1. What is labiopalatoscisis?

Cracks in the ceiling, which occurred due to failure of fusion between the processus palatinus left / right on the median line during embryonal.

2. State the classification of labiopalatoscisis is?

classification is

· P. Unilateral Sinistra / The right completa If gaps occur only misconstrued cleft lip and one side does not extend down to the nose.

· P. If the gap completa bilateral cleft occurs only misconstrued the one hand to the lips and elongated noses.

· P. Inkompleta If gaps occur in both sides of cleft lip and extends up into the nose.

3. Is the cause of the labiopalatoscisis?

The causes are genetic factors that influence environmental factors (multifactorial polygenic) but until now it is not certain gene causes

4. Please list external factors / mempenpengaruhi of environmental which labiopalatochisis?

· Maternal age factor

· Drugs. Acetosal, aspirin (SCHARDEIN-1985) Rifampicin, Fenasetin, sulphonamides, Aminoglikosid, Indomethacin, Flufetamat Acid, Ibuprofen, penicillamine, antihistamines can cause cracks the ceiling. Antineoplastic, corticosteroid

· Nutrition

· Diseases Syphilis infection, rubella virus

· Radiation

· Emotional Stress

· Trauma, (first trimester)

5. Name the five chromosomes that are responsible for the incident labiopalatoscisis?

of chromosome No. 2, 4, 6, 17 and 19.

6. Closing the gap on labipalatoscisis Langitan at what age children?

in children aged child can start talking, that is the age of approximately 2 (two) years.

7. What methods are in use for closing the gap?

The method worked, among others, mucoperiosteal flap technique (von Langenbeck, Wardill, etc.), applications of z-plasty (Furlow, Cronin, etc) etc.

8. Mention insendensi from labiopalatoscisis?

insendensinya adalal 1-2 per 1000 live births (1-2 ‰)

and the Island of Timor-NTT: 6-9 ‰

9. Is the problem for patients with complications from labiopalatoscisis?

+ Difficulty eating / drinking
+ Easy street upper respiratory infection (ARI)
+ Middle ear infection (Otitis Media)
+ Nasal (Nasolalia, Nasal Escape)
+ Psychiatric disorders: shame, low self-esteem

10. Is the problem of complications from labiopalatosicis parents are?

· Psychic Disorders: shame, the curse of disease

· Isolated / hidden

11. Therapeutic management of the labiopatoscisis is?

handling is:

1. Multidis (Cross-Sectoral)

2. Related medical fields:

· Plastic Surgery

· Ortodontia

· ENT

· IKA

· Radiology

· Child psychiatry

· Speech Therapy)

12. How protocol handling on labiopalatoscisis?

protocol handling is

1. Explanation to the parents
2. Age 3 months (rule over ten): Operation lips and alanasi (nose), ear evaluation.
3. Age 10-12 months: Qperasi palato / groove ceiling, hearing and ear evaluation.
4. Age 1-4 years: Evaluation of talk, speech theraphist after 3 months postoperatively
5. Age 4 years: Consider repalatoraphy or / and Pharyngoplasty
6. Age 6 years: Evaluation of tooth and jaw, a hearing evaluation.
7. Age 9-10 years: alveolar bone graft (the addition of bone in the gap gums)
8. Age 12-13 years: Final touch, the improvements when necessary.
9. Age 17 years: Evaluation of the bones of the face, if necessary advancementosteotomy LeFORTI

13. Name the pre-operative treatment of labiopalatoscisis?

operatifnya pre treatment are:

o Newborns dg degan Langitan Cleft lip,

o treatment with plastic surgery,

o Orthodonsia, IKA example:

Plaster lip o

o Dot Long

o Diet / Nutrition

o Pencagahan ARI

14. Mention Education Post Palatoplasty on labiopalatoscisis?

CONTROL to sleep should be tilted / à prevent aspiration of stomach bleeding when terjdi

· No not eat / drink too hot / cold will inhibit the healing process of stitching

· No can suck / suck during the first month post-operation will prevent the failure of unification palato

15. When the operation execution time (timing operation) from his cleft Langitan (labiopalatoscisis)?

operationnya time execution timing is as follows: At the age Age 18-24 months

16. How to distinguish between between labioschizis, palato schizis gnato schizis is?

· Labioschizis is akibatkegagalan lip fusion between processusnasalis medialisdengan Nasalis processus lateralis left / right during the period of embryonic lip formation, whereas on the lower lip due to failure of fusion between the left and right processus mandibulris median gariss

· Labio palato is Cracks in the ceiling, which occurred due to failure of fusion between the processus palatinus left / right on the median line during embryonal

· Gnato schizis: a gap in the alveolar process due to failure of fusion between the processus processus maxilaris Nasalis media with the left / right and most often occurs in the upper jaw.

Menyrtai normal and cleft lip or palate gap

17. What long-term prognosis?

Parents of children with cleft lip / palate usually have many concerns about the child’s physical appearance, as well as the development of speaking, social, emotional, and academic. The good news is that most of the results of surgery for palate and lip / cleft results are not obvious traces. In addition, with proper care and intervention, children with cleft lip and / or palate can develop normally in every aspect of life

18. How is the examination of labiopalatoscisis?

INKOMPLETA à when the cleft of the uvula to the foramen incisivum

- KOMPLETA à arcus sp alveolari of uvula (through the foramen incisium)

19. What is a cleft lip (cleft lip) and palate gap (cleft palate)?

Cleft lip and palate gap occurs when the lip or palate in infants are not fused together, resulting in parts of the palate (cleft palate) or / and happening parts of the upper lip or cleft palate (cleft lip). This condition occurs in the early phases of pregnancy in the first trimester and can happen on one side only (unilateral) or on both sides (bilateral cleft lip / palate).

20. What treatment to repair cleft lip / palate?

Improved treatment for cleft lip and palate is usually started at a very young age and continues throughout the child grows and develops. Ideally, a team consisting of various fields of science such as reconstruction plastic surgeons, dentists / bone, and speech therapists will work together to decide the best therapy and carefully monitor the improvement of children from time to time. Surgery of cleft lip / palate can be done anytime from when the baby was a few days to several months. Surgery ceiling cracks usually done at ages more, starting from the age of several months to several years. Often, children with gaps at the ceiling requires attention to details from the dentist / bone to see the growth and development of the teeth, face and jaw. Along the growth of children, speech therapists are needed to help children make suara-suara/kata-kata correctly.

REFERENCES

* Brata Simade et al. Dignosis guidelines and therapy of disease in the field of science. Jakarta: fk ui, 1999: 32.33
* Syamsul sjamsuhidajat and win decong. Cleft lip in a science textbook editions refeisi disease. Jakarta: EGC, 1997: 841-844
* Trice and filson. Labiopaltoscisis clinical concepts in the pathophysiology of disease processes over language edition 4 dr. Peter’s gift. Jakarta: EGC, 1995: 402.405

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