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Surgery > 3plastic Surgery - Recon > Flashcards

3plastic Surgery - Recon Flashcards

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
Q

Used for central lower lip defect

A

Karapandzic tech

26
Q

Most commonly used for lip microvascilar free tissue transfer

A

Radial forearm free flap

27
Q

Defects of 1/3 of lid margin?

A

Primary closure

28
Q

Defect gr 50% of lid

A

Temporal skin flap, cross lid flap

29
Q

If defect 25-50% of lid

A

Lateral canthtotomy

Cantholysis

30
Q

Causes of acquired ptosis

A

Neurogenic, myogenic

Trauma

31
Q

Treatment od severe ptosis

A

Frontalis sling

32
Q

Tx for moderate ptosis?

A

Levator is ok hence levator aponeurosis shortning proced

33
Q

Vessels that supply scalp

A

Occipital
Post auricular
Superf temporal

34
Q

T or f? Sclap is relatively elastic

A

F, inelastic, hence needs galeal scoring

35
Q

Grafts for calvarial repair?

A

Rib

Calvarial din??

36
Q

Flaps used in head and neck?

A

Detopectoral
Lats dorsi
Trapezius

37
Q

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

A

Skin graft or
Primary closure

No ideal method!!!

38
Q

Dominant form of facial paralysis

A

Bells palsy

39
Q

Gen rule for palsy?

A

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

40
Q

Tx for

A

Nerve graft (sural nerve)
Prima closure
Nerve transfer

41
Q

Diagnostic modality of choice

A

High res CT

42
Q

Complication if rom is not resumed in mandibular fixation

A

Ankylosis

43
Q

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

A

Zygomaticomaxillary complex

44
Q

Incision for zygomaticomaxillary buttress

A

Gingivobuccal sulcus

45
Q

Key to successful repair of NOE fracture

A

Reestablish nasomax buttress

Medial canthal ligament fixation

46
Q

Tx for frontal sinus fracture

A

Anterior orif

47
Q

Keypoint in aproach to panfacial fractures

A

Arch and frontal bar reduced repaired

Width and frame maging okay

48
Q

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

A

excise remainder

49
Q

What subunit uses composite grafts?

A

Tip and alar rim

50
Q

For chin afvancement

A

Horizontal psteotomy

51
Q

Changing the size of mandibular symphysis

A

Osseus genioplasty

52
Q

Nasal flap that requires 2 stages

A

Paramedian

53
Q

Middle part of eyelid

A

Tarsus and meibomian

54
Q

Contraindication in flap for breasts

A

Pedicled tram

55
Q

Critical variable in implantation

A

Inframammary fold

56
Q

Grade 2 ptosis

A

1-3 inframammary

57
Q

Chest wall defects d/t

A

Tumor
Radiation necro
Trauma

58
Q

Lower extremity wound requiring free tissue transfer

A

Distal 1/3

59
Q

3 primary lymphedema in stages?

A

Milroys
Praecox
Tardum

60
Q

Lymph drainage to muscle tissue

A

Kondoleon

61
Q

Lymphaticovenous anastomoss

A

Sistrunk

Surgery (18 decks)

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