present a case report of a patient born with a bilateral cleft of the lip and a protruded premaxilla. He had collapsed secondary palatine shelves requiring intraoperative manual expansion to ensure access to the vomer bone.

Keywords: cleft lip, bilateral cleft lip, projected premaxilla, premaxillary setback, posterior vomerine ostectomy.

Publication types

  • Case Reports

MeSH terms

  • Cleft Lip* / surgery
  • Cleft Palate* / surgery
  • Humans
  • Male
  • Maxilla / abnormalities
  • Maxilla / diagnostic imaging
  • Maxilla / surgery
  • Vomer / surgery