Cleft palate causes difficulty in feeding, nasal regurgitations, and hyponasality. It predisposes to eustachian tube dysfunction with formation of "glue" ear for which
insertion of a ventilation tube being commonly indicated.
Arrow- split uvula, star- hard palate, The nasopharyx in a patient
circles- posterior end of upper alveolar with cleft soft palate.
ridge, square- tail of right inferior turbinate.
See video of bifid uvula by Dr Vetri @ YouTube
Eardrum atelectasis as a complication of chronic eustachian tube dysfunction
in an elderly patient despite repaired cleft palate.
Close-up view of soft palate patechiae.
Palatal patechiae when the platelet count was 34 x 109 /L.
The palatal lesion of the same patient 2 days later when the platelet count has improved.
Generalized maculopapular rash - "islands of whites in the seas of red"
Close-up view of the rash involving the leg 2 days later.
Bruises at branula insertion sites (volar aspect of left wrist) in a patient with platelet count of 11 x 109/L
Intra-oral lesions of measles.
Buccal mucosa lesions. Koplik's spot appears in early stage of the disease.
The typical maculopapular rash of measles with centrifugal pattern of eruption - the limbs affected last.
Early palatal candidiasis manifested as mucosal induration (X) with focal areas of white curds at its periphery. The patient also has severe candida oesophagitis and perianal herpes simplex which give clue to underlying immune-suppression state.
Diffuse oral thrush involving the palate and oropharynx.
Another example of oral thrush in a patient using high dose corticosteroid inhaler.
Watch video of mouth and throat candidiasis @ YouTube
Typical site: along midline of hard palate.
Mucosal ulceration over torus.
Torus which has becomes bigger and encroaching denture edge.
'Giant' asymptomatic torus maxillaris (T). [SP - soft palate]
Surgical removal of large and symptomatic torus palatinus. Mucoperiosteal flap (arrows) was raised and preserved, later to be sewn back to cover the raw drilled area. [+ - torus, sp - soft palate, a - alveolar ridge]
Surgery by Dr. Jeevanan Jahendran.
Figure shows mucosal appearance of soft palate in a histologically-confirmed dysplasia. Intervening borders beween nornal (anteriorly) and affected area (posteriorly) are clearly seen.
Close-up view of the most dysplastic area.
Non-healing ulcer of palate over 4 months duration (arrow) with surrounding area or leukoplakia. Malignancy need to be ruled out by taking biopsy.