Conseuro Abstracts Paris 2013

Total Page:16

File Type:pdf, Size:1020Kb

Conseuro Abstracts Paris 2013 Clin Oral Invest (2013) 17:1029–1111 DOI 10.1007/s00784-013-0943-1 ABSTRACTS Poster abstracts of the 6th biennial meeting of the European Federation of Conservative Dentistry (EFCD) held in association with the 33th national congress of the College National des Enseignants en Odontologie Conservatrice (CNEOC), France, 9–11 May 2013, Paris, France Pierre Colon Hannover, elected at the scientific foundation of the EFCD will The sixth biennial meeting of the European Federation of give a short presentation about her research in Leuven. These Conservative Dentistry (EFCD) held in association with the na- lectures will be followed by the welcome reception. tional congress of the College National des Enseignants en Four different sessions, one poster session are scheduled on Odontologie Conservatrice (CNEOC) with concurrent meetings Friday. Twelve invited international lecturers will participate to of member associations of EFCD, Academy of Operative the scientific sessions: Pulp and biomaterials, new trends in cari- Dentistry European Section (AODES), and Sociedad Española de ology, dental adhesion, new trends in endodontics. Two parallel Odontologica Conservadora (SEOC) and annual meeting of the sessions allow this variety of topics in the same day. The poster Société Française des Biomatériaux Dentaires (SFBD), provides presentations are organized in seven sessions: Dental materials, the opportunity to scientists and practitioners working on preven- prevention, operative dentistry,endodonticsandpulpbiology, tion, restoration and aesthetics in conservative dentistry but also clinical cases, student session, dental education. There are 206 posters in endodontics, pulp biology and dental education to come to- presented as poster display or poster discussion. Poster presenters gether in Paris, France. The joint meeting called “Conseuro Paris entered into the poster prize competitions are eligible to win “the 2013” is of 3 days duration. Best Poster Prize of Conseuro Paris 2013” of each poster catego- In the morning of the first day of Conseuro Paris 2013, there will ry. Scientific programme on the third day include two sessions: be meetings of AODES, CNEOC, SFBD, and SEOC. The scien- CAD CAM Restorations and “Learning from mistake in adhesive tific programme of Conseuro 2013 begins in the afternoon. One dentistry”. session focused on “composite resins” and a symposium on tooth The closing ceremony will be the opportunity to give poster prizes in wear held in a parallel session are scheduled. One poster session each category. The end of Conseuro Paris 2013 will be the sentence: is organized in the same time. In the evening, the opening “See you at Conseuro London 2015” ceremony will be the opportunity to give to Prof G Schmalz and to prof. G Bergenholtz the 2011 and 2012 EFCD award of Excellence for their outstanding contributions to conservative den- Pierre Colon tistry. Each of them will give a short lecture in a close relation- President of the EFCD and Conseuro Paris 2013 ship with their scientific career. Furthermore, Dr A.K. Lührs from e-mail: [email protected] 1030 Clin Oral Invest (2013) 17:1029–1111 012 016 Category: Biomaterials Category: Biomaterials POLISHED VS GLAZED SURFACE PROPERTIES OF LITHIUM CHEMICAL IMAGERY OF DENTAL COMPOSITES USING DISILICATE CERAMIC (IPS E.MAX®, IVOCLAR VIVADENT): A CONFOCAL RAMAN MICROSCOPE A PHYSICO-CHEMICAL AND BIOLOGICAL STUDY Arroyo Bote Sebastiana1,MartínezOsorioJavier1,Jawhari E-E. Azogui1, J-L. Duval2, R. Jannetta1, I. Pezron3, C. Egles24, Tariq2, BrauAguadéEsteban1 C. Brunot-Gohin1256 1Odonto e stomatology Department, University of Barcelona 1UFR d’Odontologie, Université de Reims Champagne Ardenne, 2 rue 2Scientific and Technological Center, University of Barcelona du Général Köenig, 51100 Reims, France 2Laboratoire de BioMécanique et BioIngénierie (BMBI), UMR CNRS Objective: The objective of the study is to describe the possible 7338, Université de Technologie de Compiègne, Centre de Recherches applications of a Confocal Raman Microscope in the study of compos- de Royallieu, BP 20529, rue Personne de Roberval, 60205 Compiègne ite materials for dental restauration. Cedex, France Methods: Extracted human molarswithoutcaries,dentalXenoV 3Laboratoire des Transformations Intégrées de la Matière adhesive, Flow SDR composite and Ceram Duo (Dentsply) composite Renouvelable (TIMR), EA 4297 Université de Technologie de have been used. An occlusal cavity has been performed in each of the Compiègne, Centre de Recherches de Royallieu, BP 20529, rue molars (Class I), of about 3 mm diameter by 4 mm deep, then the Personne de Roberval, 60205 Compiègne Cedex, France samples were washed and slightly dried to proceed to the sealing of the 4Department of Oral and Maxillofacial Pathology, Tufts University, cavities, with the selected materials, following the manufacturer’s School of Dental Medicine, 1 Kneeland Street, Boston MA 02111 instructions. Subsequently, samples were resin included and each of USA them was cut following longitudinal-coronoapical direction and mesio- 5Laboratoire des Biomatériaux et Inflammation en Site Osseux (BIOS), distal direction, obtaining two inner halves of dental fillings. The EA 4691, SFR CAP-Santé (FED 4231), Université Reims Champagne- samples were placed on a slide and observed under a Confocal Ardenne, 1 rue du Maréchal Juin, 51 000 Reims, France Raman Miscroscope WITec GmbH. 6Pôle Odontologie, CHU de Reims, Service de Prothèses, 48 rue Results: Raman images of different regions (20 μm×20 μmand Cognacq-Jay, 51100 Reims, France 5 μm×5 μm) of the samples surface compositions were obtained. The chemometric study with an algorithm for Cluster Analysis of Objectives:Lithiumdisilicateceramicsarewidelyusedmaterials Raman images can separate these different regions that, in addition, in aesthetic dentistry and fixed prosthesis. Moreover, IPS e.max® can be well correlated with the optical images obtained with traditional Press or CAD was recently reported as the most robust and light microscope. Thus type of analysis allows determining the distri- durable all-ceramic system tested to date. Despite multiple bio- bution, size and concentration of some of the particles such as titanium medical applications, little is known about ceramic surface mod- dioxide. Furthermore, differences in the intensities of the spectrum of ifications and the resulting cell behaviour at its contact. The aim the organic resin allow distinguishing two types of areas rich in resin: of this study was to analyze surface properties and biological one richer and one less rich. These intensity variations can be related response of two different surfaces: glazed vs manual polished with regions rich and poor on particles or other elements (other than surface treatment. titanium dioxide). The percentage composition of these areas can also Methods: Our study was realized with lithium disilicate ceramic sam- be statistically quantified. Furthermore, it was found that these two ples (IPS e-max® Press, Ivoclar Vivadent, France) with 3 different types of regions agree very well with the morphological differences surface treatments: raw, hand polished, and glazed surface treatment observed under light microscopy. (control samples were Thermanox®). Surface characterizations were Conclusion: The use of Confocal Raman Microscope is a research analysed by water-drop method, interferometry, and scanning electro- technique that provides information on the composition and dis- nmicroscopy. Moreover, we compared cell response between polished tribution of the various elements making up a material, allowing and glazed surfaces using an organotypic culture model of chicken us to make a statistical calculation of the materials’ composition, epithelium. so it can be considered a research method that provides comple- Results:Resultsdemonstratedthat the surface roughness is not mentary information to other research techniques such as Electron modified as shown by equivalent Ra measurements. On the con- Microscopy. trary, the contact angle θ in water is very different between polished (82°) and glazed (32°) samples. The culture of epithelial tissues allowed a very precise assessment of histocompatibility of 019 these interfaces and showed that polished samples increased cell adhesion and proliferation as compared to glazed samples. Finally, Category: Biomaterials we demonstrated that lithium disilicate dental ceramic is not cytotoxic in vitro. ANEWTESTINGPROTOCOLFORZIRCONIADENTAL Conclusion:Lithiumdisilicatepolishedceramicprovidedbetter IMPLANTS adhesion and proliferation than lithium disilicate glazed ceramic. Sanon Clarisse 1,2, Chevalier Jérôme1, Gremillard Laurent1, Douillard Taken together, our results demonstrated for the first time, how it Thierry1, Scherrer Susanne3 is possible to use simple surface modifications to finely modulate 1Mateis, INSA Lyon, CNRS UMR 5510, 69621 Villeurbanne, France the adhesion of tissues. Our results will help dental surgeon to 2Dental Faculty Department of Biomaterials, University of Lyon, France choose the most appropriate surface treatment for a specific 3Department of Prosthodontics, School of Dental Medicine, University clinical application, in particular for the CAD/CAM skills or of Geneva, Switzerland for aesthetic ceramic implant collar. We conclude therefore that polished lithium disilicate ceramic is promising to be used to Objective: Dental zirconia is mainly found in the form of yttria-stabilized improve aesthetic collar implant and to tight the perio-implant
Recommended publications
  • Original Article White Roll Vermilion Turn Down Flap in Primary Unilateral
    Published online: 26.08.2019 Original Article White Roll Vermilion turn down flap in primary unilateral cleft lip repair: A novel approach R. K. Mishra, Amit Agarwal1 Department of Plastic Surgery, Sushrut Institute of Plastic Surgery, 1Department of Plastic Surgery, Sushrut Institute of Plastic Surgery, Lucknow, Uttar Pradesh, India Address for correspondence: Dr. Amit Agarwal, Sushrut Institute of Plastic Surgery, 29, Shahmeena Road, Lucknow - 226 003, Uttar Pradesh, India. E-mail: [email protected] ABSTRACT Aim: Numerous modifications of Millard’s technique of rotation – advancement repair have been described in literature. This article envisions a new modification in Millard’s technique of primary unilateral chieloplasty. Material and Methods: Eliminating or reducing the secondary deformities in children with cleft lip has been a motivating factor for the continual refinement of cleft lip surgical techniques through the years. Vermilion notching, visibility of paramedian scars and scar contracture along the white roll are quite noticeable in close-up view even in good repairs. Any scar is less noticeable if it is in midline or along the lines of embryological closure. White Roll Vermilion turn down Flap (WRV Flap), a modification in the Millard’s repair is an attempt to prevent these secondary deformities during the primary cleft lip sugery. This entails the use of white roll and the vermilion from the lateral lip segment for augmenting the medial lip vermilion with the final scar in midline at the vermilion.Result: With an experience of more than 100 cases of primary cleft lip repair with this technique, we have achieved a good symmetry and peaking of cupid’s bow with no vermilion notching of the lips.
    [Show full text]
  • Operation Smile Outcomes Evaluation. MISSION: Bolivia WJOS POS
    Operation Smile Outcomes Evaluation. MISSION: Bolivia WJOS POS Identification Surgical Data Outcome Evaluation Other Pictures Speech Samples Identification_number A Surgery_performed Primary Lip Repair Palate Revision Pharyngeal Flap Flap Primary Palate Repair Fistula closure Furlow Z plasty Lip Revision Orticochea Skin Graft Injection Other… preoperative_picture_frontal postoperative_picture_frontal Severity of cleft Unilateral Cleft Lip Repair Symmetry Cupid's Bow Symmetry_lateral_lip Nose_Symmetry Symmetry_FreeVermilion Symmetry_dry_wet Outcome_unilateral / 10 Bilateral Lip Repair 1 Symmetry_at__ cupids_bow_bil Nasal_Symmetry_bil Vertical_Symmetry_ Lateral_lip_bil Horizontal_Symmetry Preoperative_picture_basal Postoperative_picture_basal _Lateral_lip_bil Symmetry_Free_ Vermilion_bil Wide Philtrum Undimpled Philtrum Long Lip Miss Position Premaxila Lack Integrity Muscle Color Mismatch Vermilion Absence white roll Flat_nose_oblique_no strils_short_columella Dimpled Vermilion Absence upper Early late complication palate fistula labial sulcus Complication Outcome_Bilateral Fistula schema / 21 Palate pre alv hard palate Scar Fistula post alv Junction h-s Hypertrophy_ J prim-second Soft Discoloration Spreading_Suture Fistula size length mm _Marks Fistula Size Width mm Outcome Scar / 4 Comments no data about fistula’s size. but was the pre-alveolar fistula the one Improvement Scale that was operated on. Operation Smile Outcomes Evaluation. MISSION: Bolivia WJOS POS Identification Surgical Data Outcome Evaluation Other Pictures Speech Samples
    [Show full text]
  • 37. How to Rotate and Advance in a Complete Cleft
    37 HOW TO ROTATE AND ADVANCE IN COMPLETE CLEFT HAS BEEN SAID OFTEN THAT NATURALLOOKING RESULT FOLLOWING CLOSURE OF CONGENITAL CLEFT LIP IS WORK OF ART IN FACT IT IS THREEDIMENSIONAL WORK OF SCULPTURED ART PRINCIPLES MEASURE MARKS AND MENTS INCISIONS OF TECHNIQUE CAN BE STANDARDIZED AND BLUEPRINT OF THE TECHNIQUE MEMORIZED YET THE LAST FEW MILLIMETERS WHICH MAKE ALL THE DIFFERENCE MUST DEPEND UPON THE SCULPTOR AND HIS CLAY BEFORE AND MARKING CUTTING COMPARE THE NORMAL SIDE AND THE ABNORMAL CLEFT SIDE WITH YOUR EYES SWITCHING BACK ND FORTH AND IN HORIZONTAL AGAIN AGAIN NYSTAGMUS THEN BY TRANSPOSING THE IDEAL NORMAL OVER THIS ENTIRE COMPONENT IN YOUR MINDS EYE IT WILL BECOME APPARENT WHAT IS PRESENT ITS POSITION AND WHAT IS NEEDED NOW COMES THE SURGICAL SCRAMBLE TO MAKE UP THE DIFFERENCE WITHOUT COMPROMISING THE NORMAL 449 SKIN MARKING AND SCORING FIRST DOTMARK THE KEY LANDMARKS ON THE NONCLEFT ELEMENT AS DESCRIBED IN PART INCOMPLETE CLEFTS TO TO OF THE CUPIDS BOW ALL OF WHICH ARE USUALLY TO MM APART AN IMPORTANT MEASUREMENT ON THE NORMAL SIDE IS THE DISTANCE FROM POINT SIDE TO THE ALAR BASE AT THE HEIGHT OF THE BOW ON THE NONCLEFT WHICH MEASURES FROM TO 12 MM THIS IS THE DISTANCE THAT WILL HAVE TO BE MATCHED ON THE CLEFT SIDE AND IS ROUGHLY THE LENGTH THAT MUST BE ACHIEVED EVENTUALLY ALONG THE ROTATION EDGE INCI AS WELL AS ALONG THE ADVANCEMENT EDGE MARK THE ROTATION CLEFT SIDE OF THE COLUMELLA SION WHICH RISES VERTICALLY UP TO THE BASE AND THEN CURVES ACROSS THE MIDLINE HUGGING THE COLUMELLA OF THE COLUMN OF THE BASE BUT STOPPING JUST
    [Show full text]
  • Understanding the Perioral Anatomy
    2.0 ANCC CE Contact Hours Understanding the Perioral Anatomy Tracey A. Hotta , RN, BScN, CPSN, CANS gently infl ate and cause lip eversion. Injection into Rejuvenation of the perioral region can be very challenging the lateral upper lip border should be done to avoid because of the many factors that affect the appearance the fade-away lip. The client may also require injec- of this area, such as repeated muscle movement caus- tions into the vermillion border to further highlight ing radial lip lines, loss of the maxillary and mandibular or defi ne the lip. The injections may be performed bony support, and decrease and descent of the adipose by linear threading (needle or cannula) or serial tissue causing the formation of “jowls.” Environmental puncture, depending on the preferred technique of issues must also be addressed, such as smoking, sun the provider. damage, and poor dental health. When assessing a client Group 2—Atrophic lips ( Figure 2 ): These clients have for perioral rejuvenation, it is critical that the provider un- atrophic lips, which may be due to aging or genetics, derstands the perioral anatomy so that high-risk areas may and are seeking augmentation to make them look be identifi ed and precautions are taken to prevent serious more youthful. After an assessment and counseling adverse events from occurring. as to the limitations that may be achieved, a treat- ment plan is established. The treatment would begin he lips function to provide the ability to eat, speak, with injection into the wet–dry junction to achieve and express emotion and, as a sensory organ, to desired volume; additional injections may be per- T symbolize sensuality and sexuality.
    [Show full text]
  • Anatomy of the Ageing Lip
    AESTHETIC FOCUS Anatomy of the ageing lip With lip augmentation an ever popular option for those seeking more youthful looks it is vital that practitioners have a proper understanding of anatomy. In the first of our two-part special focus on lipsDr Foutsizoglou provides a comprehensive guide to function and anatomy. BY SOTIRIOS FOUTSIZOGLOU he lips are pliable, mobile, muscular folds that encircle the opening of the oral cavity. They contain the orbicularis oris and superior and inferior labial vessels and nerves. The lips are covered externally by skin and internally by mucous membrane. A sagittal cut through the lip can reveal the layers of soft tissue that form this relatively simple anatomical structure. That is, from Tsuperficial to deep: skin, superficial fat compartment, orbicularis oris muscle, deep fat compartment and mucosa. The lips are used for grasping food, sucking liquids, clearing food from the oral vestibule, forming speech, osculation, and controlling the size of the oral aperture. Functions of the lips as part of the tactile senses. Lips are very sensitive to touch, warmth and cold. Food intake Lips serve to close the mouth airtight shut, Erogenous zone to hold food and drink inside. Because of their high number of nerve endings, the lips are an erogenous zone. Mastication The lips therefore play a crucial role in Lips help to hold food between upper and osculation and other acts of intimacy. lower teeth during chewing. Facial expressions Figure 1: Anatomical landmarks of the lip. Deglutition The lips form an integral part of facial Lips push food into the oral cavity proper expression e.g.
    [Show full text]
  • Evaluation and Management of Cleft Lip and Palate
    Evaluation and Management of Cleft Lip and Palate A Developmental Perspective David J. Zajac, PhD, CCC-SLP Linda D. Vallino, PhD, CCC-SLP/A Contents Preface vii Acknowledgements ix Contributors xi Part I. Fundamentals 1 1 Orofacial and Velopharyngeal Structure and Function 3 Jamie Perry and David J. Zajac 2 Clefts of the Lip and Palate 23 3 Syndromes and Associated Anomalies 49 Part II. Birth to Age Three 111 4 Feeding the Newborn 113 5 Presurgical and Surgical Management 129 6 Hearing and Otologic Management 151 7 Early Linguistic Development and Intervention 177 Nancy J. Scherer Part III. Early to Middle School Age 191 8 Speech and Resonance Characteristics 193 9 Assessment of Speech and Velopharyngeal Function 227 10 School-Based Intervention 281 Dennis M. Ruscello 11 Secondary Management of Velopharyngeal Inadequacy 319 12 Alveolar Cleft Repair 339 Joseph A. Napoli Part IV. Adolescents and Adults 355 13 Maxillary Advancement 357 Joseph A. Napoli and Linda D. Vallino 14 The Adult With Cleft Lip and Palate 379 Glossary of Terms 391 Index 401 v Preface This book is intended to be a concise, To help achieve these goals, the mate- practical, and evidence-based text on cleft rial in the book is presented in a devel- lip and palate and related craniofacial opmental framework that emphasizes the disorders for advanced undergraduate most critical needs of the individual from students, graduate students, and profes- birth to adulthood. This organizational sionals in speech-language pathology. approach has both practical and concep- Students and professionals in related dis- tual advantages. Practically, it allows the ciplines such as dentistry, medicine, psy- reader to access information more read- chology, and social work also may find ily according to the age and presenting this book useful in providing information condition of the individual (i.e., birth, lip on individuals with craniofacial condi- repair, palate repair, alveolar cleft repair tions.
    [Show full text]
  • Cleft Lip and Palate: the Effects on Speech and Resonance Ann W
    Cleft Lip and Palate: The Effects on Speech and Resonance Ann W. Kummer, PhD, CCC-SLP Cincinnati Children’s ____________________________________________________________________________ Cleft lip and/or palate can have a negative impact on both speech and resonance. The following is a summary of normal anatomy, the types and causes of clefts, and the effects on speech and resonance. ____________________________________________________________________________ Normal Anatomy Nose Columella - the column that separates the nostrils and holds up the nasal tip Ala base - the base of the nostrils Ala rim - the rim of the nostrils Philtrum - the depression on the upper lip under the columella Philtral ridges – embryological suture lines above the lip that border the philtrum Lip Cupid’s Bow - the shape of the upper lip White Roll - border of the red part of the lips Vermilion - the red part of the lip Hard Palate - consists of the premaxilla, the maxilla proper and the palatine bone. Premaxilla - triangular structure in the middle anterior portion of the palate. It is bordered by the incisive foramen and bilateral incisive structures, which extend between the lateral incisors and canines. 1 Cleft Lip and Palate: The Effects on Speech and Resonance Ann W. Kummer, PhD. CCC-SLP Palatine Process of Maxilla - horizontal plates starting at the alveolar process, and bordered by the incisive sutures and the transverse palatine suture. Palatine Bone - horizontal plate which is bordered by the transverse palatine suture and completes the hard
    [Show full text]
  • 29. Examples of Incomplete Clefts of Varying Degrees
    29 EXAMPLES OF INCOMPLETE CLEFTS OF VARYING DEGREES KEY TO CODE ON CASES NOSE NASAL FLOOR BD BIRTH DATE FAMILY HISTORY FT FIRST TRIMESTER LIP A1VEOLUS OCA OTHER CONGENITAL ANOMALIES OP OPERATION AD ADHESION ADV ADVANCEMENT ROT ROTATION RA ROTATIONADVANCEMENT HP HARD PALATE SOFT PALATE 13 BONE GRAFT BACKCUT WR WHITE ROLL FLAP FLAPC COLUMELLA CLEFT IS INDICATED BY STIPPLING UBMUCOUS CLEFT OR SUBMUCOUS DIS BY HORIZONTAL LINES VERMILION NOTCH CASE KR KR WEEKS POSTOPERATIVE BD OCTOBER 16 1961 OP POSTERIOR VY ROLL DOWN OF FR UNKNOWN VERMILION WITHOUT SKIN INCISIONS FT UNKNOWN OCA INTERNAL STRABISMUS MINIMAL CLEFT WITH CONGENITAL SCAR CASE MONTHS MONTHS BD MAY 15 1968 RA AT MONTHS COMMENT CONGENITAL SCAR WITH VET FR NO CLEFTS OP ROT WITH BC FOR COL NEAL SHORTNESS OF LIP AND WIDTH OF FT UNEVENTFUL ADV WITH WR ALAR BASE NASAL FLOOR REQUITED SCAR EXCISION OCA NONE DENUDED FOR INSERTION INTO AND MODERATE ROTATION AND AD COLUMELLA BASE VANCEMENT TO GIVE NATURAL BALANCE 336 MINIMAL CLEFT WITH CONGENITAL SCAR CASE BD MARCH21 1964 FH NO CLEFTS FT UNEVENTFUL OCA NONE RA AT 7½ MONTHS OP ROT WITH BC FOR COL 72 MONTHS ADV WITH WR CLEFT VERMILION EDGE INTERDIGITATION INTO NON CLEFT AT FREE BORDER YEATS COMMENT CONGENITAL SCAT WITH SHORTENING AND VERMILION NOTCH REQUITED SCAR EXCISION MODERATE ROTATION AND ADVANCEMENT NASAL FLOOR WEDGE EXCISION MUSCLE SU AND TURE VERMILION INTETDIGIRATION TO ACHIEVE BALANCE IT4 2Y T5 37 MINOR CLEFT WITH CONGENITAL GROOVE CASE SEPTEMBER 1964 FH NO CLEFTS FT UNEVENTFUL OCA NONE RA AR MONTHS OP ROT WITH FOR COL ADV WITH WR WEDGE
    [Show full text]
  • Evaluation of the Fetal Face Disclaimer
    Evaluation of the Fetal Face Disclaimer • I have no relevant financial relationships Judy A. Estroff, MD with the manufacturer(s) of any commercial product(s) and/or provider(s) of any commercial services discussed in this CME activity. Boston Children’s Hospital • I do not intend to discuss unapproved or Harvard Medical School investigative use of a commercial product/device in my presentation. Boston, MA Approach and Goals Overview • Basic approach: speak the plastic • The normal face surgeon’s language • Cleft lip and palate • Immediate goal: accurate • Abnormal profile diagnosis and classification of • Micrognathia craniofacial anomalies • Abnormal head shape • Ultimate goal: improved parental counseling and patient outcome • Ear anomalies The Normal Face Anatomy of the Lip • Vermillion border • White roll 1 Anatomy of the Nose • Tip • Nostril • Alar base • Philtrum Anatomy of the Ears The Normal Profile • Top of helix should be at level of inner canthal line • Forehead and chin on same plane • Nasal bone should be present • Nose should project beyond plane of forehead and chin • Top of ear at level of orbit Abnormal head shape • Brachycephaly • Dolichocephaly • Turribrachycephaly • Microcephaly • Macrocephaly normal • Trigonocephaly turibrachycephaly 2 Abnormal head shape: etiologies Cleft lip and palate • Craniosynostosis • Microcephaly/Macrocephaly • Open neural tube defect • Hemifacial microsomy • Local deformation (oligo, fibroids) • Syndromes Cleft lip Description of Cleft Lip • Sidedness: unilateral, bilateral • Symmetry: symmetric,
    [Show full text]
  • Resident Manual of Trauma to the Face, Head, and Neck
    Resident Manual of Trauma to the Face, Head, and Neck First Edition ©2012 All materials in this eBook are copyrighted by the American Academy of Otolaryngology—Head and Neck Surgery Foundation, 1650 Diagonal Road, Alexandria, VA 22314-2857, and are strictly prohibited to be used for any purpose without prior express written authorizations from the American Academy of Otolaryngology— Head and Neck Surgery Foundation. All rights reserved. For more information, visit our website at www.entnet.org. eBook Format: First Edition 2012. ISBN: 978-0-615-64912-2 Contents Preface ..................................................................................................................16 Acknowledgments .............................................................................................18 Resident Trauma Manual Authors ...............................................................19 Chapter 1: Patient Assessment ......................................................................21 I. Diagnostic Evaluations ........................................................................21 A. Full-Body Trauma Assessment ....................................................21 B. History ...............................................................................................22 C. Head and Neck Examination........................................................24 1. Upper Third ................................................................................24 2. Middle Third ...............................................................................24
    [Show full text]
  • 1 Normal and Abnormal Craniofacial Structures
    PART Normal and Abnormal 1 Craniofacial Structures CHAPTER 1 Anatomy and Physiology CHAPTER 2 Genetics and Patterns of Inheritance CHAPTER 3 Clefts of the Lip and Palate CHAPTER 4 Dysmorphology and Craniofacial Syndromes CHAPTER 5 Facial, Oral, and Pharyngeal Anomalies CHAPTER 6 Dental Anomalies CHAPTER 7 Early Feeding Problems 1 © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION 9781284149722_CH01_Pass03.indd 1 04/06/18 8:20 AM © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION 9781284149722_CH01_Pass03.indd 2 04/06/18 8:20 AM CHAPTER 1 Anatomy and Physiology CHAPTER OUTLINE INTRODUCTION Muscles of the Velopharyngeal Valve Velopharyngeal Motor and Sensory Innervation ANATOMY Variations in Velopharyngeal Closure Craniofacial Structures Patterns of Velopharyngeal Closure Craniofacial Bones and Sutures Pneumatic versus Nonpneumatic Activities Ear Timing of Closure Nose and Nasal Cavity Height of Closure Lips Firmness of Closure Intraoral Structures Effect of Rate and Fatigue Tongue Changes with Growth and Age Faucial Pillars, Tonsils, and Oropharyngeal Subsystems of Speech: Putting It All Isthmus Hard Palate Together Velum Respiration Uvula Phonation Prosody Pharyngeal Structures Resonance and Velopharyngeal Function Pharynx Articulation Eustachian Tube Subsystems as “Team Players” PHYSIOLOGY Summary Velopharyngeal Valve For Review and Discussion Velar Movement Lateral Pharyngeal Wall Movement References Posterior Pharyngeal Wall Movement 3 © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION 9781284149722_CH01_Pass03.indd 3 04/06/18 8:20 AM 4 Chapter 1 Anatomy and Physiology INTRODUCTION The nasal, oral, and pharyngeal structures are all very important for normal speech and resonance. Unfortu- nately, these are the structures that are commonly affected by cleft lip and palate and other craniofacial anom- alies.
    [Show full text]
  • Cleft Lip and Palate: the Effects on Speech and Resonance
    Cleft Lip and Palate: The Effects on Speech and Resonance Ann W. Kummer, PhD, CCC-SLP Cincinnati Children’s Hospital Medical Center ___________________________________________________________________________ Cleft lip and/or palate can have a negative impact on both speech and resonance. The following is a summary of normal anatomy, the types and causes of clefts, and the effects on speech and resonance. ______________________________________________________________________________ Normal Anatomy Nose • Columella - the column that separates the nostrils and holds up the nasal tip • Ala base - the base of the nostrils • Ala rim - the rim of the nostrils • Philtrum - the depression on the upper lip under the columella • Philtral ridges – embryological suture lines above the lip that border the philtrum Lip • Cupid’s Bow - the shape of the upper lip • White Roll - border of the red part of the lips • Vermilion - the red part of the lip Hard Palate - consists of the premaxilla, the maxilla proper and the palatine bone. • Premaxilla - triangular structure in the middle anterior portion of the palate. It is bordered by the incisive foramen and bilateral incisive structures, which extend between the lateral incisors and canines. • Palatine Process of Maxilla - horizontal plates starting at the alveolar process, and bordered by the incisive sutures and the transverse palatine suture. • Palatine Bone - horizontal plate which is bordered by the transverse palatine suture and completes the hard palate posteriorly. Velum (Soft Palate) - muscular portion of palate which is attached to the posterior edge of the palatine bone. 1 Cleft Lip and Palate 0814 1 of 4 Cleft Lip and Palate: The Effects on Speech and Resonance Ann W.
    [Show full text]