Definition
Cleft simply be interpreted as the existence of a gap. For example on the lips, if there is a gap in bibis it says cleft lip.
Clinical Symptoms
Clinical symptoms vary widely. Cleft lips are also classified into unilateral (only side / one side) and bilateral (involving both sides of the lip), and complete and incomplete. Cleft lip cleft not lengkapditandai by lines that do not reach the bottom of the nostrils (nasal sill). In this case the nasal sill must be intact, and this part is often referred to as Simonart's band. Complete cleft lip involving the entire thickness of the lip and alveolar processes (primary palate), extends into the nasal sill and there was no Simonart's band, and often accompanied by cleft palate (cleft palate). Usually as a consequence of a cleft lip, nose is also changing shape.
Management
Babies who are born with a cleft lip should be treated by clinicians from the multidisciplinary team-based approach, in order to enable effective coordination of various aspects of these multidisciplinary. Besides the issue of reconstruction of cleft lip, there are still other problems that need to be considered namely the problem of hearing, speech, teeth and psychosocial. These issues are as important as anatomical reconstruction, and ultimately good functional outcome of reconstruction is done is also affected by these problems. With a multidisciplinary approach, a comprehensive treatment of can be given, and should be continuous from birth through adolescence. Required field of child health specialists, plastic surgeons, ENT, dental orthodontic, and speech therapists, psychologists, nutritionists and audiologist.
Surgical treatment of
When the most optimal to perform cleft repair surgery is still controversial. Some treatment centers cleft choose to do surgery on early neonatal period, with a theoretical advantage: the ability to adapt better the appearance of scar tissue, thus minimizing nasal abnormalities. Several other cleft treatment centers, with a reason to minimize the risk of side effects of general anesthesia, sticking with the rule of ten: the cleft repair surgery in children weighing 10 lb (5 kg), aged 10 weeks and blood hemoglobin levels 10 g . In general, cleft lip repair surgery performed on infants aged 2-4 months, so the risk of side effects with lower anesthesia, the baby is stronger to face the stress of operation, and lip element size is larger so that reconstruction can be done more neatly and accurately. If the slit width on the cleft lip, sometimes we need a tool orthodonti advance to support the success of the operation.
Cause
Primary causes of cleft lip is not understood as a whole. It says a combination of genetic and environmental. Environmental factors such as viral infections (eg rubella) and teratogenic agents (such as steroids, anticonvulsants) during the first trimester of pregnancy, has been suspected closely related to the occurrence of cleft. The risk of cleft also increases with increasing old age of parents, especially more than 30 years, with the age of the father seems more significant factor than maternal age.
Cleft simply be interpreted as the existence of a gap. For example on the lips, if there is a gap in bibis it says cleft lip.
Clinical Symptoms
Clinical symptoms vary widely. Cleft lips are also classified into unilateral (only side / one side) and bilateral (involving both sides of the lip), and complete and incomplete. Cleft lip cleft not lengkapditandai by lines that do not reach the bottom of the nostrils (nasal sill). In this case the nasal sill must be intact, and this part is often referred to as Simonart's band. Complete cleft lip involving the entire thickness of the lip and alveolar processes (primary palate), extends into the nasal sill and there was no Simonart's band, and often accompanied by cleft palate (cleft palate). Usually as a consequence of a cleft lip, nose is also changing shape.
Management
Babies who are born with a cleft lip should be treated by clinicians from the multidisciplinary team-based approach, in order to enable effective coordination of various aspects of these multidisciplinary. Besides the issue of reconstruction of cleft lip, there are still other problems that need to be considered namely the problem of hearing, speech, teeth and psychosocial. These issues are as important as anatomical reconstruction, and ultimately good functional outcome of reconstruction is done is also affected by these problems. With a multidisciplinary approach, a comprehensive treatment of can be given, and should be continuous from birth through adolescence. Required field of child health specialists, plastic surgeons, ENT, dental orthodontic, and speech therapists, psychologists, nutritionists and audiologist.
Surgical treatment of
When the most optimal to perform cleft repair surgery is still controversial. Some treatment centers cleft choose to do surgery on early neonatal period, with a theoretical advantage: the ability to adapt better the appearance of scar tissue, thus minimizing nasal abnormalities. Several other cleft treatment centers, with a reason to minimize the risk of side effects of general anesthesia, sticking with the rule of ten: the cleft repair surgery in children weighing 10 lb (5 kg), aged 10 weeks and blood hemoglobin levels 10 g . In general, cleft lip repair surgery performed on infants aged 2-4 months, so the risk of side effects with lower anesthesia, the baby is stronger to face the stress of operation, and lip element size is larger so that reconstruction can be done more neatly and accurately. If the slit width on the cleft lip, sometimes we need a tool orthodonti advance to support the success of the operation.
Cause
Primary causes of cleft lip is not understood as a whole. It says a combination of genetic and environmental. Environmental factors such as viral infections (eg rubella) and teratogenic agents (such as steroids, anticonvulsants) during the first trimester of pregnancy, has been suspected closely related to the occurrence of cleft. The risk of cleft also increases with increasing old age of parents, especially more than 30 years, with the age of the father seems more significant factor than maternal age.
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