Peran Uvula bifida terhadap pertumbuhan dan perkembangan bicara anak
Article Sidebar
Main Article Content
Abstract
Background: uvula bifida is a congenital abnormality of the oral cavity that has the potential to cause disturbances in the swallowing process and speech disorders.
Case: a 4-year-old boy weighing 11kg came with the main complaints of difficulty gaining weight since the age of 1 year and unclear speech. History of frequent choking and difficulty finishing his food portions. Frequent illnesses such as cough and cold. Evaluation of possible tuberculosis and UTI was done and the results were negative. Physical examination found uvula bifida degree 1 and other examinations within normal limits. Conservative management in the form of education on how to feed little but often, chew slowly, liquid food consistency and avoid spicy foods. Avoid talking while eating and supplementation of Fe, Zinc and multivitamins. Parents are expected to always correct unclear speech, regulate breathing when talking and eliminate habits that make children afraid, such as loud voices, scolding. At the next visit, there was a significant improvement in the child's weight and speech.
Conclusion: in cases of malnutrition, it is necessary to look for problems with food intake and expenditure, one of which is often overlooked is oral cavity abnormalities such as uvula bifida. Conservative therapy is performed on grade 1 uvula bifida.
Article Details
References
Achalli, S., Bhat, S., Shetty, S. R., Babu, S. G., & Suvarna, R. (2012). Deformities of the Uvula in the Oral Cavity-A Case Series. In Iranian Red Crescent Medical Journal Iran Red Crescent Med J (Vol. 14, Issue 10). www.ircmj.com
Daisy, L., Surraj, S., Mrudula, C., & Sushma, P. R. (2021). Architecture of the Musculus Uvulae- A Review. JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH. https://doi.org/10.7860/jcdr/2021/50027.15105
Grootens-Wiegers, P., Hein, I. M., van den Broek, J. M., & de Vries, M. C. (2017). Medical decision-making in children and adolescents: Developmental and neuroscientific aspects. In BMC Pediatrics (Vol. 17, Issue 1). BioMed Central Ltd. https://doi.org/10.1186/s12887-017-0869-x
Hanny, K. H., de Vries, I. A. C., Haverkamp, S. J., Oomen, K. P. Q., Penris, W. M., Eijkemans, M. J. C., Kon, M., Mink van der Molen, A. B., & Breugem, C. C. (2016). Late detection of cleft palate. European Journal of Pediatrics, 175(1), 71–80. https://doi.org/10.1007/s00431-015-2590-9
Helwany, M., & Rathee, M. (n.d.). Anatomy, Head and Neck, Palate.
Hernandez, M., George, A., & Ganti, L. (2021). A rare case of a bifurcated uvula in a 20-year-old. In BMJ Case Reports (Vol. 14, Issue 3). BMJ Publishing Group. https://doi.org/10.1136/bcr-2020-239617
John, C. C., Black, M. M., & Nelson, C. A. (2017). Neurodevelopment: The impact of nutrition and inflammation during early to middle childhood in low-resource settings. In Pediatrics (Vol. 139, pp. S59–S71). American Academy of Pediatrics. https://doi.org/10.1542/peds.2016-2828H
Khasbage, S. (2017). Bifid Uvula in three members of a family. International Journal of Oral and Craniofacial Science, 3(2), 017–019. https://doi.org/10.17352/2455-4634.000027
Kinnebrew, M. C., & Mctigue, D. J. (n.d.). Submucous (:left palate: review and two clinical reports Diagnosis of Submucous Cleft Palate: Historical and Clinical Factors.
Martelli, D. R. B., Machado, R. A., Swerts, M. S. O., Rodrigues, L. A. M., de Aquino, S. N., & Martelli Júnior, H. (2012). Non sindromic cleft lip and palate: Relationship between sex and clinical extension. Brazilian Journal of Otorhinolaryngology, 78(5), 116–120. https://doi.org/10.5935/1808-8694.20120018
Matsuo, K., & Palmer, J. B. (2008a). Anatomy and Physiology of Feeding and Swallowing: Normal and Abnormal. In Physical Medicine and Rehabilitation Clinics of North America (Vol. 19, Issue 4, pp. 691–707). https://doi.org/10.1016/j.pmr.2008.06.001
Matsuo, K., & Palmer, J. B. (2008b). Anatomy and Physiology of Feeding and Swallowing: Normal and Abnormal. In Physical Medicine and Rehabilitation Clinics of North America (Vol. 19, Issue 4, pp. 691–707). https://doi.org/10.1016/j.pmr.2008.06.001
Prasad, P., Khalil, E., Desai, V. B., Varma, S. R., Gunasekaran, L., Kumar, K., & Pradeep, S. (2023). Bifid uvula-An enigma. Journal of Pharmacy and Bioallied Sciences, 15(5), S806–S809. https://doi.org/10.4103/jpbs.jpbs_464_22
Raut, M. S., & Maheshwari, A. (2013). Abnormal CVP waveform. In Saudi Journal of Anaesthesia (Vol. 7, Issue 4, p. 482). https://doi.org/10.4103/1658-354X.121060
Roberts, J. E., Rosenfeld, R. M., & Zeisel, S. A. (2004). Otitis media and speech and language: a meta-analysis of prospective studies. Pediatrics, 113(3 Pt 1). https://doi.org/10.1542/peds.113.3.e238
Sales, S. A. G., Santos, M. L., Machado, R. A., Dias, V. O., Nascimento, J. E., Swerts, M. S. O., Júnior, H. M., & Martelli, D. R. B. (2018). Incidence of bifid uvula and its relationship to submucous cleft palate and a family history of oral cleft in the Brazilian population. Brazilian Journal of Otorhinolaryngology, 84(6), 687–690. https://doi.org/10.1016/j.bjorl.2017.08.004
Wilujeng, A. P., Indriani, N., Trianita, D., Munif, B., Yanuar, A., Putri, N. S., & Mawarni, E. E. (2022). Determinants of Infant Growth and Development Based on the Health Promotion Model. Open Access Macedonian Journal of Medical Sciences, 10(G), 325–329. https://doi.org/10.3889/oamjms.2022.7508
Zang, W. (2023). 329 Zang W. The Uvula and Palatine Tonsil: Structure, Function, and Clinical Implications. Review Int J Anat Var, 16(6), 329–330. https://doi.org/10.37532/1308-4038.16(6).277