Oral surgical conditions Flashcards
why is monofilament prefered for oral surgery
because it will wick through less bacteria
what is a cleft palate
Birth defect leading to abnormal opening between the mouth and nose
what is a primary cleft palate
cleft lip- deep groove of the lip running upwards to the nose
what is a secondary cleft palate
along the roof of the mouth
can involve hard or soft palate or both
List the clinical signs of primary and secondary cleft palates
stunted growth
breathing difficulties
coughing/ gagging when eating or drinking
nasal discharge
infection/ pneumonia due to food aspiration
abnormal visual appearance with cleft lip defect
describe how to manage cleft palate
often euthanised
surgical management - can be very challenging
at what age do we aim to do the cleft palate surgery
3-6 months
the closer to 6 months the better
list the aftercare considerations for a cleft palate surgery
antibiotics- with pneumonia or nasal infection
Elizabethan collar for 2-3 weeks to stop self-trauma
soft food for 3-4 weeks
no hard chew or toys
do not breed from affected individuals
list 3 potential complications of a cleft palate surgery
partial or complete dehiscence
nasal discharge or sneezing
continued coughing or gagging due to short soft palate
how to fix a symphseal separation
put suture around the canines and immobilise the mandible and leave to heal
or use dental arcylic to stabilise the fracture for 4 weesk
how can oronasal injuries commonly form
due to chronic stick injuries
how to fix a maxillary bone fracture
orthodontic buttons and elastics around teeth to stabilise the fracture
or use an acrylic splint over the teeth to stabilise
how to fix a traumatic oronasal fistula
repair the defect and stabilise the maxilla
what is a sialoliths
salivary gland stones
what are mucocoeles
results from blockage or damage to salivary duct resulting in an outpouching of saliva
