A three-in-one surgical approach for unilateral cleft lip and palate.

A single stage surgical procedure, combining the Le Fort I osteotomy, oro-nasal fistula closure and secondary osteoplasty, for the treatment of adolescents and adults with both an orthognathic deformity and a persistent oro-nasal fistula is described. During the same procedure the cleft alveolar ridge is fused by means of a bone transplantation. This three-in-one surgical procedure is intended for the unilateral cleft lip and palate case.