Sense Organ Surgeries

Question 1

examples of ear surgery?

Answer 1

traumatic ear pinna injury
- can be simple or complex
- if minor VNs can do

TECA
- aural ablation - ear canals removed
- deaf in that ear
- will cause ear to flop - consider german shepherds

Aural Hematoma
- blood build-up between skin and ear pinna cartilage
- VNs can drain, VS add a stent
- often reoccur

Question 2

examples of ophthalmic surgery?

Answer 2

eyelid deformation
entropion surgery
- eyelid folded into eye causing ulcerations
- remove wedge
ectropion surgery
- eyelid folded outwards exposes conjuntus
- tighten lids

third eyelid surgery
- prolapse of the gland of 3rd eyelid (cherry eye)
- reduced and monitored - often reoccur

corneal surgery
- ulcerations - superficial or deep
- first managed medically then need debriding

globe surgery
- reduction of prolapsed eye
- enucleation = removal of the globe of eye and eyelids stitched shut

Question 3

how should you prepare a patient for ophthalmic surgery?

Answer 3

1. Wear non-sterile gloves
2. Place a barrier gel in the eye to protect from clipping
3. Clip small margin around the eye - approx. 2cm species dependent
4. Remove the clipped hair
5. Clean the surrounding skin with 1:10 dilution of iodine and water for a minimum of 5 minutes
6. Flush the surrounding area and the eye globe with sterile saline and iodine (1:50 dilution) - make sure that the barrier gel is washed away

Question 4

examples of airway surgery?

Answer 4

tie back
- airway obstruction from laryngeal paralysis
- given a permanent suture with ethilon
- doesn’t enter airway so clean

foreign body removal
- often bones
- damage and bleeding likely

BOAS
- improve upper resp tract air flow
- widening nostrils and shortening the soft palate

Question 5

examples of thoracic surgery?

Answer 5

lung lobotomy
- lobes removed via intercostal thoracotomy
- likely due to pneumonia
- opening the thorax so IPPV needed

ruptured diaphragm repair
- diaphragm sutured normal via abdominal cavity