Facial Growth Flashcards

1
Q

What is a suture ?

A

Specialised fibrous joints situated between intramembranous bone with band of connective tissue which has osteogenic cells in centre and the most peripheral cells provide new bone growth.

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2
Q

What stimulates growth at sutures ?

A

Areas of tension in response to growing structures separating the bone i.e. growth of calvarium in response to development of the brain.

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3
Q

Where are synchondroses located in the skull ?

A

Between ethmoid, sphenoid and occipital bones.

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4
Q

What are the 3 sites of facial growth ?

A

Sutures, synchondroses, surface deposition.

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5
Q

What are synchondroses ?

A

Cartilage-growth centre with growth occurring in both directions, bones either side are moved apart as growth takes place.

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6
Q

What does drift (or cortical drift) mean in relation to surface deposition ?

A

Change in position of bone due to remodelling.

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7
Q

Up until what age, does the cranial vault continue to expand in response to growing brain ?

A

7 years old.

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8
Q

Between what ages does greatest growth in the cranial vault occur ?

A

Within first 3 years.

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9
Q

What does pneumatisation mean ?

A

Continued growth of forehead to accommodate expanding air sinuses.

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10
Q

Where do fontanelles exist ?

A

Where more than 2 bones meet.

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11
Q

When should all fontanelles close by ?

A

18 months.

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12
Q

What allows radial expansion ?

A

Deposition and resorption on outer and inner surfaces.

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13
Q

What are the two ways growth occurs in cranial base ?

A

Endochondral ossification and surface remodelling.

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14
Q

When does sphenoid-ethmoidal synchondrosis fuse ?

A

7 years old.

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15
Q

When does sphenoid-occipital synchondrosis fuse ?

A

13-15 years old.

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