Tatalaksana komprehensif prosedur Millard modifikasi dengan nasoalveolar molding pada labiognatopalatoskizis komplit bilateral

Background: Cleft lip with cleft palate is either a non-syndromic disorder or a manifestation ofanother syndrome, with a variety of clinical presentations. Non-syndromic cleft lip is a multifactorialinheritance disorder in which there is a genetic tendency in the family, or being contributed byenvironmental factors. Cleft lip and cleft palate (CLP) patients need multidisciplinary managementto optimize results. A comprehensive prior and post surgery treatment are required to produce betteroutcome and prognosis. Objective: Reporting a case of complete bilateral labiognatopalatoschizis withMillard modified labioplasty approach for primary correction and the use of nasoalveolar molding(NAM) prior to surgery. Case Report: A 6-months-old male baby came with a complete bilateral cleftlip and palate, accompanied by multiple congenital abnormalities at birth. Physical examination showedcomplete bilateral cleft along lips, gums, hard and soft palate. There was also a defect at the base of thenose. In this patient, NAM was inserted since 3 months of age to assist breastfeeding intake. The patientunderwent a labioplasty procedure using Millard technique for primary correction of cleft lip. Method:Literature searching through Pubmed, Google Scholar, and ClinicalKey according to clinical questions.After screening with the inclusion and exclusion criteria, one relevant journal was obtained, then criticallyappraised. Result: The journal stated labioplasty procedure with NAM had a good outcome for lip andnose repair in a bilateral complete cleft lip. Conclusion: The use of NAM before surgery could be usefulin improving patient’s outcome and prognosis.