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Musnamirwan , Iwan Ahmad
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Religion Economics, Econometrics & Finance Education Law, Crime, Criminology & Criminal Justice Social Sciences

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Management of Feeding Plates in Patients with Down Syndrome Dirja, Fuad; Musnamirwan , Iwan Ahmad
Jurnal Impresi Indonesia Vol. 4 No. 8 (2025): Indonesian Impression Journal (JII)
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jii.v4i8.6919

Abstract

Down Syndrome (DS) is a genetic disorder characterized by intellectual and physical developmental delays, often accompanied by craniofacial anomalies such as cleft lip and palate (CLP). These structural abnormalities impair feeding, swallowing, and oral functions, leading to nutritional deficiencies and growth challenges. This study explores the use of a feeding plate as a non-surgical intervention to improve feeding efficiency in DS patients with CLP. The research aims to evaluate the effectiveness of feeding plates in enhancing nutritional intake, stabilizing tongue position, and supporting craniofacial development. A case study was conducted on a 2-day-old male DS patient with palatoschisis. The feeding plate was fabricated under inhalation sedation, with impressions taken using putty material. The device was inserted and adjusted to ensure comfort and functionality. Parental education on usage and hygiene was emphasized. Findings revealed significant improvements in feeding efficiency, with the patient’s weight increasing from 3 kg to 5.5 kg over three months. The feeding plate also reduced nasal regurgitation and aspiration risks while providing psychological relief to caregivers. Early intervention with feeding plates was shown to be crucial for preoperative preparation and overall quality of life. The study underscores the importance of multidisciplinary care and early prosthetic intervention in DS patients with CLP. Feeding plates serve as a transitional tool, bridging the gap until surgical correction, and highlight the need for tailored, family-centered approaches in managing syndromic craniofacial anomalies.
Penatalaksanaan Mucocele Dengan Teknik Eksisi Menggunakan Anestesi Umum Caesarini, Meitty; Husaerry, Machmud Al; Musnamirwan , Iwan Ahmad
Jurnal Impresi Indonesia Vol. 4 No. 8 (2025): Indonesian Impression Journal (JII)
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jii.v4i8.6920

Abstract

Mucocele is a benign lesion commonly found in the oral cavity, particularly on the lower lip, resulting from mucus retention or extravasation from the minor salivary glands. Although typically painless, it can interfere with oral functions such as speaking and eating, affecting patient comfort. Surgical excision is the preferred management, especially for large, recurrent, or functionally disruptive lesions. This case report presents the management of a mucocele in a pediatric patient using an excision technique under general anesthesia, considering the patient’s young age, limited cooperation, and the sensitive location of the lesion. The procedure was performed carefully to avoid damage to adjacent tissues and minimize recurrence risk. The outcome showed good healing without complications and a significant improvement in the patient's comfort. Excision under general anesthesia is an effective management option for mucocele in pediatric cases where conventional approaches are challenging.
Co-Authors Caesarini, Meitty Dirja, Fuad Husaerry, Machmud Al