Exam 1 Review (part 2) Flashcards

1
Q

What type of disease is hairy tongue?

A

Non-developmental

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2
Q

What are the characteristics of Hairy Tongue?

A
  • Hypertrophy of filiform papillae
  • Unknown etiology, predisposing factors:
    • Drus (antibiotics, H2O2), smoking, radiation therapy
  • Extrinsic staining
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3
Q

What is the treatment for Hairy Tongue?

A
  • Physical debridement
  • Chlorhexidine
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4
Q

Describe the characteristics of Varix (varicose vein), Varices.

A
  • Age-related, non-developmental
  • Superficial dilated veins
  • Most common in calf, anus,
    • Orally - ventral tongue
  • Color blanches with pressure (diascopy)
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5
Q

Why would you treat varix or varices?

A

Only for esthetics

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6
Q

What is a lingual thyroid nodule?

A

Thyroid gland develops from the thryoglossal tract which is an endodermal invagination starting in the base of the tongue (foramen cecum)

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7
Q

What are the characteristics of a lingual thyroid nodule?

A
  • Produces mass - posterior, mid-dorsal tongue
  • Ma not have thyroid gland in neck
  • Radioactive I given to image gland
  • May treat surgically or with thyroid replacement therapy (shrinks the mass)
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8
Q

What can be from lymphoid tissue? (lymphocytes, immune system)

A
  • Lingual Tonsils
  • Lymphoepithelial cysts
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9
Q

Where can lymphoid tonsils be found on the tongue?

A
  • More in posterior-lateral
  • Posterior dorsal surface
  • (bilateral symmetry)
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10
Q

Describe normal and hyperplastic lingual tonsils.

A
  • Normal - asymptomatic
  • Hyperplastic - often swollen and symptomatic, TREAT
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11
Q

What is lymphoid tissue that reacts and stimulates salivary ducts to proliferate producing a cyst or crypts around lymphoid tissue occlude?

A

Lymphoepithelial Cyst

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12
Q

Where are lymphoepithelial cysts located and how are they treated?

A
  • Location - Ventral tongue, FOM, soft palate,
    • Asymptomatic, small yellowish nodules
  • Treatment - Excision
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13
Q

What is often seen as an asymptomatic radioluceny, often corticated, below inferior alveolar canal and from angle to midbody of the ramus?

A

Stafne’s Bone Cavity

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14
Q

What is Stafne’s Bone Cavity?

A

A developmental lingual mandibular salivary gland depression

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15
Q

What is the most common of all the developmental cysts?

A

Incisive canal cyst

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16
Q

What is the incisive canal cyst from?

A
  • Cystic degeneration of nasopalatine ducts within the incisive canal
  • Any age, often asymptomatic
17
Q

What appears as a >6mm radiolucency anterior maxillary region, between roots of central incisors with vital teeth?

A

Incisive canal cyst - nasopalatine duct cyst

18
Q

What is the variant of incisive canal cyst?

A

Cyst of incisive papilla (outside bone)

19
Q

What is a developmental cyst resulting from entrapped epithelium when premaxilla fuses with maxilla?

A

Globulomaxillary Cyst

20
Q

Describe the Globulomaxillary Cyst.

A
  • Asymptomatic radiolucency between Max cuspid and laterial incisor
  • Most common lucency between lateral and cuspids - lateral radicular cyst
21
Q

What is a cyst from entrapped epithelium during palatal closure?

A

Medial Palatal Cyst

22
Q

How can you identify and treat a Median Palatal Cyst?

A
  • Radiolucency - midpalate with or without swelling
  • Surgical removal
23
Q

What cyst is from embryologic nasolacrimal duct producing upper lip cyst to right or left of midline?

A

Nasoalveolar Cyst (nasolabial cyst)

24
Q

Describe the nasoalveolar cyst and what’s the treatment?

A
  • Soft, fluctuant, elevates ala
  • 3/4 females, 10% bilateral
  • Surgical removal
25
Q

What are cysts from thyroglossal tract and that are always in the midline?

A

Thryoglossal duct (tract) cyst

26
Q

What is the cyst from entrapped salivary gland ducts in paraparotid lymph nodes?

A

Cervical lymphoepithelial Cysts

27
Q

What cyst is from branchial arch and pouch development?

A

Branchial Cleft Cysts

28
Q

What is the most common site for cervical lymphoepithelial cysts?

A

Md angle anterior to sternocleidomastoid muscle

Treated by surgical removal

29
Q

Which cyst is often in the midline and from entrapped epithelium during surface closure?

A

Epidermoid and Dermoid Cysts

30
Q

What’s the difference between an epidermoid and dermoid cyst?

A
  • Epidermoid
    • lined by stratified squamous epithelium (epidermis)
  • Dermoid
    • lined by stratefied squamous epithelium but with dermal appendages (sebaceous glands, sweat glands, hair follicles
31
Q
A