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Ibadurahman Ibadurahman
Gentur Sudjatmiko


Background: The  “rule  of  tens”  (ROT)  is still  widely  applied nowadays  in  many cleft centers worldwide for cleft lip surgery, although many surgeons do not implement it as a  standard ru Recent advances in  the field of anesthesiology  have  enhanced the  safety  of surgery for neonates. In Indonesia, ROT is still applied but is still flexible,  due  to some  pertaining  social  confiicts.  The relevance of ROT to  the  rate  of  mortality and morbidity is still unknown. This study aims to assess the need of using ROT in cleft lip surgeries.
Methods: A  retrospective study  was conducted. Data  was obtained from  the  medical  records of patients who  had undergone  cleft lip repair  between  January 2004  to December  2005  in  one  day  care  setting.  All data  related  to  ROT  parameters  was  categorized  in  two  groups,  either fit  or  unfit  according  to  ROT criterias. The relationship of ROT to rate of associated morbidity and mortality was evaluated.
Results: There  were  204  cases of cleft lip repair  with  age  range  of  6-week  to  12-year  old.  More  than  half (52.9%) was  unfit for ROT. There  were  twelve cases of wound dehiscence  and one  total  breakdown of the sutures, and no mortality. There were no statistically significant correlation ce between ROT and the rate of dehiscence.
Conclusion: ROT is not a definitive criterion that could predict the success of cleft lip repair surgery.


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Ibadurahman I, Sudjatmiko G. Is The ‘Rule of Tens’ a Necessary Screening Criteria in Cleft Lip Surgeries. J Plast Rekons [Internet]. 1 [cited 2020Jul.14];1(6). Available from: