UNAIR NEWS – The girl named Tutik Handayani looked different from her friends. Tutik grew up with deformed face and she lost her sight. There were some clefts which make her face do not shape like a normal face. In medicine, the condition is known as facial cleft.
Facial cleft is an abnormality on congenital malformation of skull and face which includes gap on the face and grows into various shape. Congenital malformation incidence is 1 out of 33 births. Facial cleft itself covers facial area from mouth and nose to soft tissue and bones of chin, eyes, ears, forehead and to the hairline.
According to dr. Indri Lakshmi Putri, Sp.BP-RE (KKF) of the plastic surgery team in Universitas Airlangga (UNAIR) Hospital which handles Tutik cas, said that this facial cleft operation is a difficult case as the treatment was late. Tutik just had her first operation when she was already a teenager. It was performed in RS UNAIR on Thursday August 18. This facial cleft operation was the first one ever done in RS UNAIR.
The late treatment on Tutik case was because the family was not well informed and financial condition and also complicated by miscommunication when managing the health insurance. “The patient was troubled by their nescience and financial condition. Therefore, at the moment the patient has lost her sight due to late operation. Miscommunication when dealing with the health insurance delayed the operation even longer till now,” said dr. Putri.
The assumption of Tutik operation as cosmetic surgery complicated the medical aid process. Cosmetic surgery is a surgery performed from normal condition to supernormal condition, while to treat abnormality to be normal categorized as reconstructive surgery as Tutik case.
Beside losing her sight, some functions of other sense organs also grew abnormally. Her abnormal teeth growth limited her chewing ability. She could not also speak normally because of cleft on the palate so it disrupts the sound outage.
The first phase of the operation was done to close the gap in the face. The doctors in the team consist of anesthetic expert, plastic surgeon and ophthalmologist. The operation which lasted for eight hours was focused on treating the soft tissue around the eyelid and lips. The next phase will focus on closing the gap on the palate and the lip corner which will be adjusted with the result of the first phase operation. (*)
Author: Okky Putri Rahayu
Editor: Defrina Sukma S.