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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 |