Cleft Lip/Palate Flashcards

1
Q

Cleft lip is more common in what gender?

A

Boys

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2
Q

Isolated cleft palate is more common in what gender?

A

Girls

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3
Q

What side is it more common to see a cleft?

A

Left

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4
Q

What fraction of clefts are unilateral?

A

3/4

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5
Q

Embryologically, this moves down so that the palatine shelves can come together horizontally.

A

Tongue

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6
Q

Failure of the tongue to descend can cause this.

A

Cleft palate.

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7
Q

A second child with a cleft parent has what % chance of having a cleft?

A

15

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8
Q

Familial role of cleft palate in what percent of cases?

A

20-30%

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9
Q

Most common environmental cause of cleft palate.

A

Alcohol use while pregnant.

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10
Q

Most clefts are secondary to what?

A

Environmental exposure, and NOT because of genetics.

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11
Q

An environmental exposure at or before this period causes clefts.

A

6 weeks

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12
Q

Environmental causes of clefts.

A
  • Drugs (corticosteroids and alcohol)
  • Nutritional deficiencies
  • Radiation
  • Hypoxia
  • Viral infection
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13
Q

Cleft babies often grow to have scarring on the maxilla, which causes this Angle malocclusion.

A

Type 3

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14
Q

Dental problems associated with clefts.

A
  • Congenitally missing lateral or cuspid.
  • Supernumerary teeth.
  • Morphogenic dental problems.
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15
Q

Ear problems develop in cleft patients bc of this.

A
  • Levator and tensor veli palatini muscles don’t form properly.
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16
Q

Problems associated with clefts.

A
  • Nasal deformity.
  • Feeding difficulties.
  • Ear problems
  • Speech problems.
17
Q

Cleft babies have trouble eating bc they can’t form this pressure in their mouth.

A

Negative pressure

18
Q

Used to help cleft patients eat.

A

Haberman feeder

19
Q

Velopharyngeal insufficiency causes this kind of speech in cleft patients.

A

Hypernasal

20
Q

These sounds are improper in cleft patients.

A

Consonant

21
Q

When are cleft lips repaired?

A

“Rule of 10”

  • 10 weeks old
  • 10 lbs
  • 10 g Hb/ deciliter of blood
22
Q

At what age is the palate fixed?

A

18-24 months

23
Q

At what age is primary bone grafting done?

A

8-12 months old

24
Q

Source of bone graft in primary bone grafting?

A

Rib

25
Q

What does primary bone grafting prevent?

A

Maxillary arch collapse

26
Q

A boneless bone graft.

A

Periosteoplasty

27
Q

This may be done at the time of lip closure.

A

Periosteoplasty.

28
Q

Secondary bone grafting is done at what age?

A

6-15 years old

29
Q

Secondary bone grafting provides bone for what?

A

The dentition

30
Q

This bone grafting PREVENTS maxillary arch collapse.

A

Priamry

31
Q

This bone grafting DOES NOT prevent maxillary arch collapse.

A

Secondary

32
Q

This bone grafting provides continuity of the alveolar ridge.

A

Secondary

33
Q

Want to place the secondary bone graft before what?

A

Permanent adjacent teeth erupt.

34
Q

How much root formation do you want the permanent adjacent teeth to have when you do the seconadry bone graft?

A

1.3-1/2 root formation

35
Q

Donor site of secondary bone graft.

A
  • Iliac crest
  • Cranial bone
  • Mandibular symphysis
  • Allogeneic bone
  • Fresh autogenous bone
36
Q

This bone graft material is the most successful at the recipient site.

A

Fresh autogenous particulate cancellous

37
Q

When is correction surgery performed?

A

Skeletal maturity

38
Q

Skeletal maturity for females

A

14-16 years old

39
Q

Skeletal maturity for males.

A

16-18 years old