Multidisciplinary Management Approaches for Hydrocephalus and Cleft Lip Palate in Pediatric Patients
Kata Kunci:
Hydrocephalus, cleft lip and palate, multidisciplinary management, ChildrenAbstrak
Hydrocephalus and cleft lip and palate (CLP) are congenital abnormalities that significantly impact a child's health and development. Hydrocephalus results from impaired cerebrospinal fluid circulation, which increases intracranial pressure and can lead to brain damage. CLP is caused by a failure of facial tissue fusion during the embryonic period, which disrupts speech, eating, and facial aesthetics. This study used a qualitative descriptive literature review method to describe the multidisciplinary management of both conditions.
The review results indicate that hydrocephalus is generally treated with a ventriculoperitoneal shunt or endoscopic third ventriculostomy, while CLP requires surgical correction (cheiloplasty and palatoplasty) accompanied by speech therapy, orthodontics, and psychological support. It can be concluded that interdisciplinary collaboration is crucial for improving clinical outcomes and patient quality of life. Further research is recommended to assess the long-term effectiveness and the relationship between genetic and environmental factors in the occurrence of these two disorders.
Referensi
Allareddy, V., Ross, E. dan Nembhard, W.N. (2021) 'Multidisciplinary care for children with orofacial clefts: a systematic review and meta-analysis', The Cleft Palate-Craniofacial Journal, 58(7), pp. 835-847.
Anwar, F. et al. (2024) ‘Hydrocephalus: An update on latest progress in pathophysiological and therapeutic research’, Biomedicine and Pharmacotherapy, 181(November), p. 117702
Carswell, C. (2023). Idiopathic normal pressure hydrocephalus: historical context and a contemporary guide. Pract Neurol, 23(1), 15–22. doi: 10.1136/pn-2021-003291.
Chaudhary, S. (2022). Cleft Lip and Palate – A Review Article. International Journal of Research and Review, 9(7), 236–243. https://doi.org/10.52403/ijrr.20220727
Dewi, P. S. (2019). Management of Cleft Lip and Palate (Literature Review). Fakultas Kedokteran Gigi Universitas Mahasaraswati Denpasar.
Eldesouky, R. & Elbarbary, A. (2023). Definitive Rhinoplasty and Orthognathic Surgery for Patients with Cleft Lip Palate. Oral Maxillofac Surg Clin North Am, 35(1), 127–137. doi: 10.1016/j.coms.2022.06.011.
Gandedkar, N.H., Raste, Y.A., Kulkarni, A. dan Khandelwal, P. (2021) 'Prosthodontic management of a pediatric patient with cleft lip and palate: a clinical report', Journal of Indian Society of Pedodontics and Preventive Dentistry, 39(2), pp. 209-212.
Kahle, K. T., Klinge, P. M., Koschnitzky, J. E., Kulkarni, A. V., MacAulay, N., Robinson, S., Schiff, S. J., & Strahle, J. M. (2024). Paediatric hydrocephalus. Nat Rev Dis Primers, 10(1), 35. doi: 10.1038/s41572-024-00519-9.
Khairotin, N. A. (2025). Cleft Lip and Palate. Universitas Islam Negeri Sunan Ampel Surabaya.
Khrisna Rangga Permana. (2018). Hidrosefalus dan tatalaksana bedah sarafnya. Cermin Dunia Kedokteran, 45(11), 820–823.
Koleva, M., and De Yesus, O. (2025). Hydrocephalus. In StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing.
Ma, L., Hou, Y., Liu, G., & Zhang, T. (2021). Effectiveness of presurgical orthodontics in cleft lip and palate patients with alveolar bone grafting: A systematic review. J Stomatol Oral Maxillofac Surg, 122(1), 13–17. doi: 10.1016/j.jormas.2020.07.010.
Manik, H. M., Putra, E., & Atifah. (2024). Analisis faktor-faktor penyebab penderita hidrosefalus. Jurnal Kesehatan Lentera Akademika, 6(2), 406–416.
Nugraha, D., Usman, M., Setiabudi, H., Fawzy, A., Al-Fahd, A., & Rahardjo, M. (2023). β-Tricalcium Phosphate as Alveolar Bone Grafting in Cleft Lip/Palate: A Systematic Review. Dentistry Journal, 11(234), 1–18. https://doi.org/10.3390/dj11090234
Pfaff, M. J., Nolan, I. T., Musavi, L., Bertrand, A. A., Alford, J., Krishna, V., Arowojolu, O. A., Zhu, X., & Lee, J. C. (2022). Perioperative Pain Management in Cleft Lip and Palate Surgery: A Systematic Review and Meta-Analysis of Randomized Controlled Studies. Plast Reconstr Surg, 150(1), 145e–156e. doi: 10.1097/PRS.0000000000009231.
Permana, K.R. (2018) ‘Hidrosefalus dan Tatalaksana Bedah Sarafnya’, Cdk-270, 45(11),
pp. 820–823.
Yousaf, M., Parlato, S. R., & Mallucci, C. L. (2018). Hydrocephalus. In P. D. Losty, et al. (Eds.), Rickham’s neonatal surgery (pp. 931–938).
Raybaud, C., & Krishnan, P. (2021). Hydrocephalus in Children: A Neuroradiological Perspective. Neurol India, 69(Suppl), S283–S291. doi: 10.4103/0028-3886.332282.
Slots, J., & Slots, V. (2024). Severe periodontitis and congenital cytomegalovirus: Cleft lip and cleft palate. Periodontol 2000, 96(1), 185–188. doi: 10.1111/prd.12606.
Wilkes, C., Graetz, M., Downie, L., Bethune, M., & Chong, D. (2023). Prenatal diagnosis of cleft lip and/or palate: What do we tell prospective parents? Prenat Diagn, 43(10), 1310–1319. doi: 10.1002/pd.6418.
Yousaf, M., Parlato, S. R., & Mallucci, C. L. (2018). Hydrocephalus. In P. D. Losty, et al. (Eds.), Rickham’s neonatal surgery (pp. 931–938).
Zaksaite, T., Loveday, C., Edginton, T., Spiers, H. J., & Smith, A. D. (2023). Hydrocephalus: A neuropsychological and theoretical primer. Cortex, 160, 67–99. doi: 10.1016/j.cortex.2023.01.001.
