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Surgery > 3plastic Surgery - Recon > Flashcards

3plastic Surgery - Recon Flashcards

(61 cards)

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1
Q

Det wc corrective surgery is to be used

A

CeohaloMETRIC analysis

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2
Q

Techniques in mgt of mandible fractures

A

Intermaxillary fixation

Open reduction internal fixation (orif)

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3
Q

Risk in mandible osteotomy

A

Alveolar nerve transection

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4
Q

Indic for sagittal splitting osteotomy

A

Prognathia and retrognathia

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5
Q

What is rigid fixation?

A

Place 2 bands in upper and lower fracture border

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6
Q

Numbness in mandible

A

Infraalveolar nerve injury

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7
Q

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

A

Class ii

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8
Q

Give signs of orbital fract?

A 
Enopthalmos
Diplopia
Eoms limited
Inferior movt of globe
Max sinus opacity
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9
Q

Most common orbital frac

A

Blow out involving medial and inf orbit

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10
Q

Dx for blow out fracture

A

Positive forced duction test

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11
Q

Conpression of 3,4,6nerves

A

Sof syndrome (sup orbital fissure)

If w blindess, orbital apex syndrome

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12
Q

Zygoma complex fractures?

A 
Zygomatic arch
Zygo frontal
Inferior orbit rim
Floor of orbit
Zygomaxillary
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13
Q

Pterygomaxillary fissure, nasofrontal jcn, inferior orbital rim

A

Le fort 2

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14
Q

Zygoma fractures almost always accmpd by?

A

Numbness

Subconjunctival hematoma

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15
Q

What incision for orbital floor and infraorb rim fracture?

A

Subtarsal/ transconjunctival incision

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16
Q

Early tx for nasal fracture

A

Close reduction

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17
Q

What if present nasal septum hematoma

A

Incise drain and pack

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18
Q

Poor option for tip and ala recons

A

Skin grafting

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19
Q

Areas of missing cartilage nasal recon

A

Paramedian forehead flap

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20
Q

Advancement of lip mucosa used for correctn of vermillon only defect

A

Lip shave

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21
Q

Denervated lip technique

A

Crosslip flap

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22
Q

Central upper lip defect

A

Abbe flap

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23
Q

Lateral upper / lower lip defect

A

Estlander flap

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24
Q

Uses cheek tissue flaps to lip

A

Webster bernard technique

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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

Surgery (18 decks)

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