TELEHEALTH PROGRAM

The digital era have great influence on the health field, today the growth of telehealth, or telemedicine, continues to expand across the country.

TeleHealth is a unique video conferencing networkconsultations to medical education to staff training, teleHealth provides fulfill a variety of health care, education and business needs.

Today, the comunication is no longer difficult with the technology, especially in the remote area. However, it might be most useful to those residents where it will be most problematic for this technology to reach a– the small rural, distant community.

Access to traditional health service can be limited in these communities because of the cost and difficulty of travel. Yet these same communities also have, potentially, the most difficulty with telecommunication infrastructure.

This is especially true if telehealth technology must be supported with more bandwidth than is currently available in the community. The other problem in public is some of the telehealth equipment has not been easy to use.

It has taken special operating skills, which need to be learned, and these skills continue to change as new hardware and software are introduced. Sufficient training has not been provided before the telehealth application was introduced.

The equipment has not been reliable. An equipment breakdown or a computer glitch occurs and easy and timely service repair is not available. The telecommunications link is slow or unreliable resulting in the view that it is a chore to establish and maintain a current communication link to the consultation service.

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Cleft Course

Padjajaran University Department Oral and Maxillofacial Surgery, Indonesian Oral and Maxillofacial Surgeon (PABMI) and International Oral and Maxillofacial Surgeon Association (IAOMS) announces Workshop on Surgical Techniques in Cleft Lip and Palate.

The Workshop will be held in Bandung, Indonesia August 27-31,2007

Keynote speaker :
Prof. Peter Ward Booth,
Consultant Maxillofacial and Cleft Surgeon
Department of Oral and Maxillofacial Surgery,
Queen Victoria Hospital,
East Grinstead, West Sussex,
UK

This workshop is intended for Oral and Maxillofacial Surgeons, General Surgeons and Plastic Surgeons with an interesst in the management of cleft and facial deformity patients

NO WORKSHOP FEE REQUIRED
Lunch and Coffee break U$ 180

For further information please contact : Asri Arumsari DDS. OMFS
Email: asriarumsari@yahoo.com

Primary Cleft Closure in Indonesia

Cleft lip and palate are the most common congenital anomalies in Indonesia. Nearly one to 600-700 babies born with these anomalies. In Indonesia every year born 5500-6500 new babies with cleft. The treatment we do usually only primary closure for lip and palate.

We do this procedure in the centre of OMFS and charity or public service program in Indonesia, these cases usualy affect the lower level people.

In the centre we start the treatment on 7 days old babies with feeding plate, 3 months old for lip repair, 18-24 months old for palate repair, 11-13 years old for ABGA (Alveolar Bone GraftAugmentation) and 18 years old for Orthognatic Surgery (if necessary). In the charity program we just do the primary closure for lip and palate and the patient usualy come in various ages.

We start this procedure usually 10-12 weeks old babies. We use Tenisson triangular flap technique for Unilateral Cleft closure with modification of Dr. Noordhof technique for nasal reconstruction, this procedure is easy to learn, the point marker are obvious and can be utilized on the several of wide cleft.

Some of the patients are teenager, sometimes we do the surgery under local anesthesia for cooperative patients. For bilateral cleft closure we use Veau III straight-line closure and we do both side on one procedure. We also do management of the muscle to repair the muscle.

For the over protrusive premaxilla, we do reposition by fracturing the premaxilla bone in front of the sutura, reduce the protusive and fix it with small wire on the same procedure with lip repair.

The palate repair start on 18-24 months old. The repair for hard palate and soft palate are done in one procedure. We used push back technique and combine with Z-plasty for lengthening the soft palate.