cleft lip and palate ardi

7/26/2019 Cleft Lip and Palate Ardi

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CLEFT LIP AND

PALATEDr. Fitriardi Sejati


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EPIDEMIOLOGY

Asian 2,1: 1.000

Ca!asian 1 in e"er# 1000 $i"ed %irt&s

A'ri!an ( a'ri!an)a*eri!an 0,+1: 1.000

21 !$e't $i-, !$e't -a$ate, +/ !$e't $i-and -a$ate

/ %i$atera$ !$e't $i-s and / ni$atera$ !$e't$i-s ass!iated it& a !$e't -a$ate.

3ni$atera$ !$e'tsnine ti*es as !**n as %i$atera$ !$e'ts

!!r ti!e as 're4ent$# n t&e $e't side

Pred*inant in *a$es.


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ETIOLOGY

En"irn*enta$ terat5ens

Intraterine e6-sre t t&eanti!n"$sant -&en#tin

Materna$ s*7in5 drin5 -re5nan!#

Ot&er terat5ens, s!& as a$!&$,anti!n"$sants, and retini! a!id


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Geneti! a%nr*a$ities

8ander 9de s#ndr*e

Mi!rde$etins ' !&r*s*e 224

A *eta ana$#sis ' 1 5en*e s!ans %# Maraita eta$

;200+< re"ea$ed *$ti-$e !$e't $i-=-a$ate 5enes n 1/!&r*s*a$ re5ins.

Et&ni! asia > 7a7asia

Parents a5e > in!reasin5 ris7

Fa*i$# it& &istr# ' !$e't $i- -a$ate t&e ris7 '&a"in5 a !&i$d it& !$e't $i- -a$ate is in!reasin5


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C$e't $i- and !$e't -a$ate !!r i'intere'eren!e &a--en in t&e ) ee7s' -re5nan!#.

Fa!e &as %een 'r*ed at 12 ee7.

A%nr*a$ities t&at arise %e're 12ee7s ' -re5nan!# i$$ a--ear &ea"ier

E6-sre t s%stan!es t&at atta!7%e're12)ee7 i$$ !ase disa%i$it#


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LIPS ANATOMY


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NO?MAL ANATOMY OFPALATE


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E*%ri$5#

E*%ri$5i aja&%erasa$ dari @tnj$an: 'rntnasa$,2 *a6i$$aris dan 2*andi%$aris

Pri*ar# -a$ate :'ra*en in!isi"s 7ede-an %erasa$ dari'rntnasa$

Se!ndar# -a$ate:'ra*en in!isi"s7e%e$a7an5 di%ent7dari tnj$an *a6i$$a


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Frntnasa$ i$$'r*:

Nas$atera$ 'r*a$ae nasi and nse

ed5e Nas*edia$ 'r*

!$*e$$a,-&i$tr*, and

-re*a6i$$a


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C$e't $i- = La%is!&iis

Nasa$ *edia$ and *a6i$$a nt!& are 'ai$ed t nite

Ga- is -resent at t&e --er)$i't, %eteen *t& andnse

Tan5e 'r* sa*$$a 5a- in "er*i$$in side t !*-$etene)sided 5a- r t sided 5a- e6tendin5 'r* $i- tnse


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C$e't -a$ate: -a$at* *edian ;'r* 'rntnasa$C$e't -a$ate: -a$at* *edian ;'r* 'rntnasa$

nt!& and nasa$ *edian nt!&< and $atera$nt!& and nasa$ *edian nt!&< and $atera$

-a$at* ;'r* *a6i$$a nt!&< are 'ai$ed t nite-a$at* ;'r* *a6i$$a nt!&< are 'ai$ed t nite

Pa$ate C$e't C$e't Li- andPa$ate C$e't C$e't Li- andPa$atePa$ate


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3ni$atera$ in!*-$ete

3ni$atera$ !*-$ete

i$atera$ !*-$ete

In!*-$ete !$e't -a$ate

3ni$atera$ !*-$ete $i- and

-a$ate

i$atera$ !*-$ete


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Mana5e*ent

Prenata$: -renata$ i*a5in5, dia5nsis, !nse$in5, Ne%rn: ntritin *ana5e*ent, sin5 ' aids

%reast'eedin5, *aintain t&e &ea$t& ' ne%rns,!nse$$in5 ste-s ' t&e -eratin t t&e -arents

0) *nt&s: t&e se ' Nasa$"e$ar M$din5 ;NAM


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12)2+ *nt&s: Pa$at-$ast#

)+ *nt&s: "!a$ and -&natin e"a$atin tdeter*ine an# "e$-&ar#n5ea$ ins!ien!# ;8PI


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S!&$ a5e: i' t&ere are an# -s#!&$5i!a$-r%$e* -ersist, t&en !ns$t -s#!&$5ist

A5e ) #ears: A$"e$ar ne Gra't Sr5er#

A$"e$ar %ne 5ra't is -er'r*ed in !anines at) #ear, %e!ase in t&is a5e *!-eristea$ is5rin5

A5e )1/ #ears: rt&dnti! t&era-# and

-rstd&nti! A5e 1/ #ears t ad$t: Ort&5nati! sr5er#:

$e 'rt 1 stet*#


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Ada-ted 'r* At$as ' !rani'a!ia$ and !$e't sr5er#. 8$*e IIC$e't and -a$ate sr5er#.


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O%je!ti"es ' Pa$ate?e-air

Nr*a$ s-ee!&

Preser"atin ' 'a!ia$ 5rt&

Preser"atin ' &earin5 Se-aratin ' ra$=nasa$ !a"ities

Nr*a$ denta$ !!$sin

Nr*a$ sa$$in5


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C*-$i!atin

De&isen!e, in'e!tin, %$eedin5, deat&

As#*etri! ' t&e $i-s r nstri$

S!ar

Sengau r na%$e t s-ee!& !ertain rd = snd

Ornasa$ st$a ) . t 2

Sites ' st$iatin are t#-i!a$$# t&e anterir &ard -a$ate andt&e jn!tin ' t&e &ard and s't -a$ate.

8e$-&ar#n5ea$ ins!ien!#

Ma6i$$a &i--$atin= teet& *a$!$sin


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cleft lip and palate ardi

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