Oral Surgery Revision Q's Flashcards
What nerve is most likely to be affected in a pt presenting with deviation of the tongue on protrusion, to the side of a recently excised submandibular gland?
Hypoglossal nerve
What tumour is the most common tumour of the parotid gland?
Pleomorphic adenoma
What is the risk of permanent nerve damage in the removal of mandibular 3rd molars.
3% for permanent
8% for temporary
5 things of advice for a pt with an OAC?
Dont blow nose for 2 weeks Dont hold nostrils to sneeze Dont go scuba-diving No smoking Blowing up balloons/ air mattresses No using straws
How would you treat an OAC?
If small, 1-2mm, leave to heal by itself. Arrange follow up 1-2 weeks after to assess healing. Can provide a splint. May need a flap over to aid healing- buccal advancement flap palatal rotational flap tongue flap Give antibiotics after surgery to prevent infection. Steam inhalants Nasal spray/drops.
What would a patient complain of if they have an OAC?
Patient complains of fluid going from mouth to nose when drinking.
Patient feeling a sensation of air rushing through the socket as they breathe.
Pain severity: Usually not painful unless secondary sinusitis develops.
What does ORIF stand for?
Open reduction and internal fixation.
What is the most appropriate first line imaging for a pt recently had trauma and has a anterior open bite due to extrusion of a mandibular incisor?
DPT and PA mandible
If you suspect a lump in the floor of the mouth is a stone blocking a salivary duct, what would be your first + second line of imaging to confirm your diagnosis?
Lower 90 degree occlusal PA
Ultrasound
Lidocaine works by blocking what channels?
Sodium channels
Clinical investigations for a tooth undergone trauma?
Mobility Colour Sinus TTP 3n1 Occlusion ST lacerations
