Oral and Maxillofacial Surgery Flashcards
What is meant by the term pathoanatomy?
Anatomy that dictates the path of a disease.
where pus ends up root ending
U123
LIP
U45
CHEEK
U67
TEMPLE
L123
SUBMENTAL
L67
PHARYNX AND CHEEK
MANDIBULAR TEETH INFECTION SITES
PTERYGOMANDIBULAR SPACE
MASSATERIC SPACE
DENTAL ABSCESS TRISMUMS
what features in cavernous sinus could also be at risk of dental infection spread
v1 v2 vi iv iii pituitary optic chasm sella turcica
Patho anatomy of ludwigs angina
pus going above or below the mylohyoid line
Add cards from pic on phone
What special tests for infection
Bloods
blood cultures
microbiology
nasendoscepy
frozen section path
OPG
ct Neck/chest/head
EUA / second was out
Treatment
Remove source, dental tissue, haematoma, surgical
Antibiotics
Incision and drainage
Management of airway dental infection
small lower buccal abscess into ITU within 24 hours
Not every case but still can be serious
L45
SUBMAN
What are some indications for TMJ surgery?
TMD
Jaw dislocation
Osteoarthritis
RA
Infection
Tumours
Ankylosis
What occlusal factors contribute to TMJ dysfunction?
Deep bite
Occlusal disharmony
Lack of teeth
Anatomical factors
What’s the aetiology of TMJ dysfunction?
Macrotrauma
Microtrauma
Occlusal factors
What are the symptoms of TMJ dysfunction?
Pain :
- Muscular
- Capsular
- Intra-capsular
Reduced mobility
Crepitus and locking
What arthroscopic procedures can be done for TMJ dysfunction?
Diagnosis
Biopsy
Lysis and lavage
Disc reduction
Removal of loose bodies
Eminectomy
What are some post op complications of TMJ surgery?
Iaterogenic damage
Broken instruments
Middle ear perforation
Haemoarthrosis
Damage to CN V and CN VII
What surgical procedures can be done for TMJ dysfunction?
Disc plication
Eminectomy
High condylar shave
Condylotomy
Menisecotomy
What is an autogenous bone graft?
Donor bone taken from patients own body.
Can be intra oral or extra oral.
