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Vomer Flap Surgery
Vomer flap surgery was used prior to 1975 as a surgical treatment for children with cleft palate. In this procedure, the vomer bone was used to reconstruct the palate and cover the cleft. Vomer flap procedure The vomer is a triangle shaped bone that forms the inferior and posterior portion of the nasal septum (www.emedicine.com/plastic/topic519.htm). A vomer flap is a type of palatoplasty surgery that uses the mucoperiosteal tissue of the vomer to cover a unilateral or bilateral cleft palate. This procedure can be used to reconstruct the nasal or oral surfaces by either raising the vomer or creating a flap. Surgical procedures can be combined according to type of clefting in order to ensure the best outcomes for the patient. Vomer flap surgery involves the suture line of the vomer bone which is an important site for midface growth. In this case, a suture line refers to boundary between two bony plates which eventually grow together as the child matures. Vomer flap and mid-fac ...
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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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Vomer Bone
The vomer (; lat, vomer, lit=ploughshare) is one of the unpaired facial bones of the skull. It is located in the midsagittal line, and articulates with the sphenoid, the ethmoid, the left and right palatine bones, and the left and right maxillary bones. The vomer forms the inferior part of the nasal septum in humans, with the superior part formed by the perpendicular plate of the ethmoid bone. The name is derived from the Latin word for a ploughshare and the shape of the bone. In humans The vomer is situated in the median plane, but its anterior portion is frequently bent to one side. It is thin, somewhat quadrilateral in shape, and forms the hinder and lower part of the nasal septum; it has two surfaces and four borders. The surfaces are marked by small furrows for blood vessels, and on each is the nasopalatine groove, which runs obliquely downward and forward, and lodges the nasopalatine nerve and vessels. Borders The ''superior border'', the thickest, presents a de ...
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Vomer
The vomer (; lat, vomer, lit=ploughshare) is one of the unpaired facial bones of the skull. It is located in the midsagittal line, and articulates with the sphenoid, the ethmoid, the left and right palatine bones, and the left and right maxillary bones. The vomer forms the inferior part of the nasal septum in humans, with the superior part formed by the perpendicular plate of the ethmoid bone. The name is derived from the Latin word for a ploughshare and the shape of the bone. In humans The vomer is situated in the median plane, but its anterior portion is frequently bent to one side. It is thin, somewhat quadrilateral in shape, and forms the hinder and lower part of the nasal septum; it has two surfaces and four borders. The surfaces are marked by small furrows for blood vessels, and on each is the nasopalatine groove, which runs obliquely downward and forward, and lodges the nasopalatine nerve and vessels. Borders The ''superior border'', the thickest, presents a dee ...
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Nasal Septum
The nasal septum () separates the left and right airways of the Human nose, nasal cavity, dividing the two nostrils. It is Depression (kinesiology), depressed by the depressor septi nasi muscle. Structure The fleshy external end of the nasal septum is called the Human nose#Cartilages, columella or columella nasi, and is made up of cartilage and soft tissue. The nasal septum contains bone and hyaline cartilage. It is normally about 2 mm thick. The nasal septum is composed of four structures: * Perpendicular plate of ethmoid bone * Vomer bone * Septal nasal cartilage * Maxillary bone (the crest) The lowest part of the septum is a narrow strip of bone that projects from the maxilla and the Palatine bone, palatine bones, and is the length of the septum. This strip of bone is called the maxillary crest; it articulates in front with the septal nasal cartilage, and at the back with the vomer. The maxillary crest is described in the anatomy of the nasal septum as having a maxill ...
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Palatoplasty
Palatoplasty is a surgical procedure used to correct or reconstruct the palate in a person with a cleft palate. The basic goals of the procedure are to close the abnormal opening between the nose and mouth, to help the patient develop normal speech, and to aid in swallowing, breathing and normal development of associated structures in the mouth. Any person with any degree of a cleft palate is a candidate for palatoplasty. The procedure is usually performed on infants. The ideal age for the patient is between six and twelve months of age. If the surgery is carried out much beyond three years of age, speech development may not be optimal. 80% of the time, development of the palate and speech is normal after only one procedure.Pediatric ENT West central Florida


See also

*Oral and maxillof ...
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Surgery
Surgery ''cheirourgikē'' (composed of χείρ, "hand", and ἔργον, "work"), via la, chirurgiae, meaning "hand work". is a medical specialty that uses operative manual and instrumental techniques on a person to investigate or treat a pathological condition such as a disease or injury, to help improve bodily function, appearance, or to repair unwanted ruptured areas. The act of performing surgery may be called a surgical procedure, operation, or simply "surgery". In this context, the verb "operate" means to perform surgery. The adjective surgical means pertaining to surgery; e.g. surgical instruments or surgical nurse. The person or subject on which the surgery is performed can be a person or an animal. A surgeon is a person who practices surgery and a surgeon's assistant is a person who practices surgical assistance. A surgical team is made up of the surgeon, the surgeon's assistant, an anaesthetist, a circulating nurse and a surgical technologist. Surgery usually spa ...
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Vomer Flap
The vomer (; lat, vomer, lit=ploughshare) is one of the unpaired facial bones of the skull. It is located in the midsagittal line, and articulates with the sphenoid, the ethmoid, the left and right palatine bones, and the left and right maxillary bones. The vomer forms the inferior part of the nasal septum in humans, with the superior part formed by the perpendicular plate of the ethmoid bone. The name is derived from the Latin word for a ploughshare and the shape of the bone. In humans The vomer is situated in the median plane, but its anterior portion is frequently bent to one side. It is thin, somewhat quadrilateral in shape, and forms the hinder and lower part of the nasal septum; it has two surfaces and four borders. The surfaces are marked by small furrows for blood vessels, and on each is the nasopalatine groove, which runs obliquely downward and forward, and lodges the nasopalatine nerve and vessels. Borders The ''superior border'', the thickest, presents a de ...
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Suture (anatomical)
In anatomy, a suture is a fairly rigid joint between two or more hard elements of an organism, with or without significant overlap of the elements. Sutures are found in the skeletons or exoskeletons of a wide range of animals, in both invertebrates and vertebrates. Sutures are found in animals with hard parts from the Cambrian period to the present day. Sutures were and are formed by several different methods, and they exist between hard parts that are made from several different materials. Vertebrate skeletons The skeletons of vertebrate animals (fish, amphibians, reptiles, birds, and mammals) are made of bone, in which the main rigid ingredient is calcium phosphate. Cranial sutures The skulls of most vertebrates consist of sets of bony plates held together by cranial sutures. These sutures are held together mainly by Sharpey's fibers which grow from each bone into the adjoining one. Sutures in the ankles of land vertebrates In the type of crurotarsal ankle which is found i ...
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Nasal Lining
Nasal is an adjective referring to the nose, part of human or animal anatomy. It may also be shorthand for the following uses in combination: * With reference to the human nose: ** Nasal administration, a method of pharmaceutical drug delivery ** Nasal emission, the abnormal passing of oral air through a palatal cleft, or from some other type of pharyngeal inadequacy ** Nasal hair, the hair in the nose * With reference to phonetics: ** Nasalization, the production of a sound with a lowered velum, allowing some of the air to escape through the nose; the resulting being either: *** a nasal consonant, or *** a nasal vowel * With reference to the nose of humans or other animals: ** Nasal bone, two small oblong bones placed side by side at the middle and upper part of the face, and form, by their junction, "the bridge" of the nose ** Nasal cavity, a large air filled space above and behind the nose in the middle of the face ** Nasal concha, a long, narrow and curled bone shelf which prot ...
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Vomer Tissue
The vomer (; lat, vomer, lit=ploughshare) is one of the unpaired facial bones of the skull. It is located in the midsagittal line, and articulates with the sphenoid, the ethmoid, the left and right palatine bones, and the left and right maxillary bones. The vomer forms the inferior part of the nasal septum in humans, with the superior part formed by the perpendicular plate of the ethmoid bone. The name is derived from the Latin word for a ploughshare and the shape of the bone. In humans The vomer is situated in the median plane, but its anterior portion is frequently bent to one side. It is thin, somewhat quadrilateral in shape, and forms the hinder and lower part of the nasal septum; it has two surfaces and four borders. The surfaces are marked by small furrows for blood vessels, and on each is the nasopalatine groove, which runs obliquely downward and forward, and lodges the nasopalatine nerve and vessels. Borders The ''superior border'', the thickest, presents a de ...
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