Abstract:
Background: This investigation is important to reveal hard palate ontogenetic transformations in fetal and early neonatal periods, which is important
for the facial surgery in fetuses, newborns.
Material and methods: Investigations have been performed in 53 cadavers of fetuses from 4 to 10 months of development, and in 9 cadavers of newborn
children of both genders, who died of the reasons not connected with digestive system diseases or anomalies, and were without external signs of anatomic
deviations or abnormalities, and were without evident macroscopic deviations of skull structure. Adequate anatomic methods have been used for
investigation: macropreparations, topographic anatomical sections, morphometry, and statistical analysis.
Results: Variants of the hard palate shapes during fetal and early neonatal periods of ontogenesis are the following: trapezium (15%), square (10%), and
ellipse (7%) shapes. The shapes of the trapezium were detected in most cases in 6-7-month fetuses (20%), and in equal percentage proportion in early
and late fetuses (12%). The square form is a characteristic variant form in early fetuses (17%), with fetuses age increase this form was detected in less
cases, in 6-7-month fetuses – in 10%, in late (8-10 month) fetuses – in 8%, and within the newborn period the square form was not observed. The form
of the ellipse was observed in larger percentage proportion in late fetuses and in newborns (12%), in less proportion (5%) – in 6-7-month fetuses, in early
fetuses this form was not detected at all. Forms of the ellipse and of the trapezium were observed in equal number of cases in 8-10-month fetuses and
newborns. With fetuses development the hard palate form in sagittal and frontal planes changed from arcuate to flat one.
Conclusions: An ascertainment of typical and variant anatomy of hard palate forms and types would promote implementation of the new methods of
major and reconstructive surgical invasions in face and skull.
Description:
Department of Anatomy, Topographic Anatomy and Operative Surgery, Bukovinian State Medical University, Chernivtsi, Ukraine
