3plastic Surgery - Intro Flashcards
Operation eyelid, nose ears
Cornelius
Preop mgt in px on glucocorticoids
Vitamin A
Intraop mgt t or f? Keep wound moist
T
Line of minimal tension
Langer line
Runs along natural wrinkle and creases
Kraissls line
Primary wound healing means?
Mechanical apposition of edges
Limiting step to both wound heal and tissue recon
Vascularity
Main population of cells in 3rd day to weeks
Macrophages
Dysfunctional healing progresses beyond insult
Keloid
Best tx for scars
Surgical excision
Tissue tension modulators
Undermine srrounding edge
Close wound inlayers
Use of flaps
Poly non abs sutures?
Polypropylene
Polyethylene
Suture for eversion
Horizontal matt
Advantageous in tensionless closure
Adhesives
Allow closure but with element of hemostasis
Continuous over and over