bibir sumbing
DESCRIPTION
LABIOPALATOSCHIZISTRANSCRIPT
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– LABIOPALATOSCHIZIS /– CHEILOPALATOSCHIZIS/– CLEFT LIP and PALATE/
Oleh
Dr. M. Jailani SpBP
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Pendahuluan.
Istilah Plastik tidak ada hubungan dengan bahan plastik. Istilah ini berasal dari bahasa Yunani, yaitu PLASTICOS yang berarti Membentuk/Merekontruksi
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Ruang lingkup Bedah Plastik.Rekontruksi dari kecacatan Lahir, Cacat Didapat, Luka bakar & Bedah Estetika/Kecantikan.
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Cacat Lahir: Celah Bibir dan Langit-langit, Celah Muka lainnya. Sesuai dengan klasifikasi dari Tessier, lahir tanpa telinga,lahir tanpa hidung, Polidactily, Syndactily. dll.
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Cacat didapat:Trauma Maksilofascial,Trauma Tangan termasuk Replantasi.Trauma yang mengakibatkan lepasnya struktur kulit dari tempatnya ( deglofing ).Cacat didapat lainnya yang mengakibatkan hilangnya bentuk asli penampilan seseorang.
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Lukabakar. Cedera akut, subakut & lanjut yang menyebabkan timbulnya kematian dan kecacatan; hipertropik scar, keloid dan kontraktur sehingga mengganggu fungsi aktifitas seseorang.
AKAN DIBICARAKAN PADA BAB TERSENDIRI
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Bedah Estetika.
Disebut Bedah Kecantikan, yang membuat orang normal menjasi supernormal.
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Celah Bibir dan Langit-langit.(Cleft Lip & Palate) dapat berupa:Celah bibir saja,Celah Bibir dan Langit-langit.Celah langit-langit saja.
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Tentang teori terbentuknya celah ada 2 teori.1. His & Drusy: kegagalan bertemunya prominentia disekitar mulut saat trimester I.
2. Stark: Prominentia itu pasti bergabung namun kemudian ada kegagalan masuknya mesoderm yang berasal dari neuroectoderm kedalam prominentia.
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Cara Mendiagnosa.Cara Otto Kriens dengan LAHSHAL. (sesuai dengan ICD=International Code of Diagnosis).
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Pengobatan.Karena banyak masalah yang akan timbul pada penderita celah bibir dan langit-langit maka sebaiknya penanganannya dilakukan secara interdisipliner.
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1.Ahli Bedah/Ahli bedah Plastik. Memperbaiki kecacatan yang ada agar penampilan dapat mendekati normal.2. Ahli THT mengobati infeksi pada telinga tengah.3. Speech Therapist membantu berbicara yang benar.4. Ahli Ortodonti melakukan perbaikan posisi gigi.5. Psikolog membantu keluhan yang timbul pada keluarga saat bayi.
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Penanganannya. a. Pasien baru lahir.Pekerja sosial dan Psikolog bekerja s/d anak berumur 3 bulan.
b. Pasien Berumur 3 bulan.@ Operasi bibir dan hidung.@ Pencetakan Model gigi.@ Evaluasi Telinga.
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C. Pasien berumur 8-12 bulan.@ Operasi Palatum.@ Evaluasi telinga dan pendengaran.
D. Pasien umur 1-4 tahun.@ Evaluasi bicara, dimulai 3 bulan pasca operasi.@ Evaluasi bila ada infeksi telinga dan
pendengaran.
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E. Pasien umur 6 tahun.@ Evaluasi gigi dan rahang, pembuatan model.@ Evaluasi pendengaran dan telinga.
F. Pasien umur 9-10 tahun.@ Alveolar Bone Graft.
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G. Pasien umur 12-13 tahun.@ Evaluasi ulang semua operasi yang
pernah dilakukan bila masih ada kekurangan dilakukan operasi ulang.
H. Pasien umur 17 tahun.@ Evaluasi tulang muka, bila ada dish face maka dilakukan Osteotomi LeFort I.
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