Early presurgical infant orthopedics with rhinoplasty appliance (R.A.S.) in a 21-day-old infant with left unilateral cleft Lip: A case report with 6-month follow-up

Background and Case: 21-day-old male with complete unilateral left cleft lip managed with Rhinoplasty appliance (Mejía technique). Four sequential appliances over 4 months with nasal stents. Primary cheiloplasty at 6 months. Results: Significant reduction in cleft gap, improved nasal symmetry and airway; stable at 6-month follow-up. Conclusion: Early PSIO with Rhinoplasty appliance effectively improves surgical outcomes and nasal aesthetics.