KORAT NAM with Modified Surgical Technique in Bilateral Complete Cleft Lip and Palate Repair

Abstract

In patient with bilateral complete cleft lip and palate, the commonly found defects (protruding and/or rotating premaxilla, small prolabium and short columella and facial growth and development) have a negative effect on the esthetic outcome of cleft lip and palate repair. Modified KORAT NAM I with prolabium band combined with proper surgical techniques will solve the above-mentioned problems. Regarding surgical procedure, a modified technique for lip closure and columella elongation was derived from Millard lip repair and Tajima nose correction. The purpose of this article is to present treatment and postoperative follow-up reports on a case with bilateral complete cleft lip and palate, treated at Cleft Lip and Palate Center of Maharat Nakhon Ratchasima Hospital.