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Flashcards

OCB02-1006-Suture Development

Evian Chai OCB English 15 cards

Cards in this deck (15)

  1. 1What are sutures?A type of fibrous joint between the skull bones
  2. 2What type of bone is the infant skull made up of?Flat bone
  3. 3What do sutures do?Absorb mechanical stress
    Provide elasticity/movement
  4. 4What is a fontanelle? What can it be used to indicate?A membrane covered spot where 3+ bones converge
    A baby's flexible fontanelle can be felt to assess development
  5. 5Why are sutures zigzagged?They are tension adapted and reflect the push and pull of bone growth (eg. tension at sutures from skull growth pushes out, causes new growth)
  6. 6What determines the orientation of facial growth? Give an exampleThe orientation of sutures
    Eg. The downward/forward growth of the maxillary occurs due to suture growth
  7. 7When are facial sutures active?During childhood/adolescence
  8. 8What are the 2 layers of a suture?1. Cambian layer (osteogenic)
    2. Capsular central zone (relatively inert)
  9. 9What is the mechanism of suture formation?Intramembranous ossification
  10. 10How does the skull develop in the embryo?It starts laterally in the embryo from the neural crest, then grows/ossifies upwards
  11. 11What occurs during craniosynostosis?The premature fusion of sutures
    This leads to restricted growth of the skill, and can also impact face growth
  12. 12FGFR2 causes...Apert syndrome:
    -midface malformations
    -malocclusion of teeth
    -narrow palate
    -fused limbs
  13. 13FGFR2/3 causes...Crouzon Syndrome:
    - midface hypoplasia (underdevelopment)
    - shallow eye orbits
    - dental crowding
  14. 14Which two transcription factors can cause craniosynostosis?1. TWIST
    2. MSX2
  15. 15What is the mechanism of craniosynostosis?Too much FGF signalling induces too much TWIST/MSX2 and bone growth

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Description
Review the basic mechanisms of craniofacial growth and briefly describe the method of sutural growth. Understand why sutures are tension adapted. Review molecules thought to play a role in sutural growth Discuss the role of genetic and environmental factors in the aetiology of sutural growth pathologies (cranial malformations).
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Evian Chai
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