Cleft Lip and Cleft Palate Repair With Obturator: A Case Report

Abstract

Introduction Cleft lip and palate are craniofacial birth defects that impact thousands of children around the world every year. It affects socio-emotional well-being, limits daily functions such as speech, eating, and breathing, and can cause psychological distress (1). This case report demonstrates that it is possible to improve the quality of life after partially successful surgical treatment. Case Presentation In this case report we analyze the situation of 61 years old patient, who has cleft lip and cleft palate, surgically repaired approximately 55 years ago. Oral cavity communicates with the nasal cavity. Patient also has prognathism and reverse bite (malocclusion). Has not had dentures before. Treatment plan included upper removable denture with obturator and was carried out according to denture protocol. This treatment not only helped the patient feel more confident, but also improved his daily functions, including nutrition and communication. Discussion World statistics of cleft lip and cleft palate is 1 in 1000-1500 births. In Lithuania, one such newborn is born out of every 700-800 births (2). Cleft lip and palate are prevalent craniofacial deformities that occur due to abnormal growth or fusion of the facial processes during embryonic development (3). The cleft palate and cleft lip surgery for our patient was performed when he was 6 years old. While it had a significant impact on his quality of life, the outcome was not as good as it could have been if the procedures had been done earlier, before the tissues had fully developed. According to established protocols, it is important to perform cleft palate surgery between 6 and 12 months of age, and cleft lip surgery between 3 and 6 months after birth to achieve best possible outcome (4). As a result of the delayed surgery, the impression process was more complicated, but the overall prognosis remained positive due to the success of the treatment. Conclusions Although early surgery is preferred for cleft lip and palate, delayed treatment can still bring positive results. This case demonstrates that with the right care and plan, even later interventions can have a significant effect on a patient’s quality of life, improving confidence, daily functionality and nutrition.