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Flashcards in 3plastic Surgery - Recon Deck (61):
1

Det wc corrective surgery is to be used

CeohaloMETRIC analysis

2

Techniques in mgt of mandible fractures

Intermaxillary fixation
Open reduction internal fixation (orif)

3

Risk in mandible osteotomy

Alveolar nerve transection

4

Indic for sagittal splitting osteotomy

Prognathia and retrognathia

5

What is rigid fixation?

Place 2 bands in upper and lower fracture border

6

Numbness in mandible

Infraalveolar nerve injury

7

What class? Anterior positioning of upper to lower mandibular teeth?

Class ii

8

Give signs of orbital fract?

Enopthalmos
Diplopia
Eoms limited
Inferior movt of globe
Max sinus opacity

9

Most common orbital frac

Blow out involving medial and inf orbit

10

Dx for blow out fracture

Positive forced duction test

11

Conpression of 3,4,6nerves

Sof syndrome (sup orbital fissure)

If w blindess, orbital apex syndrome

12

Zygoma complex fractures?

Zygomatic arch
Zygo frontal
Inferior orbit rim
Floor of orbit
Zygomaxillary

13

Pterygomaxillary fissure, nasofrontal jcn, inferior orbital rim

Le fort 2

14

Zygoma fractures almost always accmpd by?

Numbness
Subconjunctival hematoma

15

What incision for orbital floor and infraorb rim fracture?

Subtarsal/ transconjunctival incision

16

Early tx for nasal fracture

Close reduction

17

What if present nasal septum hematoma

Incise drain and pack

18

Poor option for tip and ala recons

Skin grafting

19

Areas of missing cartilage nasal recon

Paramedian forehead flap

20

Advancement of lip mucosa used for correctn of vermillon only defect

Lip shave

21

Denervated lip technique

Crosslip flap

22

Central upper lip defect

Abbe flap

23

Lateral upper / lower lip defect

Estlander flap

24

Uses cheek tissue flaps to lip

Webster bernard technique

25

Used for central lower lip defect

Karapandzic tech

26

Most commonly used for lip microvascilar free tissue transfer

Radial forearm free flap

27

Defects of 1/3 of lid margin?

Primary closure

28

Defect gr 50% of lid

Temporal skin flap, cross lid flap

29

If defect 25-50% of lid

Lateral canthtotomy
Cantholysis

30

Causes of acquired ptosis

Neurogenic, myogenic
Trauma

31

Treatment od severe ptosis

Frontalis sling

32

Tx for moderate ptosis?

Levator is ok hence levator aponeurosis shortning proced

33

Vessels that supply scalp

Occipital
Post auricular
Superf temporal

34

T or f? Sclap is relatively elastic

F, inelastic, hence needs galeal scoring

35

Grafts for calvarial repair?

Rib
Calvarial din??

36

Flaps used in head and neck?

Detopectoral
Lats dorsi
Trapezius

37

Less than 25% glossectomy what repair? What if total glossectomy?

Skin graft or
Primary closure

No ideal method!!!

38

Dominant form of facial paralysis

Bells palsy

39

Gen rule for palsy?

Facial n injury w muscle atrophy that persists for more than 18montns will not regain fcn

40

Tx for

Nerve graft (sural nerve)
Prima closure
Nerve transfer

41

Diagnostic modality of choice

High res CT

42

Complication if rom is not resumed in mandibular fixation

Ankylosis

43

Lateral and inferior orbital rim fractures assoc with what kind of fracture?

Zygomaticomaxillary complex

44

Incision for zygomaticomaxillary buttress

Gingivobuccal sulcus

45

Key to successful repair of NOE fracture

Reestablish nasomax buttress
Medial canthal ligament fixation

46

Tx for frontal sinus fracture

Anterior orif

47

Keypoint in aproach to panfacial fractures

Arch and frontal bar reduced repaired
Width and frame maging okay

48

In nose reconstruction what in more than 50% of a subunit is damaged?

excise remainder

49

What subunit uses composite grafts?

Tip and alar rim

50

For chin afvancement

Horizontal psteotomy

51

Changing the size of mandibular symphysis

Osseus genioplasty

52

Nasal flap that requires 2 stages

Paramedian

53

Middle part of eyelid

Tarsus and meibomian

54

Contraindication in flap for breasts

Pedicled tram

55

Critical variable in implantation

Inframammary fold

56

Grade 2 ptosis

1-3 inframammary

57

Chest wall defects d/t

Tumor
Radiation necro
Trauma

58

Lower extremity wound requiring free tissue transfer

Distal 1/3

59

3 primary lymphedema in stages?

Milroys
Praecox
Tardum

60

Lymph drainage to muscle tissue

Kondoleon

61

Lymphaticovenous anastomoss

Sistrunk