PMC3252812_01
Extraoral appearance of the patient.
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During extraoral examination of the infant, whose appearance was noted with defects, it was observed that he displayed a cone-shaped calvarium, midface hypoplasia, hypertelorism, ocular proptosis, shallow orbits, down-slanting lateral canthi and palpebral fissures, a depressed nasal bridge, low-set ears, and syndactyly of the fingers and toes (excluding the thumbs) (Figures 1, 2, and 3). The baby had a dehydrated, weak appearance (Figure 1).
Syndactyly of the fingers.
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During extraoral examination of the infant, whose appearance was noted with defects, it was observed that he displayed a cone-shaped calvarium, midface hypoplasia, hypertelorism, ocular proptosis, shallow orbits, down-slanting lateral canthi and palpebral fissures, a depressed nasal bridge, low-set ears, and syndactyly of the fingers and toes (excluding the thumbs) (Figures 1, 2, and 3).
Syndactyly of the toes.
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During extraoral examination of the infant, whose appearance was noted with defects, it was observed that he displayed a cone-shaped calvarium, midface hypoplasia, hypertelorism, ocular proptosis, shallow orbits, down-slanting lateral canthi and palpebral fissures, a depressed nasal bridge, low-set ears, and syndactyly of the fingers and toes (excluding the thumbs) (Figures 1, 2, and 3).
Plaster model of the 16-day-old y baby.
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Intraoral clinical examination revealed that upper and lower alveolar bases were normal, and a bifid uvula and secondary cleft palate (Figures 4, and 5) were presented. The maxillary impression was taken by using silicon-based impression material (Zhermack SpA, Badia Polesine, Italy) and an orthodontic plaster model was obtained (Figures 4, and 5).
Plaster model of the 6-month-old baby.
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Intraoral clinical examination revealed that upper and lower alveolar bases were normal, and a bifid uvula and secondary cleft palate (Figures 4, and 5) were presented. The maxillary impression was taken by using silicon-based impression material (Zhermack SpA, Badia Polesine, Italy) and an orthodontic plaster model was obtained (Figures 4, and 5). The baby was checked at intervals of six weeks for a period of six months (Figure 5).
Hotz type of preoperative appliance.
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After the cleft was covered with the wax, the acrylic appliance was made (Figure 6).