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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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