Wound Healing Flashcards

1
Q

Wound healing is an intericate coordinate series of processes that involve?

And it leadds to the release of?

A

Cellular and subcellular response
Cytokines and growth factors

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2
Q

Acute wounds has?

A

Surgical traumatic, pathological, ischemic causes

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3
Q

Intentionally created in the operating room environment

A

Surgical wounds

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4
Q

caused by blunt or penetrating trauma result in tissue laceration, abrasion, or even tissue avulsion

A

Traumatic injuries

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5
Q

When the tissue’s normal healing process experiences a disruption or delay, a ______ wound forms.

A

chronic

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6
Q

Begins at the time of injury and lasts for 3 to 5 days.

A

INFLAMMATORY PHASE

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7
Q

Normal wound healing results in tissue regeneration and takes place in three separate but overlapping phases

A

Inflammation, proliferation, remodelling

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8
Q

Inflammatory phase begins at? And last for?

A

time of injury and lasts for 3 to 5 days.

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9
Q

What initiates the process of inflammatory phase?

A

Vasoconstriction

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10
Q

_____,_____ cause small blood vessels to constrict for initial hemostasis.

A

catecholamines and prostaglandins

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11
Q

When platelets adhere to the exposed subendothelial collagen of injured vessels with the aid of von Willebrand factor, they degranulate, releasing

A

adenosine triphosphate, serotonin, prostaglandins, and thromboxane A2.

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12
Q

Fourth or fifth day and last 2 to 3 weeks

A

Proliferative phase

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13
Q

Characterized by the ingrowth and proliferation of granulation tissue within the wound

A

PROLIFERATIVE PHASE

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14
Q

Proliferative phase start at____ day and last ___ to___ weeks

A

Fourthh or fifth, 2-3 weeks

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15
Q

Actively produce proteoglycans and collagen, with force, stress, strain, and motion directing the collagen and proteoglycan alignment

A

Fibroplasia

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16
Q

Crucial part of healing

new vasculature is required for the influx of oxygen and nutrients and the removal of metabolic waste products

A

Angiogenesis

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17
Q

Epithelialization three phases

A

Epithelial migration, proliferation and differentiation

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18
Q

Tissue remodeling finalizes the wound healing process

Characterized by an increase in wound tensile strength related to increased collagen production and breakdown

A

MATURATION

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19
Q

Begins after the third week and usually lasts 6 to 12 months

A

MATURATION

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20
Q

Maturation phase begins at the _____ week and usually last ___ to___ months

A

Third week, 6-12 months

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21
Q

Abnormal Soft Tissue Healing (Repair)

Clinically similar, they differ in their formative timeline and boundaries

A

KELOIDS AND HYPERTROPHIC SCARS

22
Q

TYPES OF WOUND HEALING

A

PRIMARY INTENTION SECONDARY INTENTION TERTIARY INTENTION

23
Q

Healing by ________ occurs in wounds with dermal edges that are close together (e.g a scalpel incision).

It is usually faster than by secondary intention, and occurs in four stages

A

primary intention

24
Q

Healing by _______ occurs when the sides of the wound are not opposed, therefore healing must occur from the bottom of the wound upwards.

A

secondary intention

25
An uncommon complication from wound healing (particularly in people with darker skin), are keloid scars, whereby there is excessive collagen production, leading to extensive scarring. This can occur in both primary and secondary intention healing.
SECONDARY HEALING INTENTION
26
is delayed primary wound healing after 4–6 days. This occurs when the process of secondary intention is intentionally interrupted and the wound is mechanically closed.
TERTIARY HEALING INTENTION
27
the action of platelets and cytokines forms a haematoma and causes vasoconstriction, limiting blood loss at the affected area
Haemostasis
28
a cellular inflammatory response acts to remove any cell debris and pathogens present
Inflammation
29
cytokines released by inflammatory cells drive the proliferation of the fibroblasts and the formation of granulation tissue
Proliferation
30
collagen fibres are deposited within the wound to provide strength in the region, with the fibroblasts subsequently undergoing apoptosis
Remodelling
31
located between the ramus of the mandible and the ear, and deep to the muscles in that area
Parotid
32
located in the posterior area of the floor of the mouth, beneath the mylohyoid muscle
Submandibular
33
located in the anterior area of the floor of the mouth, above the mylohyoid muscle
Sublingual
34
MAJOR SALIVARY GLANDS
Parotid,submandibular,sublingual
35
The parotid gland secretes saliva into the oral cavity via
Stensens duct
36
The submandibular gland secretes saliva into the floor of the mouth via
Whartons duct
37
The sublingual gland secretes saliva into the floor of the mouth via
Bartholin’s duct
38
Largest salivary gland
Parotid gland
39
Situated in the posterior part of the floor of the mouth, adjacent to the medial aspect of the mandible and wrapping around the posterior border of the mylohyoid muscle
Submandibular gland
40
Submandibular blood supply and parasympathetic nerve supply?
Facial and lingual arteries CN VII- vestibulocochlear nerve
41
Smallest of the paired major salivary glands Located in the anterior part of the floor of the mouth between the mucosa and the mylohyoid muscle
SUBLINGUAL GLAND
42
Sublingual. Blood supply and parasympathetic innervation?
Sublingual and submental A. CNII-facial nerve
43
The major salivary gland begin development in the embryo at around the ___
seventh week
44
The parotid glands begin to develop at ___ to___ week of embryonic life
4 to 6
45
The submandibular glands begin to develop at ___ weeks
6 weeks
46
The Sublingual and minor salivary glands at ___ to ___ weeks
8-12 weeks
47
difficulty in eating, speaking, and swallowing, prone to mucosal infections and rampant caries
Xerostomia
48
Complex fluid
SALIVA
49
SECRETORY CELLS
Serous cells, Mucous cells
50
Serous cells:
Proteins and glycoproteins Enzymatic, antimicrobial, calcium binding activities
51
Mucous cells
Mucin (apomucin) Lubricate and form a barrier on surfaces and to bind and aggregate microorganism
52
Parotid gland blood supply and parasympathetic nerve supply?
External carotid A, Glossopharyngeal N