MANAGEMENT FOR LABIOPALATOGNATOSKIZIS PATIENT

Background: Labiopalatognatoskizis is congenital malformation of the mouth up to the gum

and palate. The cause of labiopalatognatoskizis is multifactorial. It can be caused by the
environment syndrome, genetics, drugs, radiation, cigarette, and alchohol. Individual with
labiopalatognatoskizis has problem with the difficulty of nutrition giving, growth retardation,
difficulty in speaking, bad resonance of voice, and interference in hearing. The purpose of this
report is to review and obtain the description in diagnosing and treating infant with
labiopalatognatoskizis.
The Case: Term infant, born full-term pregnancy, infant with good birth weight, normal born
with spontaneous of the back head, with labiopalatognatoskizis was hospitalized in Teratai room
at RSUD Ulin Banjarmasin at September 17th, 2014. The infant was reported can not be made to
drink becaused the infant spewed his/her drink. The infant examination found that there was cleft
in the mouth and palate. The risk of labiopalatognatoskizis was not found during the pregnancy.
The infant was in good condition with strong crying and active. When the infant was being
treated, the infant was nutriton with orogastric tube. The infant was discharger, and the guardian
was taught of a way of giving a good nutrition with orogastric tube. Besides, it is suggested to
make feeding obturator in the dentistry and oral. It is planned to do gradual operation at the age
of 3 months. Then, the evaluation is needed to do the next treatment.
Discussion: Infant with cleft lips/mouth and palate has problem in the nutrition giving. The
treatment for labiopalatognatoskizis patient is the provision of adequate nutrition and feeding
obturator making. Operative correction can be done at the age of 3 months. It is started with
cheiloplasty and continued with palatoplasty at the age of 8-12 months. The evaluation is needed
for operating purposes, advanced therapy such as speech therapy, and the second stage of
operation or after pharyngoplasty. After operation is done, the weight and height of the infant can
be enhance according to his/her age.