Surg 104--Chapter 27 (Lecture)

Question 1

Infection of the inner ear, may be acute or chronic, and treated with antibiotics.

Answer 1

otitis media

Question 2

Abnormal thickening of the bone in the middle and inner ear. The most common cause of conductive hearing loss.

Answer 2

otosclerosis

Question 3

Surgical procedures of the ear are generally performed with the patient in the _____ position.

Answer 3

supine

Question 4

What is placed in the ear canal to prevent prep solution from entering the canal?

Answer 4

sterile cotton ball

Question 5

Describe the prep area for ear procedures.

Answer 5

Surgical site, extending to the cheek medially, the occiput laterally, the temporal bone superiorly, the upper neck inferiorly.

Question 6

During ear procedures, what type of fluid is used in the suction irrigator?

Answer 6

saline or lactated Ringer solution

Question 7

What is used in most ear surgeries to control bleeding by vasoconstriction?

Answer 7

lidocaine with epinephrine

Question 8

A surgical opening made in the tympanic membrane to release fluid from the middle ear.

Answer 8

myringotomy

Question 9

Performed to close a small, non-healing hole in the tympanic membrane.

Answer 9

myringoplasty

Question 10

The surgical removal of a cholesteatoma and mastoid bone, with or without reconstruction.

Answer 10

tympanoplasty

Question 11

The removal of diseased bone, the mastoid air cells, and the soft tissue lining the air cells of the mastoid.

Answer 11

mastoidectomy/tympanomastoidectomy

Question 12

Reconstruction of the ossicles to restore conduction to the oval window.

Answer 12

stapedectomy/ossicular reconstruction

Question 13

Performed to treat profound hearing loss related to sclerosis of the stapes.

Answer 13

stapedectomy/ossicular reconstruction

Question 14

Used to transmit external sound directly to the eighth cranial nerve and in the treatment of sensorineural deafness.

Answer 14

cochlear implant

Question 15

Congenital deafness in a child can be treated with a cochlear implant, but surgery is delayed until age _____.

Answer 15

2

Question 16

What are the two primary components of a cochlear implant?

Answer 16

electronic processor and transmitter

Question 17

Used to protect nerves during surgical dissection and implantation.

Answer 17

nerve monitor

Question 18

What incision is made during a cochlear implant?

Answer 18

postauricular incision

Question 19

A technique used to enter the maxillary sinus in which the incision is made in the gingival-buccal sulcus.

Answer 19

caldwell-luc procedure

Question 20

Performed for drainage of abscess in the maxillary sinus and surgical removal of granulation tissue that has accumulated as a result of chronic sinus infection.

Answer 20

caldwell-luc procedure

Question 21

Removal of the bony turbinate to increase airflow through the nose.

Answer 21

turbinectomy/turbinate reduction

Question 22

Surgical manipulation of the septum to return it to the correct anatomical position or to gain access to the sphenoid sinus for removal of a pituitary tumor.

Answer 22

septoplasty

Question 23

Performed to eradicate infection, improve the airway, or remove cancer.

Answer 23

tonsilectomy

Question 24

What are the most common reasons for tonsillectomy?

Answer 24

chronic infection, hypertrophy, and suspected cancer

Question 25

What is the primary concern after a tonsillectomy?

Answer 25

bleeding

Question 26

The surgical removal of the adenoids.

Answer 26

adenoidectomy

Question 27

What are the primary reasons for an adenoidectomy?

Answer 27

chronic infection and obstruction caused by hypertrophy of the tissue

Question 28

Performed to reduce and tighten oropharyngeal tissue.

Answer 28

uvulopalatopharyngoplasty (UPP)

Question 29

An endoscopic assessment of the larynx.

Answer 29

laryngoscopy

Question 30

Performed to provide a patent airway.

Answer 30

tracheotomy/tracheostomy

Question 31

Removal of all cervical lymph nodes and surrounding structures, including the spinal accessory nerve, the internal jugular vein, and the sternocleidomastoid muscle.

Answer 31

radical neck disection

Question 32

Excision of all lymph nodes with the preservation of one or more of the nonlymphatic structures.

Answer 32

modified radical neck dissection

Question 33

Removal of the upper two thirds of the cervical lymph nodes and structures with preservation of the neurovascular and musculoskeletal structures.

Answer 33

selective neck dissection