Cleft palate or palatoschisis is a condition where there is an abnormal gap in the roof of the oral cavity which occurs due to the failure of the fusion process. process facialist on time pregnancy. Gap palate can It stands alone or can be accompanied by a gap in the lip or labiopalatoschisis. Matter This can happen Because development embryology the palate Also along with development lips on time pregnancy. The existence of gap in palate can cause a number of problem, that is: disturbance on speech function, swallowing function, hearing, malposition of teeth, respiratory function, development face, And disturbance psychological from person old patient. Disorders breathing And disturbance swallow on patient child is a crucial problem because the blockage of food and drink when the patient eats/drinks can enter the palate and cause difficulty breathing. Required exercise And knowledge special for person old patient to be able to care for a child with a cleft palate. 1,2,3
The incidence of cleft palate in America is reported to be 0.1 – 1.1 cases per 1000 population. Whereas number incident labiopalatoschisis as big as 0.2 – 2.3 case by case 1000 population. Diagnosis prenatal gap patatum and/or gap lips, along with other developmental anomalies are more frequently found with the increasing use of prenatal screening with ultrasound. Diagnosis of orofacial defects on time prenatal very important for prepare person old so that
can obtain appropriate genetic counseling, emotional support, and therapy planning. 1,2,3
The main treatment option for palatoschisis is surgery. There are various surgical techniques for cleft palate reconstruction. The choice of technique used is highly dependent on the patient's condition, the extent of the cleft palate, and the surgeon's expertise. However, the principle of palatoschisis surgery must remain a priority. The principle of palatoplasty is to close the gap, correct the position abnormal muscle on palate, reconstruction muscle slings , retroposition soft palate as best as possible, minimal raw area , tension-free suturing , and layered closure of the palate. 1,2