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( CLAP )
Labiognatopalato schizis
CONGENITAL
INCIDENCE 1 : Normal Births
Gender :
Types
PATHOPHYSIOLOGY / EMBRYOLOGY :
Intrauterine development Types
THERAPHY Surgery Goal : Function
Form
Time of repair : emergency
elective
(OPTIMAL TIME)
CLAP
INCIDENCE
Most common
congenital deformity
Fogh Anderson
1 : 665 Births
Asian
1 : 500 births
Gender
>
EMBRYOLOGY TYPES
(Primary Palate)
Primary & Secondary Palate
Mesoderm
Fusi
anterior
pasterior
Hereditary
Deficiency
Infection / Virus
Radiation
Drugs : steroid, diazepam,
anticonvulsant
Stress
MANAGEMENT
LABIOPLASTY
MAIN GOAL AESTHETIC LIP - NOSE
Evaluation psychosocial
( parent and family )
Time of Surgery : 1. 0 Unlimited
2. Optimal repair
"Rule of Ten"
- Age 10 weeks
- B.W 10 pounds
- Hb > 10 gr %
- Leuco < 10.000
TECHNIQUE LABIOPLASTY
1. PRIMARY
Millard : - Rotation & Advancement Flap
A : Flap Philtrum
B : Flap Rotasi
C : Flap Advansi
Newborn
10 weeks / Rule of 10
School age
Adult
Teenagers / sweet seventeen
2. BILATERAL
3. SECONDARY LABIOPLASTY / REVISION
PALATOPLASTY
TECHNIQUE
Push back (Wardill-Kilner)
Posterior pharyngeal flap
Sphcter pharyngoplasty
Complication : FISTULA
Urethroplasty
Reconstr : Distal Urethra
Complic : - FISTULA
- STENOSIS
Haram disunat Hypospadi
Rujuk untuk diperbaiki
Preputium sangat berharga untuk
sumber bahan baku pembentukan pipa
urethra
Hasil operasi Hypospadi bentuk sudah
tersunat
EPISPADIA / BLADDER EXSTROPHY
Incidence 1 : 30.000 40.000 births
Symphisis Pubis Separation