trauma

Question 1

___% of physical trauma from abuse occurs in head and neck

Answer 1

50

Question 2

___% of motor vehicle accidents have facial injuries

Answer 2

50-70

Question 3

when do you do oral/facial exam

Answer 3

after advanced trauma life support

Question 4

evaluation steps

Answer 4

immediate assessment
H&P
radiographic exam
assessment
plan

Question 5

3 things for extra oral exam

Answer 5

palpate inferior border/TMJ

ROM/excursive

V3 status

Question 6

intra oral exam

Answer 6

FOM hematoma

malocclusion

alveolus

teeth

Question 7

how long can you keep a tooth in viaspan

Answer 7

a week

Question 8

how long can you keep a tooth in milk

Answer 8

6 hours

Question 9

mobile tooth/displaced tooth stabilization period

Answer 9

3-4 weeks

Question 10

root fracture stabilization period

Answer 10

2-4 months

Question 11

mature reimplanted tooth stabilization period

Answer 11

7-10 days

Question 12

immature reimplanted tooth stabilization period

Answer 12

3-4 weeks

Question 13

steps for alveolar fracture tx

Answer 13

reduction
stabilization
RCT (w/i 1-2 weeks)

Question 14

why do you do RCT within 1-2 weeks for alveolar fracture

Answer 14

prevent inflammatory root resorption/infection

Question 15

soft tissue injury behind canthus line

Answer 15

there is only one branch of the facial nerve there, so will need to be repaired

Question 16

soft tissue injury anterior to canthus line

Answer 16

facial nerve branches after this point so probably dont need to repair

Question 17

tx for contusion

Answer 17

surgical exploration if arterial involvement is suspected

abx if wound contaminated

Question 18

Subcutaneous or submucosal hemorrhage without breakage of the soft tissue

Answer 18

contusion

Question 19

abrasions remove..

Answer 19

epithelial layer and papillary dermis

Question 20

what is critical for abrasions

Answer 20

debridement

scrub with mild soapy solution, copious irrigation, balanced saline solution

cover with thin layer of abx

Question 21

steps in laceration management

Answer 21

cleaning
debridement
hemostasis
closure

Question 22

soaps which enter wounds may…

Answer 22

cause cellular damage and necrosis

Question 23

avoid direct wound contact with:

Answer 23

alcohol
peroxide
provide-iodone

if you do make sure you use irrigation with BSS

Question 24

which is better for debridement: pulsatile or constant flow

Answer 24

pulsatile

Question 25

why debride?

Answer 25

dead tissue fragments, foreign bodies, hemoatos act as physical barriers to fibroblast penetration

Question 26

do you need to radically excise in facial area

Answer 26

no because of generous vascular supply

Question 27

why do you need to eliminate dead space during closure

Answer 27

prevent hematoma

Question 28

why close in layers

Answer 28

eliminate dead space
reduces unsupported tissue
restores anatomical orientation

Question 29

what areas should you use a “tacking” suture

Answer 29

vermillion border
eyelids
eyebrows
tip of nose

Question 30

what are the three layers during closure

Answer 30

mucosa
muscle
skin

Question 31

how many days does it take skin to heal

Answer 31

5-7 days

Question 32

what to rule out for animal bites

Answer 32

fractures

Question 33

why are cat bites worse than dog bites for infection

Answer 33

tiny puncture wounds hard to deride

Question 34

abx for animal bite

Answer 34

augmenting po 7 days