Orofacial Trauma Flashcards

1
Q

Although both can be affected, which lip is usually affected by labial avulsion?

A

Lower lip

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2
Q

Where does a labial avulsion occur and what problems does this cause?

A

Along mucogingival line leaving very little soft tissue for reattachement

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3
Q

What must you place on a mandibular labial avulsion prior to suture reconstruction and what does it do?

A

Interdental stent sutures support weight of lip

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4
Q

What can inadequate management of mandibular and maxillary fractures lead to?

A

Malalignment, malocclusion, or non-healing fractures

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5
Q

Where in the mandible are fractions most common in a dog?

A

Even distribution

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6
Q

Where in the mandible are fractions most common in a cat?

A

Symphysis and ramus

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7
Q

A repair will be stronger when it is on/near the _____ side of the fracture

A

Tension

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8
Q

How can you avoid having to extubate and re-intubate during a repair?

A

Intermandibular/pharyngotracheal intubation or temp. tracheostomy

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9
Q

Is a symphseal separation more common in cats or dogs?

A

Cats

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10
Q

Why should a circummandibular cerclage wire not be overtightened in order to correct a symphyseal separation?

A

Can result in lingual rotation of canines = malocclusion

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11
Q

How can you treat an open hard palate fracture?

A

Splint between canines, pin/fig8

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12
Q

How do you treat a closed hard palate fracture?

A

None indicated as long as malocclusion is ok

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13
Q

When do interfragmentary wires work best?

A

When combined w/interdental wire

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14
Q

Primary complications are premature loosening and soft tissue irritation

A

Intraoral splint

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15
Q

What is the preferred material of an intraoral splint?

A

Composite resin/acrylic

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16
Q

When would you use an external fixator?

A

Patients w/o adequate dentition for intraoral splint

17
Q

Used for complex or unstable fractures to re-establish occlusion

A

Interarcade wiring

18
Q

Ramus becomes trapped lateral to zygomatic arch when mouth fully opened

A

Open mouth jaw locking

19
Q

Acute inability to close the mouth

A

Open mouth jaw locking

20
Q

Inability to open or close mouth

A

Locked jaw syndrome

21
Q

What causes locked jaw syndrome?

A

TMJ ankylosis 2* to fracture