Presurgical orthodontic therapy in a newborn with median cleft lip accompanied by holoprosencephaly and agenesis of the premaxilla

Surgical treatment protocols for rare types of clefts do not exist, especially when they are associated with severe anomalies of the brain and face. Surgical treatment of a newborn with holoprosencephaly, premaxillary agenesis and median cleft lip is a big challenge for the surgeon. The complete lack of bone in the nasal bones and premaxilla make surgical therapy almost impossible. The role of pre-surgical orthodontic therapy plays a major role in creating the conditions for surgical repair of cleft-damaged parts of the face.Case presentation. The paper presents presurgical orthodontic therapy in a newborn with a median cleft lip using the RBJ stimulator. Conclusion. The use of stimulators of a specific construction in the therapy of rare clefts is the method of choice.