Plastics & Reconstruction Flashcards
What does the term augmentation mean?
The process of making or becoming greater in size and amount.
In what procedure would a dermatome be used?
Split-thickness skin graft
What are the two types of dermatomes?
Oscillating-blade/hand held knife
What is the next step in preparation after the blade has been inserted into the dermatome?
Place 1 of 4 guard plates on and secure with screws.
What is the purpose of the guard plates on a dermatome?
It will determine the width of the skin graft.
The sizes of guard plates vary from _______ to _______.
1-4 inches
What instrument can expand the size of a skin graft?
Mesh graft device
What disposable supply is needed with a mesh graft device?
Derma-carrier
What are the categories that skin grafts fall into?
Split-thickness & Full thickness
What sources can skin grafts be procured from? Use medical terms
Autograft, allograft, heterograft( xenograft)
An auto graft is procured from
the patient’s own self.
An allograft is harvested from
another person or a cadaver.
A heterograft is procured from
another species like a pig or cow. Bovine/Porcine.
A split-thickness skin graft (STSG) is composed of the
epidermis and half of the dermis.
A full-thickness skin graft (FTSG) is composed of
epidermis and ALL of the dermis.
FTSG are primarily used to cover
small defects (after excision of lesions like basal cell and squamous cell carcinoma).
A STSG is primarily used to cover
larger areas such as with burn victims.
When the pt. is scheduled for an autograft, there will be a __________ surgical site and __________ surgical site.
Donor / Recipient
When an autograft is performed, the circulating nurse should have _____ prep sets available.
Two
___________ is the largest organ of the body.
Skin
List responsibilities of the skin:
Protection from external sources, defense from infection/disease, fluid balance, regulate body temp, waste excretion-sweat, sensory input(temp, pain, touch, pressure), Vitamin D synthesis
A hair shaft is embedded in the _________ and extends through the __________.
Dermis/Epidermis
Sebaceous glands produce _________
sebum
What is sebum?
oil
What is a sudoriferous glad?
Sweat gland
What is cerumen?
Ear wax
What instrument is used to clear the external auditory canal of cerumen?
A buck curette
A burn injury can come from _____,________,___________, ___________, ______.
heat, radiation, chemicals, gases, or electricity.
A burn is classified according to ___________.
degrees
First degree burns affect the dermis and are characterized the
redness of the skin.
Second degree burns are characterized by
blisters.
Third degree burns affect the full thickness of the skin and possibly underlying structures. They may appear ________ or _________.
charred or pearly white
Third degree burns are known as
eschars.
Fourth degree burns are known as
char.
What is ABSI?
Abbreviated Burn Severity Index
Name the two ways the severity of the patient’s condition can be assessed.
Lund-Browder method, Rule of nines
What is used to help the dermatome move effortlessly across the donor site?
Sterile Mineral Oil
What sterile item may be used for counter traction when using a dermatome?
Sterile Tongue Blade
Which muscles encircle the eyes?
Orbicularis
Which muscle opens the eye?
Levator
What is a blepharoplasty?
surgical repair of the eyelid
When performing a blepharoplasty, what prophylactic action keeps the eyes from drying out?
Instillation of ophthalmic ointment
What type incision is made when performing a blepharoplasty?
Elliptical
What instrument may be used to insure that both incisions are the same length on a bilateral blepharoplasty?
Caliper
Which bones forms the prominences of the cheeks, and lateral walls and floors of the orbits?
zygomatic bones (malar)
What is the primary muscle of mastication?
Masseter muscle
What is mastication?
chewing
If the patient is having a mentoplasty, what anatomical structure will the procedure be performed on?
The patient’s chin
What structure is the external auditory meatus located in?
Ear
Name two procedures an otoplasty can be performed for?
Microtia (small or absent ear) & prominent ears
Pinnae that abnormally protrude from the sides of the head are known as
prominent ears
What is the most common form of malignant skin lesion, that spread locally, but does not metastasize?
Basal cell carcinoma
Tissue that is completely detached from the donor site and transplanted into the recipient site is called a
free flap.
Augmentation mammoplasty does treat _____ breasts.
ptotic
What is a Mohs procedure?
It is used to remove advanced, recurrent skin cancers with minimal removal of normal tissue
