Inclusion Criteria:  ● Patients of both sexes.  Cleft lip and palate patients. All patient age range 8-12 years. All the case showed maxillary arch constriction and deficiency. All patients had maxillary permanent first molars. Primary lip adhesion and palatal closure.  Exclusion Criteria:  • Absent maxillary permanent first molars.  Patients had received any surgical assisted rapid maxillary expansion, maxillary protraction or fixed orthodontics before. Less than two dental unit beside maxillary first molar. Uncooperative patients/parents.