Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 120 views

    Labioskisis Dan Palatoskisis: Pembimbing: Dr. Utama Abdi Tarigan, SP - Bp-Re (K)

    Uploaded by

    yenny purba
    This document discusses cleft lip and palate, including: 1. Cleft lip and palate occur when tissues in the developing mouth and palate fail to fuse during pregnancy. 2. The incidence is approximately 1 in 750 births for cleft lip and 1 in 2,500 for cleft palate. 3. Treatment is multidisciplinary involving many specialists from infancy through childhood and focuses on repairing the cleft, speech therapy, dental work, and reconstructive surgeries.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd

    Labioskisis Dan Palatoskisis: Pembimbing: Dr. Utama Abdi Tarigan, SP - Bp-Re (K)

    Uploaded by

    yenny purba
    120 views35 pages
    This document discusses cleft lip and palate, including: 1. Cleft lip and palate occur when tissues in the developing mouth and palate fail to fuse during pregnancy. 2. The incidence is approximately 1 in 750 births for cleft lip and 1 in 2,500 for cleft palate. 3. Treatment is multidisciplinary involving many specialists from infancy through childhood and focuses on repairing the cleft, speech therapy, dental work, and reconstructive surgeries.

    Original Description:

    xcb xcb x

    Original Title

    Labioskisis Dan Palatoskisis

    Copyright

    © © All Rights Reserved

    Available Formats

    PPT, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document discusses cleft lip and palate, including: 1. Cleft lip and palate occur when tissues in the developing mouth and palate fail to fuse during pregnancy. 2. The incidence is approximately 1 in 750 births for cleft lip and 1 in 2,500 for cleft palate. 3. Treatment is multidisciplinary involving many specialists from infancy through childhood and focuses on repairing the cleft, speech therapy, dental work, and reconstructive surgeries.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    120 views35 pages

    Labioskisis Dan Palatoskisis: Pembimbing: Dr. Utama Abdi Tarigan, SP - Bp-Re (K)

    Uploaded by

    yenny purba
    This document discusses cleft lip and palate, including: 1. Cleft lip and palate occur when tissues in the developing mouth and palate fail to fuse during pregnancy. 2. The incidence is approximately 1 in 750 births for cleft lip and 1 in 2,500 for cleft palate. 3. Treatment is multidisciplinary involving many specialists from infancy through childhood and focuses on repairing the cleft, speech therapy, dental work, and reconstructive surgeries.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    You are on page 1of 35

    LABIOSKISIS DAN PALATOSKISIS

    P E M B I M B I N G : D R . U TA M A A B D I TA R I G A N , S P. B P - R E ( K )
    INTRODUCTION
     A cleft lip and palate is a type of birth defect that affects the upper lip and the roof of the
    palate.
     During the 6th to 10th week of pregnancy, the bones and tissues of a baby’s upper jaw,
    nose, and mouth normally fuse to form the palate and the upper lip.
     If the tissue in the developing mouth and the palate don’t fuse together  cleft lip or cleft
    palate.
     Cleft lip and palate are the one of the commonest group of congenital malformations
    affecting the head and neck.
    INSIDENSI DAN EPIDEMIOLOGI

     The incidence of cleft lip with or without cleft


    palate is approximately 1 in 750 white births;
     the incidence of cleft palate alone is approximately
    1 in 2,500 white births.
     Clefts of the lip are more common in males
    EMBRYOLOGY
    V
    ETIOLOGY
     The exact cause of clefting is unknown.
     Multifactorial etiology: chemical exposures, radiation, maternal
    hypoxia, teratogenic drugs (steroid, phenytoin, diazepam), nutritional
    deficiencies, physical obstruction, or genetic influences.
     Some of these genes include the MSX, LHX, goosecoid, and
    DLX genes.
     Genetic factors (ie, genes participating in the etiology of nonsyndromic orofacial
    clefts) are passed to the next generation, thus creating an increased risk for such
    anomaly in offspring. The risk of recurrence also differs with respect to proportion of
    genetic and nongenetic factors.
    DEFECTS IN CLEFT LIP AND PALATE PATIENTS
    Deformities:
    1. Dental Problems: Number, Shape, Eruption, Mineralization.
    2. Skeletal Problems: Max. deficiency, Mand. Prognth, Class III Occlusion.
    3. Nasal problems: Alae flared, Columella pulled to non cleft side.
    4. Feeding Problems: Nasal Regurg, Weak sucking, Weak swallowing reflux.
    5. Ear Problems: Recurrent Middle Ear infection, Possible Deafness
    6. Speech Problems: Retardation of consonants, Hypernasality, Articulation
    Defects, Hearing problem
    7. Associated Anomalies: Congenetal heart defects, Mental retardation
    TREATMENT

     Multidisciplinary

    •Pediatrician •Geneticist •Social worker


    •Nurse practitioner •Genetic counselor •Psychologist
    •Plastic surgeon •Speech pathologist
    •Pediatric dentist •Orthodontist [44]
    •Otolaryngologist •Maxillofacial surgeon
     Newborn –
     Diagnostic examination, general counseling of parents, feeding instructions,
    palatal obturator (if necessary); genetic evaluation and specification of
    diagnosis; empiric risk of recurrence of cleft calculated; recommendation of
    a protocol for the prevention of a cleft recurrence in the family
    •Age 3 months - Repair of CL (and placement of ventilation tubes)
    •Age 6 months - Presurgical orthodontics, if necessary; first
    speech evaluation
    •Age 9 months - Speech therapy begins
    •Age 9-12 months - Repair of CP (placement of ventilation tubes if
    not done at the time of CL repair)
    •Age 1-7 years - Orthodontic treatment
    •Age 7-8 years - Alveolar bone graft
    •Older than 8 years - Orthodontic treatment continues
    The most common surgical procedures for a child with a CLP anomaly are as follows:
     Repair of the CL
     Repair of the CP
     Revision of the CL
     Closure and bone grafting of the alveolar cleft
     Closure of palatal fistulae
     Palatal lengthening
     Pharyngeal flap
     Pharyngoplasty
     Columellar lengthening
     Cleft lip rhinoplasty and septoplasty
     Lip scar revision
     LeFort I maxillary osteotomy

    You might also like