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Oto Instruments And Other General Stuff > General > Flashcards

General Flashcards

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
Q

Tissue to insert in the nasal cavity to stop bleeding during endo surgery?

A

Surgical Patties

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26
Q

Intracuticular closure/ type of suture

A

Monocril, nylon

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27
Q

Important anatomy RFFF

A

Palmaris Longus tendon
Flexor carpi radialis
Brachioradialis
Cephalic vein
Radial nerve
Cutaneous branches of radial nerve

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28
Q

Important anatomy latissimus dorsi flap

A

Axial artery - subscapular
- Thoracodorsal artery main pedicle
- circumflex scapular artery and angular
- serratus anterior

One artery and one commitance vein

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29
Q

Laryngoscope types for panendo
Bronochoscope
And next esoohagoscopes

A

Dido
Jackson
Anterior commissure

Eso
Neck short first
Long next

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30
Q

Retractors

A

Army navy
Richardson
Senn retractor
Deaver - large semi rounded retractor

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31
Q

CPR rate and depth

A

100-120 rate, depth 5 cm or 2 inches

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32
Q

Retrsternal goiter
SVC syndrome checking - sign name and procedure

A

Pemberton’s sign
Raise arms

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33
Q

Suction tips

A

Yankauer - bulb tip
Frazier - a small tube with a finger closing hole

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34
Q

Optiflow

A
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35
Q

Needle for micro and suture?

A

Ethilon/nylon 9-0, taper point needle BV100-4

Don’t use a spatula needle or other cutting needles

36
Q

Clinic presenting a case to Dr Nathan

A

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
Q

OR for RFFF

A

Tourniquet
Cuff
Film u drape
Marker
10x10
9-0 nylon bv100-4
Shaver
Chloroprep
Wide tape
Urinary Foley catheter

38
Q

Ear pinna anatomy?

A

Helix, antihelix, tragus, EAC, lobule

https://otosurgeryatlas.stanford.edu/wp-content/uploads/2020/06/1b-1.jpg

39
Q

Oral cavity larynx antibiotics

A

Unasyn

40
Q

Combination opioid drugs?
2 types

A

Percocet - oxy + acetaminophen
Norco - hydrocodone + acetaminophen

41
Q

ALT flap pedicle types
Paper author and types

A

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
Q

ISBARQ protocol

A

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
Q

Verbal feedbacks to a patient

A

I see
I understand
Could you elaborate?

44
Q

Follow up general rules

A

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
Q

Facial bones

A

Zygomatic bone
Maxilla
Nasal
Lacrimal
Inf concha
Mandible
Vomer
Pterigoid - technically not facial

46
Q

Epistaxis treatment?

A

Pressure 10-15 min
Bend forwards
Pledgets soaked with Afrin/oxymetazoline
Merocel
Rhino Rocket

47
Q

Tracheostomy flap name

A

Bjork flap - cut from above open to inferior and stitch to inferior edge

48
Q

Mouth gags for TORS?

A

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
Q

Clip for skull skin. To stop the bleeding.

A

Raney clip

50
Q

Salivary duct stent name?

A

To place during surgery
Walvekar stent

51
Q

Posterior glottic stenosis classification?

A

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
Q

NSI

A

Nasal saline irrigations

53
Q

When to perform lateral canthotomy?

A

Intraocular pressure above 40. Usually trauma or hematoma
Lateral canthus

54
Q

Lateral and medial pterygoid insertions

A

Lateral - TMJ
Medial - angle of the mandible

55
Q

Mandible anatomy

A

Condylar process
Coronoid process
Ramus
Body
Alveolar process
Mental foramen

56
Q

Facial nerve paralysis scale grade?

A

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
Q

Steroid nasal spray?

A

Flonase

58
Q

When to do pet if surgery is in mind after CRT?

A

6-8 weeks after RT is earliest

59
Q

NAEON

A

No adverse events overnight

60
Q

MTD laryngology

A

Muscle tension dysphonia

61
Q

Maxillectomy types and incision names

A

Medial
Suprastructure
Infrastructure
Subtotal
Total

Modified Medial rhinotomy
Weber Ferguson extension

62
Q

Caldwell Luc?

A

Incision in intraoral
Antrostomy

63
Q

Ameya likes to use for micor case

A

Vax spear or vax cell
Papaverin

64
Q

Free fibula important anatomy

A

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
Q

Laryngeal muscles

A

Thyroarytenoid - vocal cord
Transverse arytenoid
Posterior cricoarytenoid
Lateral cricoarytenoid muscle

66
Q

The name of tvc plasty?

A

Thyroplasty

67
Q

Packing of the fistula we use?

A

Iodoform packing

68
Q

Gracilis muscle flap anatomy

A

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
Q

Submandibular and parotid gland ducts

A

Whartons and Stetson ducts

70
Q

Vein on the way during gracilis flap

A

Saphenous vein

71
Q

Hoarseness
Closure of false vocal cords during phonation or of the whole supraglottis with arytenoid collapse and hiding TVC

A

Muscle tension dysphonia

72
Q

Caldwell luc
Weber Ferguson incisions maxillary

A
73
Q

For biopsy, procedures through flexible scope?

A

Radial jaw forceps
Different sizes from 2.8 is pretty big

74
Q

Longer trach tubes

A

Xlt and Bivona trach tubes

75
Q

Oral aphtous ulcers treatment

A

Sukralfate or karafate

76
Q

HDS abbreviation meaning?

A

Hemodynamically stable

77
Q

Ulnar flap

A

Pedicle is between Flexor digitorum superficialis and flexor carpi ulnaris

78
Q

Nasal septum plastic holder

A

Doyle splints

79
Q

Retractor for cleft lapate

A

Dingman retractor with cheek part

80
Q

Xanax is?

A

Alprazolam is a benzodiazepine

81
Q

Used to position vessel in micro white sponge

A

Gelfoam

82
Q

Superior laryngeal nerve anatomy

A

External and internal branches
- External branch goes along and behind STA
- internal branch - pieces thyrohyoid membrane together with superior laryngeal vessels

83
Q

Space between tvc and false vocal cords

A

Laryngeal ventricle and laryngeal saccule

84
Q

What to look for if patient has laryngocele?

A

Secondary laryngocele due to laryngeal cancer

85
Q

Laryngicele vs saccular cyst

A

Saccular cyst more common in kids and does not communicate with laryngeal ventricle

86
Q

Pharyngeal sutures by Asarkar and Nathan

A

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.

Oto Instruments And Other General Stuff (3 decks)

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