Cleft lip and cleft palate are birth defects that split from birth. This disorder occurs because of disturbances in the process of unification of upper lip in the early embryo. Mild cleft lip appears to be only a small gap above the upper lip and not visible while severe cleft lip can occur on both sides of the upper lip and gum to form a slit from the nostrils and the ceiling (labiognatopalatoschizis). Fogh Andersen in Denmark reported cases of cleft lip and cleft palate 1.47 / 1000 live births. Similar results were also reported by Woolf and Broadbent in the United States and Wilson for the English regions. Neel found the incidence of 2.1 / 1000 population of Japan. In Indonesia, the highest number of people with this disorder highest in East Nusa Tenggara is six to nine people per 1,000 population. This number is very high when compared to cases in which only an international one to two people per 1000 penduduk.1, 2
The cause of cleft lip and cleft palate, among others: 1. age of mothers at childbirth 2. marriage between people with cleft lip 3. Zn deficiency during pregnancy 4. taking drugs 5. herbal drink 6. deficiency of vitamin B6 Normally, the unification of the lips and oral cavity occurs in the first trimester of pregnancy. In patients with impaired labioschizis this process, the result is not the case of union between the two parts of the body, specifically some or all of maxillary swelling in the medial nasal swelling in one or both sides (proscessus Nasalis and maxillaris). Cleft lip is caused by not merging. Palatoshizis, or palate formation of cracks caused by the merging of palatine plates or the upper oral cavity. In severe cases, the cleft extends to a deeper level, because it forms the upper jaw slit. Complications and problems caused by this defect is the psychological, and aesthetic functions, all three interconnected - Psychic problem is parents who can not accept his conditions. - Problem drinking function is impaired. When defects are formed to complete the ceiling, the baby can not suck. Breast milk should be given with extreme caution because it was feared milk will flow into the middle ear and cause infection. In addition, the function of phonation sound will come to crash if the disorder is treated too late.
- Problem aesthetic is very clear because it would be very unfortunate, especially if the patient experienced it up until adulthood. There are three stages of treatment of cleft lip: 1. stage prior to surgery 2. at any stage of the operation 3. stage after surgery.
The cause of cleft lip and cleft palate, among others: 1. age of mothers at childbirth 2. marriage between people with cleft lip 3. Zn deficiency during pregnancy 4. taking drugs 5. herbal drink 6. deficiency of vitamin B6 Normally, the unification of the lips and oral cavity occurs in the first trimester of pregnancy. In patients with impaired labioschizis this process, the result is not the case of union between the two parts of the body, specifically some or all of maxillary swelling in the medial nasal swelling in one or both sides (proscessus Nasalis and maxillaris). Cleft lip is caused by not merging. Palatoshizis, or palate formation of cracks caused by the merging of palatine plates or the upper oral cavity. In severe cases, the cleft extends to a deeper level, because it forms the upper jaw slit. Complications and problems caused by this defect is the psychological, and aesthetic functions, all three interconnected - Psychic problem is parents who can not accept his conditions. - Problem drinking function is impaired. When defects are formed to complete the ceiling, the baby can not suck. Breast milk should be given with extreme caution because it was feared milk will flow into the middle ear and cause infection. In addition, the function of phonation sound will come to crash if the disorder is treated too late.
- Problem aesthetic is very clear because it would be very unfortunate, especially if the patient experienced it up until adulthood. There are three stages of treatment of cleft lip: 1. stage prior to surgery 2. at any stage of the operation 3. stage after surgery.
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