Patient with cleft lip and unilateral cleft palate with an important separation of segments that hindered lip closure surgery.
1.
After taking the impression with appropriate cuvettes, a four-pins MDA was designed and placed under general anesthesia.
For five weeks the parents activated the device at home, while we checked the child once a week.
After achieving relinear segments and completely closing the fissure, the appliance was removed and cheiloplasty was performed using the Malek technique.
