Dudak-damak yar�kl� bireylerde g�r�len do�umsal ve geli�imsel problemler

Tun�er, Nil�fer �rem; Y�lmaz, Alev

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Dudak-damak yar�kl� bireylerde g�r�len do�umsal ve geli�imsel problemler [Yeditepe J Dent]

Yeditepe J Dent. 2018; 14(3): 139-149 | DOI: 10.5505/yeditepe.2018.85047

Dudak-damak yar�kl� bireylerde g�r�len do�umsal ve geli�imsel problemler

Nil�fer �rem Tun�er¹, Alev Y�lmaz²
¹Ba�kent �niversitesi, Di� Hekimli�i Fak�ltesi, Ortodonti Anabilim Dal�, Ankara
²Adnan Menderes �niversitesi, Di� Hekimli�i Fak�ltesi, Ortodonti Anabilim Dal�, Ayd�n

Dudak ve/ya damak yar�klar� (DDY) kraniyofasiyal b�lgenin en s�k g�r�len do�umsal defektlerinden biridir. Yumu�ak ve sert dokular� her �� boyutta etkileyen bu anomali, b�y�me ve kraniyofasiyal yap�lar�n hareketiyle d�rd�nc� bir boyut da kazan�r. Anne karn�nda te�his edildi�i an itibariyle ba�layan, oral b�lgeyle s�n�rl� g�r�n�p v�cudun di�er pek �ok b�lgesini etkileyen bu anomali hem DDY�li birey hem de aile i�in zorlu ve uzun bir s�re�tir. Bu bireylerde s�kl�kla rastlanan problemler; beslenme problemleriyle ili�kili b�y�me ve geli�im anomalileri, solunum problemleri, orta kulak enfeksiyonlar�, konu�ma ve ��renme problemleri, normalden sapm�� nazomaksiller, pterygomaksiller ve farengeal anatomi ile ili�kili problemler, maksiller sin�s olu�umunda g�r�len problemler ve sin�zit, dental problemler, t�k�r�k yap�s�ndaki farkl�l�klar, oral ve nazal halitozis, oral kandida kolonizasyonu, oral hijyen ve periodontal sa�l�kla ilgili problemler, psikolojik ve n�rolojik problemler ve DDY�nin e�lik etti�i di�er anomalilerdir. Bireyin gerek ya�amsal fonksiyonlar�n� gerekse de hayat kalitesini �nemli �l��de etkileyen bu problemlere y�nelik do�ru ve etkili bir tedavi yakla��m� sunabilmek i�in hekimin g�r�lmesi muhtemel b�t�n do�umsal ve geli�imsel anomalilere h�kim olmas� gerekir.

Anahtar Kelimeler: Dudak yar��, tav�an dudak, damak yar��, do�umsal anomaliler, geli�imsel anomaliler

Congenital and developmental problems seen in patients with cleft lip and/or palate

Nil�fer �rem Tun�er¹, Alev Y�lmaz²
¹Ba�kent University, Faculty of Dentistry, Department of Orthodontics, Ankara, Turkey
²Adnan Menderes University, Faculty of Dentistry, Department of Orthodontics, Ayd�n, Turkey

Cleft lip and/or palate (CL/P) is one of the most frequently-seen congenital malformations of the craniofacial region. Affecting both hard and soft tissues in all 3 dimensions, CL/P achieves a fourth dimension with growth and displacement of the craniofacial structures. Although it seems to be limited with the orofacial region, it affects many other body parts and is a very compelling and lasting period starting with the prenatal diagnosis. Common problems encountered in these patients are growth and developmental anomalies associated with nutritional problems, respiratory problems, otitis media, speech and learning disorders, problems related with abnormal nasomaxillary, pterygomaxillary and pharengeal anatomies, maxillary sinus malformation and sinusitis, dental problems, differences in saliva composition, oral and nasal halitosis, oral candidiasis, problems with oral hygiene and periodontal health, psychological and neurological problems, and CL/P-accompanied anomalies. Therefore, it is mandatory to have a solid grasp of all the potential congenital and developmental anomalies affecting the CL/P patient�s quality of life besides vital functions, in order to offer an accurate and effective health service.

Keywords: Cleft lip, harelip, cleft palate, congenital anomalies, developmental anomalies

Sorumlu Yazar: Nil�fer �rem Tun�er, T�rkiye
Makale Dili: T�rk�e

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Dudak-damak yar�kl� bireylerde g�r�len do�umsal ve geli�imsel problemler

Congenital and developmental problems seen in patients with cleft lip and/or palate