case_images: PMC11786807_01
case_images: Preoperative clinical photograph of the patient . (A) Clinical photograph of the patient with a facial appearance characterized by a triangular-shaped head, sloping forehead, flat supraorbital ridge, strabismus, congenital left palpebral ptosis, epicanthal folds, a broad and flat nasal bridge, a prominent round tip, long and flat philtrum, and micrognathia; (B) Preoperative photo of the cleft palate; (C) Preoperative frontal photo of dental anomalies, including oligodontia, fragile teeth, and dental hypoplasia.
case_images: cureus-0017-00000076804-i01.jpg
case_images: PMC11786807_01_cureus-0017-00000076804-i01.jpg
case_images: FIG1
case_images: At two years of age, he was evaluated by the pediatric team at our center, revealing several craniofacial features: microcephaly, a triangular-shaped head, a sloping forehead, a flat supraorbital ridge, strabismus, congenital left palpebral ptosis, epicanthal folds, a broad and flat nasal bridge, a prominent round tip, a long and flat philtrum, micrognathia, and cleft palate, as shown in Figures 1A-1B. At the same age, the patient was referred to the stomatology and orthodontics departments, where an intraoral examination revealed fragile teeth with poor enamel mineralization defects, as well as severe dental hypoplasia (Figure 1C).
case_images: Postoperative clinical photographs of the patient . A: Frontal photo of the patient after palatoplasty; the cleft palate is closed without fistulas; B and C: Frontal photo of the patient after autologous forehead lipoinjection, the forehead and left superciliary region have an aesthetically pleasing appearance, with left palpebral ptosis and strabismus corrected; D: The patient's teeth after orthodontic and stomatological treatment; E and F: Following rhinoplasty, the nose has a narrow base and tip, showing no deviation and symmetrical nostrils.
case_images: cureus-0017-00000076804-i02.jpg
case_images: PMC11786807_01_cureus-0017-00000076804-i02.jpg
case_images: FIG2
case_images: At age four, a palatoplasty was performed by our team using a minimal incision technique for a Group I cleft palate (Mendoza's Classification) (Figure 2A). At age five, the plastic surgery department performed frontalis suspension surgery to repair congenital left palpebral ptosis, and the ophthalmologist performed strabismus surgery (Figures 2B-2C). Multiple dental extractions were required throughout his development due to the delay in the eruption of the permanent teeth (Figure 2D). At age 18, elective rhinoplasty was performed to address anatomical concerns, including a wide nasal base, a prominent round tip, and asymmetrical nostrils (Figures 2E-2F). At age 22, to improve the aesthetic appearance of the left side of the forehead, liposuction and autologous lipoinjection were performed (Figure 2E-2F).
case_images: PMC11786807_02