3plastic Surgery - Pedia Flashcards
Defined as all tissue anterior to the incisive foramen
Prmary palate
Bridge of tissue connecting central and lateral lip element
Simonarts band
Process to Stage for the surg repair of lip and nose
Presurgical infant orthoped
Done with PISO?
Nam - nasoalveolar molding
Process of unilat cleft lip repair
Philtral subunit recons
Most commonly used procedure for unilat cleft lip repair?
Rotation-advancement
Prinary closure of cleft at time of primary lip and nose repair
Gingivoperiosteoplasty
Goal of operation in unilateral
Level cupids bow
Called as flyaway premaxilla
Prolabium contaninf maxilla incomplete bilateral
How many % of cleft palate are assoc w 22q deletion?
8-10%
Cleft palat results in this affecting normal speexh
Velopharyngeal incompetence
Oldest technique in use. Incision in medial to alverolar ridge
Von langenback
Advanced in v to y fashion
Vaeu wardill kilner
To realign levator musculature
Furlow palatoplasty
Chance of clefting when parent has cleft
4%
Father of craniofacial surg
Paul tessler
Number of facial clefts
0-7
Represent bilateral 6-7-8 clefts
Treacher collins / mandibulofacial dysos
Hypoplasia of hemimandible and maxillas results in
Dental malocclusion
Mandibular deformity stages of tx?
Growth - distraction osteogenesis
Maturity - orthognathia
0-14 clefting
Orbital hypertelorism
Premature fusion of sutures
Craniosynostosis
Main manifestation of craniosynostosis
Abnormal head shape
Tx for uni and bilat synostosis
Frontoorbital remodelling
Exemplified by treacher collins abd hemifacial microsomia
Laterofacial micros
Most common craniofacial anomaly
Hemifacial microsomia
Classic deformity of HM affects what?
Mandible
Stage 2 for HM tx?
Orthodonthics!!
Ear recons
Example of comple synostosis
Crouzon
Aperts
Syntosis with small unusual ears
Saethre chotzen syndrome
Twisted craniosyntosis
Plagiocephaly
Midline keel of forehead craniosyntosis
Trigonocephaly
Tx for pierre robin sequence?
Tongue lip adhesion
Has glossiptosis
Pierre robin sequence
Progressive hemifacial atrophy
Parry romberg syndrome
Tx for parry romberg syn?
Fat grafting lang (delayed 1yr after stop of atrophy)
VM vs hemangioma?
Present at birth?
Female
Bone affected
vm
Hemangioma
Vm
By age 7 hemangiomas involute by?
70%
Dark blue color hemangioma
Deep
Aka portwine stain
Capillary malf