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Diagnosis dan Tatalaksana Sindrom Treacher Collins Bertha Kawilarang
Essence of Scientific Medical Journal Vol 17 No 2 (2020): Volume 17 No. 2 (Juli-Desember 2019) Essential: Essence of Scientific Medical Jo
Publisher : Kelompok Ilmiah Hippocrates Fakultas Kedokteran Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/ESTL.2020.v17.i02.p02

Abstract

ABSTRAK Pendahuluan: Sindrom Treacher Collins adalah penyakit genetik langka yang menyebabkan berbagai malformasi kongenital dengan manifestasi klinis terutama di bagian kraniofasial. Pembahasan: Diagnosis dapat dilakukan sejak periode prenatal atau postnatal, namun analisa genetik merupakan diagnosis definitif untuk menentukan adanya mutasi gen. Tatalaksana pasien membutuhkan tim multidisiplin dengan perencanaan tindakan operatif maupun non-operatif yang dilakukan sejak lahir sampai usia dewasa. Kesimpulan: Diagnosis dan penanganan Sindrom Treacher Collins masih merupakan tantangan karena aspek fungsional dan estetik pasien harus dipertimbangkan. Pasien yang telah didiagnosis harus segera dirujuk ke pusat khusus dengan tim kraniofasial yang melibatkan tim multidisipilin. Kata kunci: Diagnosis, malformasi kraniofasial, Sindrom Treacher Collins, tatalaksana ABSTRACT Introduction: Treacher Collins syndrome is a rare genetic disease which causes various congenital malformation with clinical manifestation mainly in the craniofacial region. Discussion: Diagnosis can be made since prenatal or postnatal period, however genetic analysis remains as definitive diagnosis to determine gene mutation. Management of patient requires a multidisciplinary team, with planning of operative or non-operative approaches since birth to adult. Conclusion: Diagnosis and management of Treacher Collins syndrome is still a challenge due to patient’s functional and esthetic aspect that must be fully considered. Patient who has been diagnosed must promptly be referred to specialized center with craniofacial team involving multidisciplinary team. Keywords: Diagnosis, craniofacial malformation, Treacher Collins syndrome, management
Assessing Ideal Lip Anatomy Through Photogrammetry: Implications For Facial Reconstruction In Indonesia Samsarga, Gede Wara; Sudarsa, Shita Diwyani; Suyata, Astrinita Lestari; Bertha Kawilarang; Valentin, Violetti; Gera, Luh Putu Mettary Yasoda
Jurnal Plastik Rekonstruksi Vol. 12 No. 2 (2025): Jurnal Plastik Rekonstruksi
Publisher : The Lingkar Studi Bedah Plastik Foundation and is affiliated with the Department of Plastic Surgery, Faculty of Medicine, Universitas Indonesia.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v12i2.31

Abstract

Background : Anthropometry is a non-invasive, inexpensive, and objective method for evaluating orofacial morphology. This method has clinical applications in myofunctional assessment and therapy. Photogrammetry is a reliable and accurate method for measuring certain facial dimensions. In Indonesia, to date there has been no research that has conducted a photogrammetric evaluation of lip anthropormetry. Method : This study was conducted at the Faculty of Medicine, Udayana University which began in May to October 2024 with research subjects, namely 90 first-year undergraduate medical students, Faculty of Medicine, Udayana University. Data in the form of anthropometry, race, history of congenital abnormalities, facial trauma, siliconoma, age, gender and smoking were recorded and then analyzed. Result : The results of the analysis of lip anthropometry based on gender showed a significant difference in lower lip height, where in women the average was 3.25 (0.36) and in men 3.01 (0.30), with a p value of 0.001. Likewise, the lower lip height was found to be significantly different with a p value = 0.003. Upper vermilion height in women was 1.51 (0.35) while in men it was 1.36 (0.25), these results were statistically significant (p value = 0.041). However, the comparison of lower vermillion did not show any significant difference between the two groups. Cutaneous lower lip and philtrum width were also significantly different with p values of 0.004 and 0.015, respectively. Conclusion: The results of this study are expected to provide an overview of the analysis of anthropometric measurements of the lips using the photogrammetry method as basic data for measuring ideal lip anatomy in the field of facial reconstruction in Indonesia. Keywords: Anthropometric Measurement Of The Lip; Photogrammetry; Facial Reconstruction