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Cleft Lip And Cleft Palate
A cleft lip contains an opening in the upper lip that may extend into the nose. The opening may be on one side, both sides, or in the middle. A cleft palate occurs when the palate (the roof of the mouth) contains an opening into the nose. The term orofacial cleft refers to either condition or to both occurring together. These disorders can result in feeding problems, speech problems, hearing problems, and frequent ear infections. Less than half the time the condition is associated with other disorders. Cleft lip and palate are the result of tissues of the face not joining properly during development. As such, they are a type of birth defect. The cause is unknown in most cases. Risk factors include smoking during pregnancy, diabetes, obesity, an older mother, and certain medications (such as some used to treat seizures). Cleft lip and cleft palate can often be diagnosed during pregnancy with an ultrasound exam. A cleft lip or palate can be successfully treated with surgery ...
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Oral And Maxillofacial Surgery
Oral and maxillofacial surgery (OMFS) is a surgical specialty focusing on reconstructive surgery of the face, facial trauma surgery, the Human mouth, mouth, Human head, head and neck, and jaws, as well as facial plastic surgery including cleft lip and cleft palate surgery. Specialty An oral and maxillofacial surgeon is a specialist surgery, surgeon who treats the entire Craniofacial, craniomaxillofacial complex: Anatomy, anatomical area of the Human mouth, mouth, jaws, face, and Human skull, skull, head and neck as well as associated structures. Depending upon the national jurisdiction, oral and maxillofacial surgery may require a degree in medicine, dentistry or both. United States In the U.S., oral and maxillofacial surgeons, whether possessing a single or dual degree, may further specialise after residency, undergoing additional one or two year sub-specialty oral and maxillofacial surgery fellowship training in the following areas: *Cosmetic surgery#Cosmetic surgery, C ...
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Seizures
A seizure is a sudden, brief disruption of brain activity caused by abnormal, excessive, or synchronous neuronal firing. Depending on the regions of the brain involved, seizures can lead to changes in movement, sensation, behavior, awareness, or consciousness. Symptoms vary widely. Some seizures involve subtle changes, such as brief lapses in attention or awareness (as seen in absence seizures), while others cause generalized convulsions with loss of consciousness ( tonic–clonic seizures). Most seizures last less than two minutes and are followed by a postictal period of confusion, fatigue, or other symptoms. A seizure lasting longer than five minutes is a medical emergency known as status epilepticus. Seizures are classified as provoked, when triggered by a known cause such as fever, head trauma, or metabolic imbalance, or unprovoked, when no immediate trigger is identified. Recurrent unprovoked seizures define the neurological condition epilepsy. Clinical features Seizur ...
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Oral Cavity
A mouth also referred to as the oral is the body orifice through which many animals ingest food and vocalize. The body cavity immediately behind the mouth opening, known as the oral cavity (or in Latin), is also the first part of the alimentary canal, which leads to the pharynx and the gullet. In tetrapod vertebrates, the mouth is bounded on the outside by the lips and cheeks — thus the oral cavity is also known as the buccal cavity (from Latin ', meaning "cheek") — and contains the tongue on the inside. Except for some groups like birds and lissamphibians, vertebrates usually have teeth in their mouths, although some fish species have pharyngeal teeth instead of oral teeth. Most bilaterian phyla, including arthropods, molluscs and chordates, have a two-opening gut tube with a mouth at one end and an anus at the other. Which end forms first in ontogeny is a criterion used to classify bilaterian animals into protostomes and deuterostomes. Development In t ...
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Secondary Palate
The secondary palate is an anatomical structure that divides the nasal cavity from the oral cavity in many vertebrates. In human embryology, it refers to that portion of the hard palate that is formed by the growth of the two palatine shelves medially and their mutual fusion in the midline. It forms the majority of the adult palate and meets the primary palate at the incisive foramen. Clinical significance Secondary palate development begins in the sixth week of pregnancy and can lead to cleft palate when development goes awry. There are three major mechanisms known to cause this failure: #Growth retardation — Palatal shelves do not grow enough to meet each other. #Mechanical obstruction — Improper mouth size, or abnormal anatomical structures in the embryonic mouth prevent fully grown shelves from meeting each other. #Midline epithelial dysfunction (MED) - The surface mucosa of embryonic shelves is impaired, which causes a failure of palatal fusion. Evolution T ...
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Palatine Uvula
The uvula (: uvulas or uvulae), also known as the palatine uvula or staphyle, is a conic projection from the back edge of the middle of the soft palate, composed of connective tissue containing a number of racemose glands, and some muscular fibers. It also contains many serous glands, which produce thin saliva. It is only found in humans. Structure Muscle The muscular part of the uvula () shortens and broadens the uvula. This changes the contour of the posterior part of the soft palate. This change in contour allows the soft palate to adapt closely to the posterior pharyngeal wall to help close the nasopharynx during swallowing. Its muscles are controlled by the pharyngeal branch of the vagus nerve. Variation A bifid or bifurcated uvula is a split or cleft uvula. Newborns with cleft palate often also have a split uvula. The bifid uvula results from incomplete fusion of the palatine shelves but it is considered only a slight form of clefting. Bifid uvulas have less m ...
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Soft Palate
The soft palate (also known as the velum, palatal velum, or muscular palate) is, in mammals, the soft biological tissue, tissue constituting the back of the roof of the mouth. The soft palate is part of the palate of the mouth; the other part is the hard palate. The soft palate is distinguished from the hard palate at the front of the mouth in that it does not contain bone. Structure Muscles The five muscles of the soft palate play important roles in swallowing and breathing. The muscles are: # Tensor veli palatini, which is involved in swallowing # Palatoglossus, involved in swallowing # Palatopharyngeus, involved in breathing # Levator veli palatini, involved in swallowing # Musculus uvulae, which moves the palatine uvula, uvula These muscles are innervated by the pharyngeal plexus of vagus nerve, pharyngeal plexus via the vagus nerve, with the exception of the tensor veli palatini. The tensor veli palatini is innervated by the mandibular division of the trigeminal nerve (V ...
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Hard Palate
The hard palate is a thin horizontal bony plate made up of two bones of the facial skeleton, located in the roof of the mouth. The bones are the palatine process of the maxilla and the horizontal plate of palatine bone. The hard palate spans the alveolar arch formed by the alveolar process that holds the upper teeth (when these are developed). Structure The hard palate is formed by the palatine process of the maxilla and horizontal plate of palatine bone. It forms a partition between the nasal passages and the mouth. On the anterior portion of the hard palate are the ''plicae'', irregular ridges in the mucous membrane that help hold food while the teeth are biting into it while also facilitating the movement of food backward towards the larynx once pieces have been bitten off. This partition is continued deeper into the mouth by a fleshy extension called the soft palate. On the ventral surface of the hard palate, some projections or transverse ridges are present which ...
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Human Skull
The skull, or cranium, is typically a bony enclosure around the brain of a vertebrate. In some fish, and amphibians, the skull is of cartilage. The skull is at the head end of the vertebrate. In the human, the skull comprises two prominent parts: the neurocranium and the facial skeleton, which evolved from the first pharyngeal arch. The skull forms the frontmost portion of the axial skeleton and is a product of cephalization and vesicular enlargement of the brain, with several special senses structures such as the eyes, ears, nose, tongue and, in fish, specialized tactile organs such as barbels near the mouth. The skull is composed of three types of bone: cranial bones, facial bones and ossicles, which is made up of a number of fused flat and irregular bones. The cranial bones are joined at firm fibrous junctions called sutures and contains many foramina, fossae, processes, and sinuses. In zoology, the openings in the skull are called fenestrae, the ...
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Craniofacial Team
Craniofacial surgery is a surgical subspecialty that deals with congenital and acquired deformities of the head, skull, face, neck, jaws and associated structures. Although craniofacial treatment often involves manipulation of bone, craniofacial surgery is not tissue-specific; craniofacial surgeons deal with bone, skin, nerve, muscle, teeth, and other related anatomy. Defects typically treated by craniofacial surgeons include craniosynostosis (isolated and syndromic), rare craniofacial clefts, acute and chronic sequelae of facial fractures, cleft lip and palate, micrognathia, Treacher Collins Syndrome, Apert's Syndrome, Crouzon's Syndrome, Craniofacial microsomia, microtia and other congenital ear anomalies, and many others. Training in craniofacial surgery requires completion of a Craniofacial surgery fellowship. Such fellowships are available to individuals who have completed residency in oral and maxillofacial surgery, plastic and reconstructive surgery, or ear, nose, and t ...
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Orbicularis Oris Muscle
In human anatomy, the orbicularis oris muscle is a complex of muscles in the lips that encircles the mouth. It is not a true sphincter, as was once thought, as it is actually composed of four independent quadrants that interlace and give only an appearance of circularity.Saladin, "Anatomy & Physiology: The Unity of Form and Function". 5th edition. McGraw Hill. Page 330 It is also one of the muscles used in the playing of all brass instruments and some woodwind instrument Woodwind instruments are a family of musical instruments within the greater category of wind instruments. Common examples include flute, clarinet, oboe, bassoon, and saxophone. There are two main types of woodwind instruments: flutes and ...s. This muscle closes the mouth and puckers the lips when it contracts. Structure The orbicularis oris is not a simple sphincter muscle like the orbicularis oculi; it consists of numerous strata of muscular fibers surrounding the orifice of the mouth, but having ...
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Frontonasal Process
The frontonasal process, or frontonasal prominence is one of the five swellings that develop to form the face. The frontonasal process is unpaired, and the others are the paired maxillary prominences, and the paired mandibular prominences. During the fourth week of embryonic development, an area of thickened ectoderm develops, on each side of the frontonasal process called the nasal placodes or olfactory placodes, and appear immediately under the forebrain. By invagination these areas are converted into two nasal pits, which indent the frontonasal prominence and divide it into medial and lateral nasal processes. Nasal processes The medial nasal process (nasomedial) on the inner side of each nasal pit merge into the intermaxillary segment and form the upper lip, crest, and tip of the nose. The medial nasal processes merge with the maxillary prominences. The lateral nasal process from each side merge to form the alae of the nose. Clinical significance Failure to fuse can cause a ...
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Maxillary Prominence
Continuous with the dorsal end of the Pharyngeal arch#First arch, first pharyngeal arch, and growing forward from its cephalic border, is a triangular process, the maxillary prominence (or maxillary process), the Anatomical terms of location#Dorsal and ventral, ventral extremity of which is separated from the mandibular arch by a ">"-shaped notch. The maxillary prominence forms the lateral wall and floor of the Orbit (anatomy), orbit, and in it are ossified the zygomatic bone and the greater part of the maxilla; it meets with the medial nasal prominence, from which, however, it is separated for a time by a groove, the naso-optic furrow, that extends from the furrow encircling the eyeball to the nasal pit. The maxillary prominences ultimately fuse with the medial nasal prominence and the globular processes, and form the lateral parts of the upper lip and the posterior boundaries of the nares. It is innervated by the maxillary nerve. Additional images File:Gray23.png, Human emb ...
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