cleft lip/palate, terms, classifications ect
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| autograft | graft from our own body
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| cheiloplasty | surgical repair of lip
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| cheilorhinoplasty | surgical repair of lip and nose
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| obturator | prosthesis to close cleft of hard palate
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| orthognathic surgery | surgical repositioning of maxilla/mandible
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| palatoplasty | plastic surgery of palate
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| premaxilla | anterior part of maxilla that contains incisors (bilateral cleft lip separates this from maxilla)
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| prosthesis | artificial replacement of an absent part of body
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| rhinoplasty | plastic surgery of nose
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| speech aid prosthesis | assists with palatopharyngeal closure
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| tracheostomy | creation of opening into trachea with tube insertion
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| velum | covering structure (veil)
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| velum palatinum | soft palate
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| class 1 | cleft of tip of uvula
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| class 2 | cleft of uvula (bifid uvula)
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| class 3 | cleft of soft palate
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| class 4 | cleft of soft and hard palate
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| class 5 | cleft of soft and hard palate continues through alveolar ridge on one side of premaxilla (cleft lip, same side)
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| class 6 | cleft of soft and hard palate continues through alveolar ridge on both side of premaxilla (bilateral cleft lip)
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| class 7 | submucous cleft (palate short, uvula bifid, groove at midline of soft palate, closure to phraynx incomplete)
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| 1st trimester | fusion failure
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| 4-7th week | lip formation
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| 8-12th week | palate formation
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| end of 2nd month | cleft lip
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| end of 3rd month | cleft palate
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| cleft lip statistics | 1:900, asians+native americans, Males, 85% unilateral, 15% bilateral
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| cleft palate statistics | 1:250, asians + native american, 30% without lip invovlement
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| pierre robin's syndrome | combo of cleft palate, micrognathia, retropnathia of mandible and glossoptosis= respiratory difficulty
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| cleft lip treatment | surgical union made at ~10wks or ~10lbs
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| cleft palate treatment | close palate occur 18mths or earlier
goals: produce anatomic closure, maximize max. growth/development, acheieve normal funct./speech, relieve airway/breathing problems, establish dental aesthetics/functional occlusion
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| sources of autogenous grafts | ribs, iliac crest, fistulae, skull, mandible
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| why would post surgery arm restraints be nessecary | may be required to prevent accidental damage to surgical area
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