Caring for patients with bilateral cleft lips and palates requires an interdisciplinary approach. The treatment of such a patient is described. Therapy comprised maxillary expansion, mini-implant insertion, premaxillary osteotomy, and vomeroplasty, which led to a drastic improvement of the occlusion and facial appearance. World J Orthod 2010;11:380–386.
Key words: bilateral cleft lip and palate, mini-implants, expansion appliance, premaxillary osteotomy, vomeroplasty