en اطفال Pediatric گزارش مورد Case Report <div style="text-align: justify;"><span style="font-family:Tahoma;"><span style="font-size:12px;"><span style="line-height:2;">Cleft defects are prevalent oromaxillofacial deformities, and surgical correction is essential for restoring oral function, improving speech, and enhancing facial aesthetics, thereby alleviating the social and communicative challenges experienced by affected children. A 7-year-old boy with a left cleft lip and palate received secondary alveolar bone grafting (SABG) using autologous iliac crest bone, plus a secondary lip revision after brief preoperative maxillary expansion. During follow-up, the oro-nasal gap was closed, speech was less hypernasal, and facial balance improved. Combining surgical, orthodontic, and restorative care helped address functional deficits and social concerns, which are outcomes after early secondary grafting in mixed dentition. However, close multidisciplinary coordination and setting realistic expectations remain crucial.</span></span></span></div> Cleft Palate, Cleft Lip, Alveolar Bone Grafting, Speech Therapy, Pediatric Dentistry 154 163 http://jsurgery.bums.ac.ir/browse.php?a_code=A-10-514-1&slc_lang=en&sid=1 Mehrdad Shahraki Mehrdadshahraki7100@gmail.com 100319475328460011755 100319475328460011755 No Department of Oral and Maxillofacial Surgery, School of Dentistry Zahedan University of Medical Sciences, Zahedan, Iran Shahriar Khanlari Khanlari.shahriar@gmail.com 100319475328460011756 100319475328460011756 No Department of Oral and Maxillofacial Surgery, School of Dentistry, Zahedan University of Medical Sciences, Zahedan, Iran Fatemeh Shafie Nikabadi berttontim@gmail.com 100319475328460011757 100319475328460011757 No Department of Oral and Maxillofacial Surgery, School of Dentistry, Zahedan University of Medical Sciences, Zahedan, Iran Fatemeh Akhavanfard akhavanfardfatemeh@gmail.com 100319475328460011758 100319475328460011758 Yes Department of Pediatric Dentistry, Zahedan University of Medical Sciences, Zahedan, Iran