Step-By-Step Rehabilitation Of Children With Congenital Clearance Of The Upper Lip And Palate

Аннотация

This article gives information on Step-by-step rehabilitation of children with congenital clearance of the upper lip and palate. A review of the reported data on the frequency of birth, prevalence, territorial peculiarities, clinical manifestations, organization of medical aid to children with congenital cleft lip and palate, staged rehabilitation is presented in the paper. Key words: congenital cleft lip and palate, congenital dentofacial anomalies, congenital malformation, staged rehabilitation. Introduction: A review of the reported data on the frequency of birth, prevalence, territorial peculiarities, clinical manifestations, organization of medical aid to children with congenital cleft lip and palate, staged rehabilitation is presented in the paper. One of the most common types of congenital malformations (congenital malformations) are malformations of the maxillofacial region, which occur with a frequency of 1: 700-1: 1000, of which congenital clefts of the upper lip and / or palate (CRGN) accounts for 90% [1-3, 5]. JULY 2020[TAJMSPR] 94 THE AMERICAN JOURNAL OF MEDICAL SCIENCES AND PHARMACEUTICAL RESEARCH ISSN (e): 2689-1026 DOI: https://doi.org/10.37547/TAJMSPR/Volume02Issue07-12 Congenital clefts of the upper lip and / or palate are a severe congenital condition characterized by the presence of not only a local anatomical defect, but also concomitant systemic disorders of respiration, nutrition and speech [1-3, 5, 7, 8, 23, 24]. There are various approaches to the therapy of ERGN [1-3, 5, 27-30]. In the overwhelming majority of cases at the present stage, with timely medical and speech therapy assistance, it is possible to create all the necessary conditions for the full physical and mental development of the child [1-3, 7, 8, 15, 17, 18, 20]. The aim of the work is to analyze the literature data on the frequency of birth, prevalence, territorial characteristics, clinical manifestations, organization of medical care for children with congenital cleft lip and palate and their gradual rehabilitation. Research results. According to domestic and foreign literature, the dentist should be fully responsible for the early diagnosis of CULP and stage-by-stage rehabilitation together with other specialists. Every year in the Republic of Uzbekistan 3,000 children are born with congenital anomalies of the face, neck and skull, of which 70% - with anomalies of the maxillofacial system [1-3, 8-11, 15-20]. The overall incidence of morphological malformations in children under 1 year of age is approximately 27.2 per 1000 population. About 60% of them are detected in the first 7 days of life already in obstetric institutions [1-6, 8, 9, 15]. CULP are found in the form of various options: isolated clefts of the upper lip (hidden, incomplete, complete), isolated clefts of the palate (hidden, uvula of the soft palate, soft palate, soft and posterior part of the hard palate, complete cleft palate), through clefts, unilateral, bilateral) [8-16, 18, 19, 21, 22]. The modern tactics for the birth of children with ERH in the leading dental clinics of the Russian Federation and abroad is as follows: for the birth of a child with a defect in the maxillofacial region within the first 3 days. it is necessary to send an emergency notification (special form) to the Center for Maxillofacial Surgery (Maxillofacial Surgery). After receiving an emergency notification, the head of the Center organizes an urgent visit of a dental surgeon to conduct a detailed examination, determine the scope of necessary measures to implement adequate feeding of the child and the orthodontist to resolve the issue of making an obturator as a removable prosthesis [2, 3, 7, 21, 22 ]. JULY 2020[TAJMSPR] 95 THE AMERICAN JOURNAL OF MEDICAL SCIENCES AND PHARMACEUTICAL RESEARCH ISSN (e): 2689-1026 DOI: https://doi.org/10.37547/TAJMSPR/Volume02Issue07-12 The following persons have the right to call specialists for emergency consultation: - chief obstetricians, neonatologists, pediatricians, dental surgeons and other chief specialists of districts and cities; - heads of maternity, neonatological, surgical pediatric departments of medical institutions in districts and cities; - at night and on weekends, the doctors on duty of the indicated treatment units under the supervision of the heads of the respective departments. By the time the dental surgeon arrives, the newborn should be examined by a neonatologist (district or city pediatrician if necessary) for other birth defects. If they are found, the pediatrician will arrange a consultation with any specialist. During the initial examination, the dental surgeon establishes an accurate diagnosis, determines the state of the child's physical development and the risk group for the development of concomitant diseases, gives recommendations on the nature and method of feeding. At the same time, the doctor recommends the persistent attachment of the baby to the breast, the development of the mother's patience when feedin