scholarly journals ANGKA KEJADIAN SUMBING BIBIR DI RSUP Prof. Dr. R. D. KANDOU MANADO PERIODE 2011-2013

e-CliniC ◽  
2014 ◽  
Vol 2 (2) ◽  
Author(s):  
Andriani Supandi
Keyword(s):  
Hard Palate ◽  
Cleft Lip ◽  
First Trimester ◽  
Upper Lip ◽  
Bilateral Cleft Lip ◽  
First Trimester Of Pregnancy ◽  
Male Patients ◽  
Genetic And Environmental Factors ◽  
Using Data ◽  
Surgery Department

Abstract: Cleft lip is a gap defect in the upper lip tha tcan extend to the gums, jaw and palate that are formed in the first trimester of pregnancy because of the mesodermis is not formed in that area so the nasal and maxillary processes that have been fused into a broken back. Cleft lip is caused by genetic and environmental factors. This study aimed to obtain the incidence of cleft lip in Prof. Dr. R. D. Kandou General Hospital Manado for period 2011-2013. This was a descriptive retrospective study by using data of the Surgery Department and the Medical Record. The results showed that during the period 2011-2013, the most frequent cases were cleftlip and alveolar with cleft soft palate and hard palate (65.5%). Unilateral cleft lip (66%) was more common than bilateral cleft lip (34%) and the localizations of defects were more common on the left (57%). The number of male patients (67%) were higher than the females (33%). Most patients underwent surgery at the ages of 1-6 years (39%). Most patients underwent Primary Lip Repair surgery (71%) and the most frequent performed techniques was Triangular Variant (33%).Keywords: cleft lip, incidenceAbstrak: Sumbing bibir merupakan cacat berupa celah pada bibir atas yang dapat meneruskan diri sampai ke gusi, rahang dan langitan yang terbentuk pada trimester pertama kehamilan karena tidak terbentuknya mesoderm pada daerah tersebut sehingga prosesus nasalis dan maksilaris yang telah menyatu menjadi pecah kembali. Sumbing bibir disebabkan oleh faktor genetik dan lingkungan. Penelitian ini bertujuan untuk mengetahui angka kejadian sumbing bibir di RSUP Prof. Dr. R. D. Kandou Manado periode 2011-2013. Penelitian ini menggunakan metode deskriptif retrospektif melalui pengumpulan data di bagian Bedah dan bagian Rekam Medik RSUP Prof. Dr. R. D. Kandou Manado. Hasil penelitian menunjukkan bahwa selama periode 2011-2013 kasus tertinggi yang ditemukan adalah kasus sumbing bibir dan alveolus yang disertai dengan sumbing palatum lunak dan palatum keras (65,5%). Sumbing bibir unilateral (66%) lebih banyak ditemukan daripada sumbing bibir bilateral (34%) dan lokalisasi defek lebih sering terjadi di sebelah kiri (57%). Jumlah pasien laki-laki (67%) lebih banyak ditemukan daripada perempuan (33%). Sebagian besar pasien dilakukan operasi pada usia 1-6 tahun (39%). Sebagian besar pasien dilakukan operasi Primary Lip Repair (71%) dan tehnik operasi yang tersering ialah Triangular Variant (33%).Kata kunci: Angka kejadian, sumbing bibir

scholarly journals Adequacy and Sources of Protein Intake among Pregnant Women in the United States, NHANES 2003–2012

Nutrients ◽  
2021 ◽  
Vol 13 (3) ◽  
pp. 795
Author(s):  
Mary M. Murphy ◽  
Kelly A. Higgins ◽  
Xiaoyu Bi ◽  
Leila M. Barraj
Keyword(s):  
Pregnant Women ◽  
Protein Intake ◽  
First Trimester ◽  
The United States ◽  
Limited Information ◽  
Health And Nutrition ◽  
Animal Source ◽  
Usual Intake ◽  
First Trimester Of Pregnancy ◽  
Using Data

Limited information is available on protein intake and adequacy of protein intake among pregnant women. Using data from a sample of 528 pregnant women in the National Health and Nutrition Examination Surveys (NHANES) 2003–2012, usual intake of protein (g/day and g/kg body weight (bw)/day) and prevalence of intake below the Estimated Average Requirement (EAR) by trimester of pregnancy were calculated using the National Cancer Institute method. Percent contributions to protein intake by source (i.e., plant and animal, including type of animal source) were also calculated. Mean usual intake of protein was 88 ± 4.3, 82 ± 3.1, and 82 ± 2.9 g/day among women in trimester 1, 2, and 3 of pregnancy, respectively, or 1.30 ± 0.10, 1.35 ± 0.06, and 1.35 ± 0.05 g/kg bw/day, respectively. An estimated 4.5% of women in the first trimester of pregnancy consumed less protein than the EAR of 0.66 g/kg bw/day; among women in the second and third trimesters of pregnancy, 12.1% and 12.8% of women, respectively, consumed less protein than the EAR of 0.88 g/kg bw/day. Animal sources of protein accounted for approximately 66% of total protein. Findings from this study show that one in eight women in the second and third trimesters of pregnancy have inadequate intake of protein. Pregnant women should be encouraged to consume sufficient levels of protein from a variety of sources.

scholarly journals A case of bilateral upper lip pits with bilateral cleft lip

2004 ◽  
Vol 50 (11) ◽  
pp. 649-651
Author(s):  
Yasuhiro MIURA ◽  
Masahide NAGATA ◽  
Taiji KITAGAWA ◽  
Emiko TANAKA ◽  
Mikihiko KOGO
Keyword(s):  
Cleft Lip ◽  
Upper Lip ◽  
Bilateral Cleft Lip

Intrasphenoidal Migration of a Premaxillary Kirschner Wire

2000 ◽  
Vol 37 (2) ◽  
pp. 209-211 ◽  
Author(s):  
Aycan KayikçOǧlu ◽  
Sebat Karamüsel ◽  
Emin Mavili ◽  
Yücel Erk ◽  
Kemal Benli
Keyword(s):  
Foreign Body ◽  
Cleft Lip ◽  
Kirschner Wire ◽  
Cephalometric Analysis ◽  
Potential Danger ◽  
Upper Lip ◽  
Bilateral Cleft Lip ◽  
The Wire

Objective The use of Kirschner wire for the fixation of premaxilla is a well-known method in bilateral cleft lip surgery. We report a case in which the Kirschner wire of the premaxillary fixation had migrated intrasphenoidally. Results and Conclusions The foreign body was accidentally discovered during a cephalometric analysis and was taken out surgically through an upper lip sulcus incision. Although the wire remained asymptomatic for 10 years, it constituted a potential danger for intracranial migration.

scholarly journals Precision Dermal Fat Grafting for Vermillion Deficiencies in Patients With Unilateral and Bilateral Cleft Lip

2019 ◽  
Vol 57 (1) ◽  
pp. 127-131
Author(s):  
Oksana A. Jackson ◽  
Alfred Lee ◽  
Elena Nikovina ◽  
Alison E. Kaye
Keyword(s):  
Cleft Lip ◽  
Scar Tissue ◽  
Fat Grafting ◽  
Fat Graft ◽  
Aesthetic Outcome ◽  
Upper Lip ◽  
Lip Augmentation ◽  
Bilateral Cleft Lip ◽  
Cleft Lip Repair ◽  
The Aesthetic

Objective: Deficiencies of the upper lip vermilion occur with some frequency following repair of unilateral and bilateral clefts of the lip and can compromise the aesthetic outcome. The presence of dense scar tissue within the lip at the cleft site as well as intrinsic vermillion deficiencies can make long-lasting correction of this deformity challenging. We describe a technique to address vermillion deficiencies after cleft lip repair. Design: A novel lip augmentation technique for correction of residual vermilion deficiencies after unilateral and bilateral cleft lip repair is presented. This technique combines precise placement of a contoured dermal fat graft with local tissue (V-Y) rearrangement. Conclusion: In our experience, this method of lip augmentation following either unilateral or bilateral cleft lip repair can restore upper lip vermillion symmetry and provide predictable and durable results in patients with mild to severe vermillion deficiency.

scholarly journals Secondary bilateral cleft lip-nose deformity correction by rhinoplasty with simultaneous Abbe flap

2014 ◽  
Vol 47 (01) ◽  
pp. 20-24 ◽  
Author(s):  
Nitin J. Mokal ◽  
Manpreet Juneja
Keyword(s):  
Cleft Lip ◽  
Perioperative Complications ◽  
Deformity Correction ◽  
Flap Necrosis ◽  
Upper Lip ◽  
Bilateral Cleft Lip ◽  
Nose Deformity ◽  
Abbé Flap ◽  
Cleft Lip Nose

ABSTRACTAim: The purpose of this article is to review modification and outcome of secondary rhinoplasty along with Abbι flap for correction of secondary bilateral cleft lip deformity. Materials and Methods: A total of thirteen patients of secondary bilateral cleft lip-nose deformity having tight upper lip, lack of acceptable philtral column, Cupid′s bow definition, irregular lip scars, and associated nasal deformity were selected. All the patients received Abbι flap and simultaneous nasal correction. All cases were treated during a period of three years. Mean patient age at the time of the operation was 21 years, and ranged from 16 to 27 years. The average follow-up period was three years. Results: Assessment of results was based on comparing preoperative and postoperative clinical photographs done by surgeon and patient relatives and patient satisfaction questionnaires. The columellar lengthening and upper lip vermillion correction achieved was satisfactory. There were no perioperative complications such as airway obstruction, bleeding, infection, wound disruption, or flap necrosis.

Vertical and Sagittal Growth in Patients with Unilateral and Bilateral Cleft Lip and Palate—A Retrospective Cephalometric Evaluation

2009 ◽  
Vol 46 (5) ◽  
pp. 512-520 ◽  
Author(s):  
Alexandra I. Holst ◽  
Stefan Holst ◽  
Emeka Nkenke ◽  
Matthias Fenner ◽  
Ursula Hirschfelder
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Class I ◽  
Growth Spurt ◽  
Pubertal Growth Spurt ◽  
Skeletal Class ◽  
Pubertal Growth ◽  
Facial Height ◽  
Bilateral Cleft Lip ◽  
Male Patients

Objective: To investigate whether the craniofacial vertical and sagittal jaw relationship in patients with cleft lip and palate (CLP) differed from that of age-matched noncleft controls, before and after the pubertal growth spurt. Design: Retrospective observational study. Patients: The study group comprised 126 patients with CLP, subdivided according to gender and cleft type, and the control group comprised 53 age-matched skeletal class I patients. Methods: Angular and linear measurements were taken from prepubertal and postpubertal lateral cephalograms of all patients. Results: In patients with cleft lip and palate, the maxillary retrognathism became more remarkable with increasing age; whereas, the retrognathic position of the mandible became less pronounced as compared with controls. Reduced posterior midfacial height, a common prepubertal finding in patients with cleft lip and palate, was significant in postpubertal girls and young women with unilateral cleft lip and palate (p  =  .002). The total anterior facial height in male patients with bilateral cleft lip and palate was larger than in control patients (p  =  .002) after the pubertal growth spurt due to an increased anterior midfacial height. In male patients with unilateral cleft lip and palate, this finding was due to an increased anterior lower facial height (p < .001). Conclusions: Patients with cleft lip and palate treated according to a standardized treatment concept had adequate craniofacial jaw relationships after puberty. Despite a measured skeletal class I in both male and female patients with cleft lip and palate regardless of cleft type, there was a slight tendency toward a skeletal class III. Findings were similar for all groups of cleft lip and palate patients irrespective of the type of orthodontic treatment performed.

scholarly journals Incidence of Bilateral Cleft Lip And Palate In A University Hospital Setting-A Retrospective Study

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 363-367
Author(s):  
Monisha K ◽  
Senthil Murugan P ◽  
Aravind Kumar
Keyword(s):  
Cleft Palate ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Hospital Setting ◽  
Neck Region ◽  
University Hospital ◽  
High Prevalence ◽  
Bilateral Cleft Lip ◽  
Male Patients ◽  
One Year

Cleft lip and palate (CLP) is one of the most prevalent malformations occurring in the head and neck region. Cleft lip and palate is the second most birth defect in the US after club foot. The incidence of Cleft lip and cleft palate is also very common in Indian Population with the rate of 1 in 700 births approximately. In India, the main reason for the formation of Cleft Lip and cleft palate is consanguineous marriage due to less awareness among people. Cleft lip can be unilateral or bilateral and may involve or palate. Again it can be further classified as Complete or Incomplete cleft lip and /or Cleft palate. Most of the patients were deprived of treatment, mainly due to their unawareness and their lower status. Cleft patients need comprehensive, cleft care management. So the aim of this study is to find the incidence of bilateral cleft lip or palate in patients who reported toSaveetha Dental College and Hospital, Chennai. This study is done with 76 patients40 males, 36 females)who visited a Saveetha Dental College during one year between June 2019-April 2020. All available data were extracted from patients case sheets and results were obtained through SPSS analysis. In this study, we observed that 90.5 % of patients reported with unilateral cleft lip and palate, where only 9.1% of patients reported with bilateral cases. Males were having high prevalence with 52.6 % and females 47.4%. conclusion, male patients had higher cleft lip and palate compared to females. The incidence of bilateral cases seen among cleft lip and palate is fewer in males.

scholarly journals Prosedur penatalaksanaan celah bibir inkomplit bilateral dan rinoplasti primer dengan modifikasi mulliken

2019 ◽  
Vol 49 (1) ◽  
pp. 93
Author(s):  
Al Hafiz ◽  
Debby Apri Grecwin
Keyword(s):  
Cleft Lip ◽  
Cochrane Library ◽  
Upper Lip ◽  
Literature Study ◽  
Nasal Tip ◽  
Tip Projection ◽  
Primary Rhinoplasty ◽  
Bilateral Cleft Lip ◽  
Modification Technique ◽  
Nasal Tip Projection

Latar belakang: Celah bibir dengan atau tanpa celah lelangit merupakan abnormalitas perkembangan kraniofasial yang paling sering terjadi. Kelainan ini bisa unilateral atau bilateral, dan mungkin disertai dengan anomali kongenital lain. Celah bibir bilateral berpotensi mengubah struktur dan bentuk wajah serta menyebabkan gangguan dalam perkembangan makan, bicara, gigi geligi, dan kosmetik. Celah bibir selalu disertai dengan deformitas hidung, termasuk pada kasus celah bibir inkomplit. Mulliken adalah pionir yang melakukan perbaikan celah bibir bilateral dan rinoplasti primer dalam satu tahap operasi. Tujuan: Mengetahui keberhasilan operasi celah bibir inkomplit bilateral dan rinoplasti primer dengan teknik modifikasi Mulliken. Laporan kasus: Dilaporkan satu kasus celah bibir inkomplit bilateral pada anak laki-laki usia 7 bulan yang ditatalaksana dengan teknik modifikasi Mulliken. Metode: Telaah literatur berbasis bukti mengenai perbaikan celah bibir inkomplit bilateral dan rinoplasti primer dengan teknik modifikasi Mulliken melalui database Cochrane library, Pubmed Medline, dan hand searching. Hasil: Pertumbuhan nasal tip projection, nasal width, columellar length, upper lip height, cutaneous lip height, dan vermilion-mucosal height mendekati nilai normal. Kesimpulan: Prosedur celah bibir inkomplit bilateral disertai rinoplasti primer dengan teknik modifikasi Mulliken memberikan hasil yang baik. Introduction: Cleft lip with or without cleft palate is the most common disorder of craniofacial development. This disorder could be occurred unilaterally or bilaterally, and sometimes were also accompanied by other type of congenital disorders. Bilateral cleft lip potentially could change the face structure and shape, causing interference in eating, speech, dental development, and aesthetics. Cleft lip always occurred with nasal deformity, even in incomplete cleft lip. Mulliken is a pioneer in performing a repair in bilateral cleft lip and primary rhinoplasty altogether at the same time. Purpose: To find out the result of surgery procedure in bilateral incomplete cleft lip and primary rhinoplasty using Mulliken modification technique. Case report: A bilateral incomplete cleft lip case in a 7 months old boy and managed by Mulliken modification technique. Method: Evidence based literature study of bilateral incomplete cleft lip and primary rhinoplasty with Mulliken modification technique through Cochrane library, Pubmed Medline, and hand searching. Result: The growth of nasal tip projection, nasal width, collumellar length, upper lip height, cutaneus lip height, and vermilion mucous height were close to normal size. Conclusion: Procedure of bilateral incomplete cleft lip and primary rhinoplasty repair using Mulliken modification technique delivered a good outcome.

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