title: Is the pterygopalatomaxillary suture (sutura sphenomaxillaris) a growing suture in the fetus?
abstract: The pterygopalatomaxillary suture is considered as having an important role in the posteroanterior growing of the maxilla. To determine whether this suture is a growing suture in the fetus, we performed a histological study of this suture in a fetus aged of 16 weeks of amenorrhea. Serial sections (5 microm) of the pterygopalatomaxillary suture area have been performed. Fibrous sutures are separating four pieces of ossification (maxilla, palatine bone, lateral and medial plates of the pterygoid process). A fibroblastic growing site has been observed on the dorsal aspect of the pterygopalatomaxillary suture, in contact to the anterior border of the lateral plate of the pterygoid process. The posteroanterior growing of maxilla is dependent on a growing suture located on the anterior border of the pterygoid process. The pterygoid process (via its lateral plate) makes the junction between the maxilla and both the cranial base and the condylar mandibular site of growth.
authors.affiliation: Anatomie, Service de Chirurgie Maxillo-faciale et Stomatologie, Hôpital Beaujon, APHP Université Paris Diderot, Paris-7, AP-HP, 100 Bd Général Leclerc, 92118, Clichy Cedex, France. christian.vacher@bjn.aphp.fr
authors.forename: C
authors.initials: C
authors.lastname: Vacher
authors.forename: J P
authors.initials: JP
authors.lastname: Onolfo
authors.forename: J P
authors.initials: JP
authors.lastname: Barbet
mesh_terms: D003393:Cranial Sutures / Q000196:embryology*; D005333:Fetus / Q000033:anatomy & histology*; D006801:Humans; D008437:Maxilla / Q000196:embryology*; D021362:Palate, Hard / Q000196:embryology; D056739:Pterygopalatine Fossa / Q000033:anatomy & histology*; D013100:Sphenoid Bone / Q000196:embryology*