Journal
BIOENGINEERING-BASEL
Volume 9, Issue 9, Pages -Publisher
MDPI
DOI: 10.3390/bioengineering9090455
Keywords
aesthetics; dental restoration; cleft palate; bone transplantation; oronasal fistula; orthodontics
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This manuscript presents a clinical case of a patient with bilateral cleft lip and palate who underwent tongue graft surgery to repair an oronasal fistula. The multidisciplinary treatment, including orthodontic treatment and aesthetic rehabilitation, significantly improved the patient's smile aesthetics and enhanced their self-perception and confidence.
Oronasal fistula can persist after conventional secondary alveolar bone graft surgery, which may lead to functional issues, such as regurgitation of fluids from the oral to the nasal cavity. This manuscript describes a clinical case of a patient with a bilateral cleft lip and palate that underwent tongue graft surgery for closure of an oronasal fistula after three failed local mucosa flap surgeries. The multidisciplinary treatment was comprised of orthodontic treatment, mucosa and alveolar grafts for palate closure and aesthetic rehabilitation of the anterior maxillary teeth. Smile aesthetics were noticeably improved, enhancing the patient's self-perception and confidence.
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