Term
| If there has been damage to the roof of the mouth and a hematoma has formed, what can be done to repair it? |
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Definition
| Intraorally, the surgeon will make an incision in the anterior gingivobuccal area to allow for reduction and any placements of rigid fixation implants. |
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Term
| What fracture will dictate whether incision will be done intraorally or transbuccal? |
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Definition
| The degree of a horizontal ramus fracture. |
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Term
| What size and lengths of wires are used? |
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Definition
| 22, 23, 24, and 26 gauge (g). They will be then cut into 10 cm segments. |
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Term
| What can be done in conjunction with general anesthesia? |
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Definition
| Local anesthetic with epinephrine. This will help not only help with pain postoperatively, but will also help reduce bleeding of surgical site. |
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Term
| What is something that can be done to the wires before they are used? |
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Definition
| The wires must be cut slightly larger than needed and stretched. By doing this, that will help to prevent them stretching postoperatively and will keep the jaw in place, preventing any movement. |
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Term
| After the insertion of the throat pack, the arch bars will be measured, shaped, and cut to size. What should you have ready? |
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Definition
| Two arch bars and a pair of wire cutters. One of the bars will be used for the mandible while the other will be used for the maxilla. |
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Term
| After the arch bar is placed with wires and you're ready to pass another one, what should you do? |
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Definition
| One end of the wire will be inserted into the jaws of wire cutter, then twisted and secured. Remember to pass with caution as these wires are very sharp. |
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Term
| What is the probe used for during placement of wires? |
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Definition
| The V-shaped probe is used to help with positioning and placement of wires. |
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Term
| As a helpful hint, what sequence of repeated steps should you remember during placement of the arch bars? |
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Definition
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Term
| What is used to remove the throat pack, if one was used? |
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Definition
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Term
| What can be done to close upper and lower jaw together? |
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Definition
| Wire or elastic loops are used. Precut, prestretched, and preshaped wire loops may be prepped beforehand. |
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Term
| During irrigation of the oral cavity, what should you look out for? |
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Definition
| Watch to make sure that all loose wires are caught and removed. |
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Term
| What is sent with the patient to PACU and why? |
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Definition
| It's important to remember to send an extra pair of wire cutters with the patient. This is in case the patient becomes nauseous and vomits, or if the are in some sort of distress. |
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Term
| Why would a tracheotomy be done? |
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Definition
| A tracheotomy may be done if the patient's airway becomes swollen and obstructed. |
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Term
| Arch bars have small hooks that intermittently placed. How should these hooks be pointed when the arch bars placed? |
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Definition
| Bars used on the lower jaw should be placed with hooks pointed downward. Bars used on the upper jaw should be placed with the hooks pointed upwards. This allows for fixation of the elastic or wire loops. |
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