Interdisciplinary Evaluation and Treatments in Individuals with Cleft Lip and Palate

.: PREFACE
ÖN SÖZ
PREFACE
Prof. Dr. Elçin ESENLİK
Akdeniz Üniversitesi Diş Hekimliği Fakültesi, Ortodonti AD, Antalya, Türkiye
Article Language: TR
Dudak damak yarıkları ve diğer konjenital anomalilerin tedavisi; hem hastalar hem de tedavi edenler açısından diğer hastalardan farklı olarak uzun ve zorlu bir maratondur. Zorlu aşamalar hem uzun sürmekte, hem geriye hızla dönebilmekte ve uzun ve sıkı takipler gerektirmektedir. Herşeyden önce bu hastaları tedavi eden tüm sağlık çalışanlarının gönüllülük esasına göre çalıştıklarının bilinmesinde fayda vardır. Yani bu işle ilgilenen herkesin bu konuya ve hastaların iyiliğine adanmışlığı söz konusudur. Bu maratona dâhil olmam, henüz asistanlığım sırasında Ankara Üniversitesi Diş Hekimliği Fakültesi öğretim üyeleri Prof. Dr. Erhan Özdiler ve Prof. Dr. Okan Akçam ve Gazi Üniversitesi Tıp Fakültesi, Plastik Cerrahi öğretim üyesi Prof. Dr. Ayşe Gülşen ile uzun yıllar önce başlamış, öğretim üyeliğimde de devam etmiştir. Dudak damak yarıkları üzerine olan ilk yayınımı Dr. Akçam ile 2000 yılında yaptığımda çok büyük bir heyecan duymuştum... Hayatını dudak damak yarıklı çocuklara adayan İstanbul Üniversitesi Diş Hekimliği Fakültesi emekli öğretim üyesi Prof. Dr. Elif Erbay'ın da yakın destekleri ve samimi dostluğu ve bu konuyla ilgilenen yakın arkadaşlarımın da desteği ve takdiri beni her zaman motive etmiştir. Uluslararası alanda ise Dr. Ralph Latham ve Dr. John Spolyar'ın hem teorik hem de uygulamada eğitimime kattıkları bana ilham olmuş ve Latham ve NAM apareylerinde farklı modifikasyonlar geliştirmeme sebep olmuştur. Şanslıyız ki Dr. Latham'ın vefatından önceki son uluslararası toplantıya katılımı da Türkiye'de Isparta'da olmuştur. Daha sonra Dr. Barry Grayson ve Dr. Roberto Flores, ile Amerika'da çalışmam bana eşsiz deneyimler katmıştır. Sadece hasta tedavisi ile değil, hayata ve sanata bakış açımda da önemli etkileri olmuştur. Böylece her hastaya özel aparey tasarlama ve her birinin avantaj ve dezavantajlarını keşfetme tecrübesine sahip olmamı sağlamışlardır. Her gittiğim kongrede hâlâ yeni şeyler öğrenmekteyim... Bu katkıları sadece tarafıma değil, yetiştirdiğim asistanlara da yansımış ve birçok uzman, tarafımdan bu konuda yetiştirilmiştir. Zamanla biriken tecrübelerimi ise hem yurt içinde hem yurt dışında paylaşmak, ihtiyacı olan insanlara yardım eli uzatmak, genç doktorlara fikir vermek ve bu konuyu aşılamak ve sevdirmek manevi olarak en güzel duygulardan biri olmuştur benim için. Bir hekim olarak en güzel ödül, hastaların hayatlarına önemli bir dokunuş yapmak ve yaşam kalitelerinin her açıdan değiştiğini görmektir herhalde. Hastaların sizin için güzel dileklerde bulunması, içten bir teşekkür ve sizi kucaklaması dünyalara bedeldir...

Bu kitabımızda dudak damak yarıklarıyla ilgili farklı disiplinlerden konulara yer verilmiş ve özet bilgiler sunulmaya çalışılmıştır. Başta, bu kitaba katkıda bulunan yazarlar olmak üzere ülkemizde bu işe gönlünü vermiş tüm sağlık çalışanlarına sonsuz teşekkürlerimi sunarım...

Prof. Dr. Elçin ESENLİK
Editör
Akdeniz Üniversitesi Diş Hekimliği Fakültesi, Ortodonti AD, Antalya, Türkiye
The treatment of cleft lip and palate and other congenital anomalies is a long and challenging marathon for both patients and those who treat them, unlike other patients. The difficult stages are both long-lasting, can be reversed quickly, and require long and strict follow-ups. First of all, it is useful to know that all healthcare professionals who treat these patients work on a voluntary basis. In other words, everyone involved in this work is dedicated to this issue and the well-being of the patients. My involvement in this marathon began many years ago during my assistantship with Ankara University Faculty of Dentistry, faculty members Prof. Dr. Erhan Özdiler and Prof. Dr. Okan Akçam and Gazi University Faculty of Medicine, Plastic Surgery faculty member Prof. Dr. Ayşe Gülşen, and continued during my academic life. I was very excited when I published my first publication on cleft lip and palate with Dr. Akçam in 2000... The sincere support and friendship of Prof. Dr. Elif Erbay, a retired faculty member of İstanbul University Faculty of Dentistry who devoted her life to children with cleft lip and palate, and the support and appreciation of my close friends who are interested in this subject have always motivated me. In the international arena, the contributions of Dr. Ralph Latham and Dr. John Spolyar to my education both theoretically and practically inspired me and led me to develop different modifications in Latham and NAM appliances. We are lucky that Dr. Latham attended the last international meeting before his death in Isparta, Turkey. Later, working with Dr. Barry Grayson and Dr. Roberto Flores in the USA gave me unique experiences. They had significant effects not only on patient treatment but also on my perspective on life and art. This has enabled me to have the experience of designing a special appliance for each patient and discovering the advantages and disadvantages of each. I continue to learn new things at every congress I attend... These contributions have not only been reflected on me, but also on the assistants I have trained, and many specialists have been trained by me on this subject. Sharing the experiences I have gained over time, both domestically and abroad, lending a helping hand to people in need, giving ideas to young doctors, and instilling and endearing this subject has been one of the most beautiful feelings for me spiritually. As a physician, the best reward is probably making a significant impact on the lives of patients and seeing their quality of life change in every way. The good wishes of patients for you, their sincere thanks and their embrace of you mean the world to me...

In this book, topics from different disciplines related to cleft lip and palate have been included and summary information has been presented. First of all, I would like to express my endless gratitude to the authors who contributed to this book and to all the healthcare professionals in our country who have devoted themselves to this work...

Prof. Dr. Elçin ESENLİK
Editor
Akdeniz University Faculty of Dentistry, Department of Orthodontics, Antalya, Türkiye

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