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SCHISIS / CLEFT
MICROGNATHIA
* Failure of mesodermal penetrance between
the maxillary, median nasal, and lateral nasal.
- Unilateral/ Bilateral
- Simplex/ complex: Labioschisis
Labiognatoschisis
Labiognatopalatoschisis
Oblique facial clef
- Sporadic/ congenital
- May be it is associated with other anomalies
TONGUE
CONGENITAL DISORDER OF THE TONGUE
MICROGLOSSI
MACROGLOSSI
TIE TONGUE
BIFID TONGUE
INFALAMMATORY DISORDERS
Aphthous stomatitis
GLOSSITIS
Geographic tongue
Glositis tuberculosa
Hairry tongue
Glositis luetica
Reparative lesion:
EPULIS
Excessive reparative process
-Granulomatous epulis
-Fibromatous epulis
-Giant cell epulis
-Haemangioform epulis
-Pregnancy epulis
LEUKOPLAKIA
- white patches of keratosis
- premalignant lesion
- hyperkeratosis, hyperplasia of the squamous epithelium
- dysplastic changes
II. A. Sialadenitis
Acute
- Suppurative parotitis
- Non-suppurative parotitis
- Parotitis epidemica / Mumps: paramyxovirus
Orchitis/ Oophoritis
- Cytomegalic inclusion disease
Chronic
1. SJOGRENS SYNDROME :
- Autoimmune disease
- Keratoconjungtivitis sicca
- Xerostomia
- Parotitis hyperplasia
2. MIKULICZ SYNDROME :
- Idiophatic
- Keratoconjungtivitis sicca
- Xerostomia
- Unilateral parotitis hyperplasia
Mucocele
A cyst-like pool of mucus, lined by granulation tissue,
near a minor salivary gland
Results from mucus leakage caused by rupture of
obstructed or traumatized ducts
Ranula
Is a large mucocele, of salivary gland of origin,
characteristically localized to the floor of the mouth
Pleomorphic adenoma
Pleomorphic adenoma
Warthin tumor
Warthin tumor
Oncocytoma
Oncocytoma
Mucoepidermoid tumor
(Palatal gland)
Mucoepidermoid tumor
(Low grade)
Mucoepidermoid tumor
(moderate grade)
Mucoepidermoid tumor
(High grade)
B. Esophageal diverticula
- Outpouchings of the wall of hollow viscus
- herniation of the mucosa or full thickness
- effects: dysphagia, diverticulitis
- pharyngoesophageal diverticula
C. Achalasia
-Contractility of the lower esophagus is lost and
there is failure of relaxation at the sphincter
(cardiospasm)
-Mechanism: fibrosis and atrophy of smooth muscle
(reduced number number of ganglion cells in the
myenteric plexus: Chagas disease & other
unknown etiology).
-Clinically: slowing / retention of the food
dilatation dysphagia
D. Esophageal varices
-Localized dilatation of veins
-Portal hypertension
- cirrhosis hepatis
- Haematemesis
E. HIATUS HERNIA
The presence of part of the stomach above the diaphragmatic orifice, mostly acquired
Increased intra-abdominal pressure and loss of diaphragmatic muscular tone with aging
herniation of the stomach and subsequent retraction of the esophagus.
F. 1. Gastroesophageal reflux
Reflux of gastric acid contents into the esophagus esophagitis,
stricture, ulceation, or columnar metaplasia (Barrets esophagus)
Usually characterized by burning pain (often manifests by substernal
pain or heartburn) relieved by antacids
Often precipitated by assuming recumbent position
Associated:
- most commonly with hiatal hernia and incompetent lower
esophageal sphincter
- with excessive use of alcohol & tobacco, and with increased gastric
volume
- with pregnancy and scleroderma
F. 3. Candida esophagitis
Etiology: Candida (Monilia) albicans
Manifest clinically by white adherent mucosal patches and
painful, difficult swallowing
Often assciated with:
- antibiotic therapy
- diabetes mellitus
- malignancy
- immunodeficiency
F. 5. Esophageal stricture
Most often results from prolonged esophageal
gastric acid reflux
May also be caused by suicidal or accidental
ingestion of corrosive agent (acid or alkaline)
G2. Adenocarcinoma