The flexibility rule of ten on cleft lip and palate patients on rural area

Cleft lip (CL) with or without cleft palate (CLP) or only cleft palate (CP) is a congenital abnormality in the facial area that is often encountered and occurs in facial growth since the embryo. Determination of the optimal operating time for cleft lip and or palate surgery can vary, depending on the decision of the surgical implementation team, the risk of anesthesia, comorbidities from congenital anomalies and the psychological influence of the patient's family. Rule of 10 is used as a reference for determining patients eligible for surgery, especially for improvement in cleft lip patients. This study aims to determine whether patients with criteria that do not meet the Rule of 10 can be ignored in preparation for labioplasty surgery. This study used a descriptive retrospective method by collecting patient surgery data at the Partner Hospital and Dental Hospital Airlangga University. Data collection on social cleft lip and palate patient data conducted by the Oral and Maxillofacial Surgery team in 2016 to 2018 obtained a total number of 242 patients, with 23 patients canceled and 219 patients successfully underwent surgery. The operation was carried out at the Oral and Maxillofacial Surgery Partner hospital at Universitas Airlangga, the Dental and Oral Hospital of Universitas Airlangga. The results showed that from 2016 to 2018 it was found that the distribution of actions in cleft lip and palate patients was associated with the rule of and over 10 obtained 191 actions (87.61%) out of 218 cleft lip and palate surgery according to the rule of and over 10. A total of 27 actions (12.38%) had a discrepancy in the rule of and over 10.