Aim: This case demonstrates an orthodontic and surgical approach to a severe open bite
malocclusion with cleft palate and neuropathy. Methods: Pre- and postsurgical orthodontic
treatment involved a multi-bracket appliance, Le Fort I osteotomy, and sagittal split
mandibular ramus osteotomy. The diagnostic background and the treatment procedures are
sequentially presented. Conclusion: The combined orthognathic surgery and orthodontic
treatment resulted in a significant correction of the occlusion.World J Orthod 2004;5:54–61.