Developmental Defects 2 Flashcards

(92 cards)

1
Q

Etiology of lingual thyroid

A

Improper dissent of thyroid blood leading to ectopic thyroid tissue between foramen cecum and epiglottis

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2
Q

Site of lingual thyroid

A

Tongue, posterior dorsum. Between foramen cecum and epiglottis

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3
Q

What percentage of Site ectopic thyroids occur on the tongue

A

90

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4
Q

Epithelial proliferation in Florida pharyngeal got occurs during what week

A

3 & 4

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5
Q

Thyroid bud and invaginates, descendents in to neck at what week

A

7

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6
Q

Thyroglossal tract

A

Foraman cecum, anterior to, loops behind hyoid. Anterior to trachea, larynx, below thyroid cartilage

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7
Q

Site of invagination of thyroid bud

A

Foramen cecum

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8
Q

Appearance of lingual thyroid

A

Reddish/vascular appearing or normal color

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9
Q

Comorbidity with lingual thyroid

A

Hypothyroidism

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10
Q

In ___% Patience, lingo thyroid may be only functioning thyroid tissue

A

70

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11
Q

True/false: lingual thyroid should be diagnosed with a biopsy

A

Falls. Risks hemorrhage and maybe only functioning tissue

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12
Q

Treatment for symptomatic lingual thyroid

A

Suppressive therapy. Excision, radioactive iodine 131

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13
Q

Complication of lingual thyroid

A

Malignant transformation papillary thyroid carcinoma

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14
Q

A malignant transformation of a lingual thyroid is more common in

A

Males

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15
Q

Fissured tongue a.k.a.

A

Scrotal tongue

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16
Q

Site for fissured tongue

A

Dorsal lateral tongue

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17
Q

Fissured tongue is often associated with

A

Geographic tongue

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18
Q

One of the characteristics of ____ is fissured tongue

A

Melkerson Rosenthal syndrome

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19
Q

Characteristics of melkersson Rosenthal syndrome

A

Oral facial granulomatosis, facial paralysis, fissured tongue

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20
Q

Treatment of fissured tongue

A

No treatment necessary, gentle tongue brushing

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21
Q

Geographic tongue a.k.a.

A

Erythema migrans

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22
Q

Site of geographic tongue

A

Dorsal lateral borders of tongue

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23
Q

Clinical features of geographic tongue

A

Zones of erythema surrounded by yellow white serpentine borders. Migrates in days to weeks

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24
Q

Histology of geographic tongue

A

Psoriasisiform mucositis, hyperkeratosis, acanthosis, elongation of rete ridges (test tubes), neutrophils and epithelium, lymphocytes and neutrophils in connective tissue

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25
Etiology of hairy tongue
Accumulation of keratin on filiform papillae and secondary pigmentation from extrinsic factors
26
Incidence of hairy tongue
0.5%
27
Hairy tongue occurs most commonly in
Smokers, debilitated states, poor hydroxide, history radiation therapy to head and neck
28
Site of hairy tongue
Dorsum of tongue. Midline, anterior to circumvallate papillae
29
Clinical features of hairy tongue
Elon gated filiform papillae. Wait, yellow, brown, black
30
True/false: hairy tongue is a.k.a. hairy leukoplakia
False
31
Histology of hairy tongue
Elongated filiform papillae, hyper parakeratosis of filiform papillae, surface bacterial debris
32
Varicosities a.k.a.
Varices
33
Etiology Varices
Abnormal dilation of veins
34
Site for varicosities
Ventral tongue, lips, buccal mucosa
35
Varicosities clinical features
Usually asymptomatic, blue purple, elevated, linear or papular, may be firm if thrombosed, blanches with diascopy
36
Histology of varicosities
Dilated vein, thrombus, may be calcified
37
Phlebolith
Calcified Varicosity
38
At which site should’ve varicosity be treated
Lips and buccal mucosa could have excision for definitive diagnosis or aesthetics
39
Etiology Eagle syndrome
Symptoms caused by impingement of nerves or blood vessels due to: elongation of styloid process or calcification of stylohyoid ligament complex
40
Stylohyoid ligament
Ligament that connects styloid process to lesser Cornu of hyoid bone. Flanked by internal external carotid arteries
41
Eagle syndrome is classically associated with
History of tonsillectomy. Surgical fibrosis an area of mineralized complex
42
Eagle syndrome: impingement of ___ will lead to pain
Cranial nerve five, seven, nine, 10
43
Carotid artery syndrome and stylohyoid Syndrome are both
Symptoms of Eagle syndrome, that are not associated with history of tonselectomy
44
Clinical features of eagle syndrome
Vague facial pain, especially during swallowing turning head and opening mouth
45
radiographic features of eagle syndrome
Elongation of styloid process, calcification in stylohyoid ligament complex
46
Treatments for eagle syndrome
Mild: steroid injections. Severe: surgical excision of styloid process or stylohyoid ligament
47
Cyst
Epithelial line cavity
48
Fissural cyst
Cyst deriving from epithelial remnants trapped along embryono lines of fusion
49
Excision/resection
Removal of lesion, part of body or organ by cutting. Equivalent to surgical removal
50
Enucleation
Surgical removal of lesion, tissue or organ in one piece, intact
51
Curettage
Surgical removal by lesion, tissue by scraping (pieces)
52
Marsupialization
Incision of a cyst, conversion of closed cavity to open pouch. Sometimes referred to as decompression. Not curative
53
Palatal cysts of the newborn etiology
Developmental inclusion cysts, Epstein pearls, Bohn nodules
54
Epstein pearls
Palatal cyst of the newborn, median palatal raphe
55
Bohn nodules
Palatial cysts of the newborn, scattered over hard palette
56
Incidence of palatal cysts of the newborn
55-85%
57
Clinical features of palatal cysts of the newborn
White yellow Papules, one to 3 mm
58
Histology of palatal cyst of a newborn
Rarely biopsies! Epithelial lining is stratified squamous, thin, flat, keratotic, disquamative keratin in lumen
59
Histology of cyst wall (palatal cyst of the newborn)
Fibrous connective tissue in submucosa
60
Treatment of palatal cyst of the newborn
No treatment necessary, most rupture and spontaneously resolve after several weeks
61
Etiology of nasolabial cyst
Misplaced epithelium from nasolacrimal duct
62
Nasal labial cysts occur more commonly in
Females, three to one
63
Site of nasal labial cyst
Upper lip, lateral to midline
64
Clinical features of nasal labial cyst
Swelling of upper lip, elevation of ala of nose, obliteration of maxillary mucolabial fold
65
Radiographic features of nasal labial cyst
Soft tissue cyst, usually no radiographic changes
66
Epithelial lining of nasal labial cyst
Pseudostratified columnar
67
Cyst wall of nasal labial cyst
Fibrous connective tissue, striated muscle
68
True/false: reoccurrences of nasal labial cysts are rare
True
69
Globulomaxillary cyst
This term should no longer be used.
70
Globalomaxullary cyst was originally thought to be a fissural cyst arrising from
Epithelium entrapped during the fusion of globular portion of the medial nasal process with the maxillary process
71
Why was the proposed etiology of globulomaxillary cyst incorrect
No such fusion occurs embryogiically
72
Globulomaxillary cysts have been histologically diagnosed as
Inflammatory odontogenic cyst, or true developmental odontogenic cyst
73
Configuration of Globulomaxillary cyst
Inverted pair in lateral incisor/canine region
74
Nasopalatine duct cyst a.k.a.
Incisive canal cyst
75
Most common non-odontogenic cyst of oral cavity
Nasopalatine duct cyst
76
Etiology of nasoPalitine duct cyst
Cystic degeneration of epithelial remnants of Nasopalatine ducks, embryologic epithelial structures that run from nasal cavity to oral cavity. Housed within incisive canals
77
Nasopalatine duct cyst in adults
Degenerates and adults, leaves behind remnants
78
Site of nasal Palitine duct cyst
Anterior palate, midline. At area of incisive papilla
79
Clinical features of Nasopalatine duct cyst
Asymptomatic, swelling of anterior palette, if entirely in soft tissue=soft and fluctuate
80
Radiographic features of Nasopalatine duct cyst
One to two. 5 cm, round, heart shaped, inverted pair, uniocular, radio lucent, well defined borders
81
Location of Nasopalatine duct cyst
Between and apical to central incisors, incisors vital
82
Epithelium of Nasopalatine duct cyst
All of the above
83
Wall of Nasopalatine duct cyst
Nerves, blood vessels, mucous glands. May be hyaline cartilage, inflammation
84
Nasopalatine treatment
Surgical enucleation | may result in anesthesia of anterior Maxilla for months
85
Reoccurrence of Nasopalatine duct cyst
Rare
86
Median palatal cyst etiology
Rare visual cyst, derives from entrapped epithelium infusion line between lateral palatal shelves. May be mistaken for posteriorly displaced Nasopalatine duct cyst.
87
Radiographic features of median palatal cyst
2 cm, around, unilocular, radiolucent, well defined, at Posterior hard palate, midline, symmetric
88
A median palatal cyst has no communication with, and is not associated with
Incisive canal, non-vital tooth
89
Epithelium of median palatal cyst
Stratified squamous, pseudostratified columnar
90
Wall of median palatal cyst
Fibrous connective tissue
91
Diagnostic criteria for median palatal cyst
1. Symmetrical of midline hard palate 2. Posterior to incisive papilla 3. Not intimately associated with incisive canal 4. Does not communicate with incisive canal 5. No microscopic evidence of large neurovascular bundle, highland cartilage, or minor salivary glands
92
Treatment of median palatal cyst
Enucleation