Developmental Defects TEST #1 Flashcards
What forms the upper lip?
-Medial nasal processes merging with each other as well as the maxillary processes
What forms the primary palate?
-Merger of the medial nasal process
What forms the secondary palate?
-Maxillary processes
What is cleft lip?
-Defective fusion of the medial nasal process with the maxillary processes
T/F Most cases of cleft lift are bilateral
False
-Most are unilateral
What is the treatment of cleft LIP?
-Rule of 10s (10 weeks, 10 lbs, 10% HM)
What causes cleft palate?
-Failure of the palatal shelves to fuse
When thinking of CL and CP what is the most common and least common in developmental cases?
- CL and CP are most common
- CP (30%)
- CL (25%)
What is the most common CL and CP in syndromic cases?
-Cleft Palate Only
What is the most common syndromic orofacial cleft ?
-Vander Woude Syndrome
What do you see with Pierre Robin sequence?
- CP
- Mandibular micrognathia
- Glossoptosis
What causes a lateral facial cleft?
-Failure of fusion of maxillary and mandibular processes
In what ethnicity are you most likely to see orofacial clefting?
- Native Americans
- Asians
- Caucasians
- African Americans
What is a submucous palatal cleft?
-Minimal appearance of a cleft palate
What is a minimal manifestation of cleft palate?
-Bifid uvula
What syndrome are paramedian pits associated with?
-Van der Woude syndrome
What do you find in van der woude syndrome?
- Paramedian lip pits
- Cl + CP
- Autosomal Dominant
What is involved in Ascher syndrome?
- Double lip
- Blepharochalasis
- Nontoxic thyroid enlargement
What syndrome has paramedian lip pits, CL + CP, and Autosomal dominant?
-Van der woude syndrome
What syndrome presents with Double lip, blepharochalasis, nontoxic thyroid enlargement?
-Ascher syndrome
Where does double lip occur more commonly?
-upper lip
What is a fordyce granules?
-Ectopic sebaceous glands
Where is the most common location of fordyce granules?
-Buccal mucosa
What population of of people to fordyce granules occur most commonly in?
-Adults
What do fordyce granules clinically appear as?
–Yellow or yellow-white papular lesions
What are ectopic sebaceous glands known as?
-Fordyce granules
What population do you see leukoedema mostly in?
-African Americans
What does a leukoedema clinically appear as?
-Diffuse, gray-white, milky, opalescent lesion found bilaterally on buccal mucosa
What is the test to see if it is leukoedema?
-Stretch the cheek and if it disappears then it is leukoedema
What is small tongue known as?
-Microglossia
What is it known as if the tongue is missing?
-Aglossia
T/F Microglossia is usually syndromic
True
What are the most frequent reasons of having macroglossia?
- Vascular malformations
- Muscular hypertrophy
- Tumors
Who does macroglossia most commonly occur in?
-Children
What syndrome is macroglossia associated with?
-Beckwith-Wiedmann syndrome (Increased risk for childhood tumors)
What is the treatment for ankylogossia?
-Frenotomy
How do you diagnose lingual thryoid?
-Technetium -99
Where do you find a lingual thyroid?
-Foramen cecum on the tongue
What are other terms for geographic tongue?
- Benign migratory glossitis
- Erythema migrans (when not on the tongue)
T/F Geographic tongue is a common inflammatory condition
True
Who does geographic tongue occur more commonly in?
-Females
What is the soft tissue version of a geographic tongue known as?
-Erythema migrans (doesn’t appear as a complete circle)
T/F Geographic tongue is usually asymptomatic
True
What is thickened filiform papilla on the dorsal surface of the tongue known as?
-Hairy Tongue
If individuals have a white dorsal tongue without hairlike filiform projections what is that termed as?
-Coated tongue
How do you treat Hairy tongue?
- Tongue brushing
- Scraping with OHI
What are superficial dilated veins known as?
-Varicosities
What is the most common type of oral varicosity?
-Sublingual varix
T/F Varicosities are symptomatic
False
-Asymptomatic
What is a phlebolith?
-Calcified varicies
What is a superficial artery known as?
-Caliber persistent artery
Where do you commonly find caliber persistent artery?
-Lip mucosa
What is the unique feature of a caliber persistent artery?
-Pulsation
T/F Unilateral coronoid hyperplasia is more common
False
-Bilateral
How do you know what side is affected by coronoid hyperplasia?
- Mandible Moves toward the affected side
How do you know what side is affected by condylar hyperplasia?
-Mandible deviates towards the opposite side
What are localized bony protuberances known as?
-Exostoses
Where do you find palatal exostoses?
-Lateral surfaces of the palate
Where do you find torus palatinus?
-Midline of hard palate
Where do you find torus mandibularis?
-Bilaterally on the mandible on the lingual side
When do you treat tori?
- Trauma
- Dentures
What is a Stafne defect?
-Lingual mandibular salivary gland depression (Below the Mandibular canal (IAN))
What is eagles syndrome?
- Calcified stylohyoid ligament
- Styloid process is a slender bony projection that originates from the inferior aspect of the temporal bone