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Bone Anatomy
Cleft Exam 1
Term | Definition |
---|---|
Where is cranio? | Above the orbits |
Where is facial? | Below the Orbits |
Cleft Plate is always _________ | Congenital |
Congenital | Happens during development in utero |
Nasal Tip | Tip of the nose |
Alar Base | Where alar rim connects to face |
Alar Rim | The outside curved edges of the nose |
Columella | Connects base of nose to tip (skin in middle of nose) |
Philtral ridges | Bumps above lips on either side of the philtrum |
Philtrum | Groove in columella (middle of upper lip indent) |
Cupid's bow | Top of upper lip, the little smile of the lip |
What part of the face is near impossible to reconstruct during cleft palate surgery? | Philtrum, often flat on repair |
What muscle is disrupted during surgery and put back together? | Obicularis oris |
Uvula | Only the ending tip of the soft palate |
Superior Labial frenulum | Portion of the upper lip that connects the lip to the maxilla |
Obicularis oris | Muscle around the lips |
Glossopharyngeal Arch | First arch when you look in the mouth, end of hard palate and where uvula hangs |
Pharyngopalatine Arch | Second arch in mouth, soft palate |
Inferior Labial Frenulum | Piece of skin connects mandible to lower lip |
Andloglossia | Clipping of lingual frenulum, could affect alveolar sounds and babies ability to latch |
Removal of what can lead to resonance issues? | Tonsils and adenoids |
Why can removal of adenoids affect resonance? | They are important for velopharyngeal closure |
3 bones that make up the Nasal Septum | 1. Perpendicular Plate of the ethmodial bones 2. Septial cartilage 3. Vomer bone |
What is the bone you can see when a patient has an interoral cleft? | Vomer bone |
Nasal Crest | Back of hard palate, above the palatine bone |
What bone is the end of hard palate? | Palatine Bone |
Palatine Bone | Comes to point, ends hard palate |
Premaxilla | Portion of hard palate that is in front of incisive foramen |
Incisive foramen | Little hole in hard palate for blood vessels and nerves to innervate |
Palatine processes | Right and left, make up majority of hard palate, behind incisive foramen but in front of palatine bone |
Median Palatine Suture | Divides left and right palatine processes of the maxilla, runs vertically |
Does Palatine Bone make up the entire hard palate? | No |
Transitive Palatine Suture | Divides the posterior nasal spine and the left and right palatine processes of the maxilla |
Posterior nasal spine | Pointy palatine bone that ends the hard palate |
What happens if the left and right palatine processes do not come together during development in utero? | Cleft palate occurs |
Nasopharynx | Base of the skull to soft palate, aka velophayrnx |
Orophayrnx | Soft palate to hyoid bone |
Laryngeophayrnx | Hyoid bone to vocal folds |
Velopharyngeal port (VP port) | Gap between velum and posterior pharyngeal wall |
When are you more likely to see the adenoids on fluro? | When dealing with kids |
Why do you not normally see adenoids in adults? | Get them out or they are reabsorbed into the PPW as grow |
What happens after kids adenoids are removed? | Sometimes velum doesn't close against PPW, hypernasality, usually fixes self |
When should a patient pursue surgery for a deficit? | When issue is due to anatomy |
When should a patient pursue therapy for a deficit? | When issue is due to functionality |
Velar Knee | Assits in velopharyngeal closure, the top curved portion of the velum |