General Flashcards

(87 cards)

1
Q

For holding thyroid or other delicate tissue

A

Alice or Babcock

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2
Q

To bluntly dissect

A

Peanut or Kittner sponges
KP

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3
Q

Зажим

A

Forceps

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4
Q

Forceps to use during dissection of tissues

A

Tonsil forceps

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5
Q

Blade used for head and neck surgery and handle

A

Handle 3
Blade 15

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6
Q

No tooth atraumatic forceps

A

DeBakey forceps

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7
Q

Clamp for superior thyroid vessels

A

Right angle or Lee right angle clamp or
Burlisher clamp

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8
Q

Compression dressing

A

Jobst dressing

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9
Q

Medications/anyibiotics order for general head and neck surgery ?

Mucosa/oral
Clean?

A

Unasyn(amp+sulbactam) and decadron if mucosal entering

Ancef if clean surgery

Zosyn - pseudomonas or other resustabt infection

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10
Q

Often used antibiotics

A

Unasyn, if oral cavity
ancef (cefazolin) if only skin

Zosyn - piperacillin tazobactam

Tablets
Augmentin

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11
Q

Wound dressing after surgery, all needed?

A

Steristrip - for thyroid
Mastistol - surgical glue
Telfa
Tegaderm

Vit A and D ointment
Bacitracin ointment

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12
Q

Split thickness graft thickness and oil?

A

.02 - Pang
.018 Asarkar
Mineral oil

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13
Q

Initial prep of patient for surgery

A

Tegaderm on eyes
Mark free flap harvesting area

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14
Q

SLP?

A

Speech language pathologist

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15
Q

If you see pulling saliva from the pyriform sinuses ?

A

Dysphagia
1. Speech pathologist
2. Registered dietitian

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16
Q

Why radiate soft palate scc

A
  1. Regurgitation
  2. Multi centric
    3.retropharyngeal lymph nodes
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17
Q

ABR: auditory brainstem response
ACC: adenoid cystic carcinoma
AD: right ear
AOM: acute otitis media
AR: allergic rhinitis
AS: left ear
AU: both ears
BAHA: bone anchored hearing aid
BOT: base of tongue
BPPV: benign paroxysmal positional vertigo
BTE: Behind The Ear (heading aids)
CHL: conductive hearing loss
CI: cochlear implant
CNR: closed nasal reduction
COM: chronic otitis media
CPA: cerebellopontine angle
CRS: chronic rhinosinusitis
CWD: canal wall down
CWR: canal wall reconstruction
CWU: canal wall up
DL: direct laryngoscopy
EAC: external auditory canal
ELS: Endolymphatic Shunt
ETD: eustachian tube dysfunction
EUA: Exam under anesthesia
FESS: functional endoscopic sinus surgery
FEES: flexible endoscopic evaluation of swallowing
FFF: Fibula free flap
FFL: flexible fiberoptic laryngoscopy
FMTE: full mouth tooth extraction
FOM: floor of mouth
HL: Hearing Loss
HA: Hearing Aids
IAC: internal auditory canal
LES: lower esophageal sphincter
LN: lymph node
LTR: laryngotracheal reconstruction
MCF: Middle cranial fossa
MD: Meniere’s Disease
MMF: maxillomandibular fixation
MTC: Medullary thyroid cancer
MxT: Myringotomy and tubes
NBHS: newborn hearing screen
ND: neck dissection
NOE: naso-orbito-ethmoid
NSI: nasal saline irrigations
OAE: Oto acoustic emissions
OCR: ossicular chain reconstruction
OME: Otitis media with effusion
OPMS: oropharyngeal motility study
ORIF: open reduction internal fixation
OSA: obstructive sleep apnea
OSR: open septorhinoplasty
Panendo: panendoscopy (direct laryngoscopy, bronchoscopy, esophagoscopy)
PORP: partial ossicular replacement prosthesis
PSG: Polysomnogram (sleep study)
PTA: peritonsillar abscess or pure tone audiometry
PTC: papillary thyroid cancer
RFFF: Radial forearm free flap
RMT: retromolar trigone
RRP: recurrent respiratory papillomatosis
SDT: speech discrimination threshold on audiometry
SGS: subglottic stenosis
SMG: submandibular gland
SNHL: sensorineural hearing loss
SRT: speech reception threshold on audiometry
SSNHL: sudden sensorineural hearing loss
STSG: split thickness skin graft
T&A: Tonsillectomy and adenoidectomy
TL: total laryngectomy, may also be used for translab approach
TM: tympanic membrane
TT: Total thyroidectomy
TORP: total ossicular replacement prosthesis
UES: upper esophageal sphincter
VC: vocal cords
VS: vestibular schwannoma
ZMC: zygomaticomaxillary complex

A

ABR: auditory brainstem response
ACC: adenoid cystic carcinoma
AD: right ear
AOM: acute otitis media
AR: allergic rhinitis
AS: left ear
AU: both ears
BAHA: bone anchored hearing aid
BOT: base of tongue
BPPV: benign paroxysmal positional vertigo
BTE: Behind The Ear (heading aids)
CHL: conductive hearing loss
CI: cochlear implant
CNR: closed nasal reduction
COM: chronic otitis media
CPA: cerebellopontine angle
CRS: chronic rhinosinusitis
CWD: canal wall down
CWR: canal wall reconstruction
CWU: canal wall up
DL: direct laryngoscopy
EAC: external auditory canal
ELS: Endolymphatic Shunt
ETD: eustachian tube dysfunction
EUA: Exam under anesthesia
FESS: functional endoscopic sinus surgery
FEES: flexible endoscopic evaluation of swallowing
FFF: Fibula free flap
FFL: flexible fiberoptic laryngoscopy
FMTE: full mouth tooth extraction
FOM: floor of mouth
HL: Hearing Loss
HA: Hearing Aids
IAC: internal auditory canal
LES: lower esophageal sphincter
LN: lymph node
LTR: laryngotracheal reconstruction
MCF: Middle cranial fossa
MD: Meniere’s Disease
MMF: maxillomandibular fixation
MTC: Medullary thyroid cancer
MxT: Myringotomy and tubes
NBHS: newborn hearing screen
ND: neck dissection
NOE: naso-orbito-ethmoid
NSI: nasal saline irrigations
OAE: Oto acoustic emissions
OCR: ossicular chain reconstruction
OME: Otitis media with effusion
OPMS: oropharyngeal motility study
ORIF: open reduction internal fixation
OSA: obstructive sleep apnea
OSR: open septorhinoplasty
Panendo: panendoscopy (direct laryngoscopy, bronchoscopy, esophagoscopy)
PORP: partial ossicular replacement prosthesis
PSG: Polysomnogram (sleep study)
PTA: peritonsillar abscess or pure tone audiometry
PTC: papillary thyroid cancer
RFFF: Radial forearm free flap
RMT: retromolar trigone
RRP: recurrent respiratory papillomatosis
SDT: speech discrimination threshold on audiometry
SGS: subglottic stenosis
SMG: submandibular gland
SNHL: sensorineural hearing loss
SRT: speech reception threshold on audiometry
SSNHL: sudden sensorineural hearing loss
STSG: split thickness skin graft
T&A: Tonsillectomy and adenoidectomy
TL: total laryngectomy, may also be used for translab approach
TM: tympanic membrane
TT: Total thyroidectomy
TORP: total ossicular replacement prosthesis
UES: upper esophageal sphincter
VC: vocal cords
VS: vestibular schwannoma
ZMC: zygomaticomaxillary complex

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18
Q

CRT vs only RT for head and neck cancer?
Two trials

A

EORTC trial no. 22931 and RTOG trial no. 9501

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19
Q

What to ask for wle in the clinics?

A

Procedure tray
Lidocaine - order in EPIC
25 G needle
18 G blunt
10 cc syringe
15 blade

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20
Q

Free Flap medications post op

A
  • Lovenox 0.4 at incision and till discharge q.d.
  • Aspirin - 81 mg POD0 and till discharge
  • Decadron 10 mg Q8
  • Unasyn x 24 hours (amp+sulbactam)
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21
Q

To use to suspend mouth during tonsillectomy or oropharynx surgery?

A

McIvor mouth gag - full circle
Crow Davis - half circle
FK for robotic

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22
Q

Sleep apnea implant? When to use?

A

Inspire- hypoglossal nerve stim
Anterior-posterior obstruction

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23
Q

Fluffy tissue below the Penrose drain?

A

Kerlix dressing

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24
Q

FNA needle size?

A

23, 25, 27

For thyroid consider finer 25 and 27

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25
Tissue to insert in the nasal cavity to stop bleeding during endo surgery?
Surgical Patties
26
Intracuticular closure/ type of suture
Monocril, nylon
27
Important anatomy RFFF
Palmaris Longus tendon Flexor carpi radialis Brachioradialis Cephalic vein Radial nerve Cutaneous branches of radial nerve
28
Important anatomy latissimus dorsi flap
Axial artery - subscapular - Thoracodorsal artery main pedicle - circumflex scapular artery and angular - serratus anterior One artery and one commitance vein
29
Laryngoscope types for panendo Bronochoscope And next esoohagoscopes
Dido Jackson Anterior commissure Eso Neck short first Long next
30
Retractors
Army navy Richardson Senn retractor Deaver - large semi rounded retractor
31
CPR rate and depth
100-120 rate, depth 5 cm or 2 inches
32
Retrsternal goiter SVC syndrome checking - sign name and procedure
Pemberton's sign Raise arms
33
Suction tips
Yankauer - bulb tip Frazier - a small tube with a finger closing hole
34
Optiflow
35
Needle for micro and suture?
Ethilon/nylon 9-0, taper point needle BV100-4 Don't use a spatula needle or other cutting needles
36
Clinic presenting a case to Dr Nathan
History, who refered if consult, why TNM stage, TSH, smoking during the treatment, swallowing and breathing, weight. If primary: primary tumor and neck description. Thyroid: baseline scope
37
OR for RFFF
Tourniquet Cuff Film u drape Marker 10x10 9-0 nylon bv100-4 Shaver Chloroprep Wide tape Urinary Foley catheter
38
Ear pinna anatomy?
Helix, antihelix, tragus, EAC, lobule https://otosurgeryatlas.stanford.edu/wp-content/uploads/2020/06/1b-1.jpg
39
Oral cavity larynx antibiotics
Unasyn
40
Combination opioid drugs? 2 types
Percocet - oxy + acetaminophen Norco - hydrocodone + acetaminophen
41
ALT flap pedicle types Paper author and types
Yoshihiro Kimata 1998 8 types Types 1-2 are the most common - form descending branch Type 4 - has parallel two branches, skin supplied by the smaller, more lateral.
42
ISBARQ protocol
Introduction Situation - code status, what treatment given Background - admission, history, important comorbidity Assessment - chief complaint, status labs, important Recommendations - what is planned Question - ask for questions
43
Verbal feedbacks to a patient
I see I understand Could you elaborate?
44
Follow up general rules
1 year: 1-3 months. 2 years: 2-4 months 3 to 5 years: every 4-6 months after five years every 12 months.
45
Facial bones
Zygomatic bone Maxilla Nasal Lacrimal Inf concha Mandible Vomer Pterigoid - technically not facial
46
Epistaxis treatment?
Pressure 10-15 min Bend forwards Pledgets soaked with Afrin/oxymetazoline Merocel Rhino Rocket
47
Tracheostomy flap name
Bjork flap - cut from above open to inferior and stitch to inferior edge
48
Mouth gags for TORS?
Oropharynx: Position the Crow-Davis or Davis Meyer mouth gag to fully visualize the target anatomy Larynx: Position the Feyh-Kastenbauer (FK) retractor for an initial view that includes the epiglottis and vallecular mucosa Oral Cavity: Crow-Davis mouth gag, Jennings mouth gag, Molt side biting retractor are useful for exposure of more anterior targets. McIvor
49
Clip for skull skin. To stop the bleeding.
Raney clip
50
Salivary duct stent name?
To place during surgery Walvekar stent
51
Posterior glottic stenosis classification?
Bogdasarian Classification of Posterior Glottic Stenosis Type Description Type I An interarytenoid scar band between the vocal folds that is anterior and separate from the posterior interarytenoid mucosa. Type II Scarring of the mucosa or musculature of the posterior interarytenoid area (limited motion of arytenoids) Type III Unilateral cricoarytenoid joint fixation Type IV Bilateral cricoarytenoid joint fixation
52
NSI
Nasal saline irrigations
53
When to perform lateral canthotomy?
Intraocular pressure above 40. Usually trauma or hematoma Lateral canthus
54
Lateral and medial pterygoid insertions
Lateral - TMJ Medial - angle of the mandible
55
Mandible anatomy
Condylar process Coronoid process Ramus Body Alveolar process Mental foramen
56
Facial nerve paralysis scale grade?
House-Brackmann facial paralysis scale Grade Impairment I Normal II Mild dysfunction (slight weakness, normal symmetry at rest) III Moderate dysfunction (obvious but not disfiguring weakness with synkinesis, normal symmetry at rest) Complete eye closure w/ maximal effort, good forehead movement IV Moderately severe dysfunction (obvious and disfiguring asymmetry, significant synkinesis) Incomplete eye closure, moderate forehead movement V Severe dysfunction (barely perceptible motion) VI Total paralysis (no movement) *Please note: This scale is used to evaluate facial paralysis at the nerve trunk, and is not a descriptive scale to describe injury to specific distal facial nerve branches.
57
Steroid nasal spray?
Flonase
58
When to do pet if surgery is in mind after CRT?
6-8 weeks after RT is earliest
59
NAEON
No adverse events overnight
60
MTD laryngology
Muscle tension dysphonia
61
Maxillectomy types and incision names
Medial Suprastructure Infrastructure Subtotal Total Modified Medial rhinotomy Weber Ferguson extension
62
Caldwell Luc?
Incision in intraoral Antrostomy
63
Ameya likes to use for micor case
Vax spear or vax cell Papaverin
64
Free fibula important anatomy
Peroneal artery and vein is the pedicle Superficial Peroneal nerve to be preserved 1. Anterior - Peroneal muscles longus and brevis 2. Extensor halucis longus from anterior tip of fibula before exposure membrane After membrane cut - tibialis posterior muscle is separated from bone leaving cuff of it. 3. Flexor Halucis longus and tibialis posterior muscle cuffs stays with fibula 4. Soleus muscle after posterior cut is made
65
Laryngeal muscles
Thyroarytenoid - vocal cord Transverse arytenoid Posterior cricoarytenoid Lateral cricoarytenoid muscle
66
The name of tvc plasty?
Thyroplasty
67
Packing of the fistula we use?
Iodoform packing
68
Gracilis muscle flap anatomy
Pedicle is between adductor longus and adductor magnus Vascular pedicle arises from medial circumflex femoral or profundal femoris Obturator nerves branch is nerve pedicle Muscle - pubic tubercule and medial tibial condyle
69
Submandibular and parotid gland ducts
Whartons and Stetson ducts
70
Vein on the way during gracilis flap
Saphenous vein
71
Hoarseness Closure of false vocal cords during phonation or of the whole supraglottis with arytenoid collapse and hiding TVC
Muscle tension dysphonia
72
Caldwell luc Weber Ferguson incisions maxillary
73
For biopsy, procedures through flexible scope?
Radial jaw forceps Different sizes from 2.8 is pretty big
74
Longer trach tubes
Xlt and Bivona trach tubes
75
Oral aphtous ulcers treatment
Sukralfate or karafate
76
HDS abbreviation meaning?
Hemodynamically stable
77
Ulnar flap
Pedicle is between Flexor digitorum superficialis and flexor carpi ulnaris
78
Nasal septum plastic holder
Doyle splints
79
Retractor for cleft lapate
Dingman retractor with cheek part
80
Xanax is?
Alprazolam is a benzodiazepine
81
Used to position vessel in micro white sponge
Gelfoam
82
Superior laryngeal nerve anatomy
External and internal branches - External branch goes along and behind STA - internal branch - pieces thyrohyoid membrane together with superior laryngeal vessels
83
Space between tvc and false vocal cords
Laryngeal ventricle and laryngeal saccule
84
What to look for if patient has laryngocele?
Secondary laryngocele due to laryngeal cancer
85
Laryngicele vs saccular cyst
Saccular cyst more common in kids and does not communicate with laryngeal ventricle
86
Pharyngeal sutures by Asarkar and Nathan
Asarkar - node inside the lumen. Far opposite side far, close, opposite side close. Nathan - node is outside the lumen. in the bar far, outside the bar close, across the street, in the bar close, outside the bar far. Far will be tied to far outside the lumen.
87
Botox Sal glands dilution and dose
100 units in 5 ml. 1ml=20 units