Shared Flashcard Set

Details

Application of Arch Bars
Surgical Procedure
15
Medical
Professional
02/19/2019

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Cards

Term
If there has been damage to the roof of the mouth and a hematoma has formed, what can be done to repair it?
Definition
Intraorally, the surgeon will make an incision in the anterior gingivobuccal area to allow for reduction and any placements of rigid fixation implants.
Term
What fracture will dictate whether incision will be done intraorally or transbuccal?
Definition
The degree of a horizontal ramus fracture.
Term
What size and lengths of wires are used?
Definition
22, 23, 24, and 26 gauge (g). They will be then cut into 10 cm segments.
Term
What can be done in conjunction with general anesthesia?
Definition
Local anesthetic with epinephrine. This will help not only help with pain postoperatively, but will also help reduce bleeding of surgical site.
Term
What is something that can be done to the wires before they are used?
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.
Term
After the insertion of the throat pack, the arch bars will be measured, shaped, and cut to size. What should you have ready?
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.
Term
After the arch bar is placed with wires and you're ready to pass another one, what should you do?
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.
Term
What is the probe used for during placement of wires?
Definition
The V-shaped probe is used to help with positioning and placement of wires.
Term
As a helpful hint, what sequence of repeated steps should you remember during placement of the arch bars?
Definition
Wire, probe, cutter.
Term
What is used to remove the throat pack, if one was used?
Definition
Bayonet forceps.
Term
What can be done to close upper and lower jaw together?
Definition
Wire or elastic loops are used. Precut, prestretched, and preshaped wire loops may be prepped beforehand.
Term
During irrigation of the oral cavity, what should you look out for?
Definition
Watch to make sure that all loose wires are caught and removed.
Term
What is sent with the patient to PACU and why?
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.
Term
Why would a tracheotomy be done?
Definition
A tracheotomy may be done if the patient's airway becomes swollen and obstructed.
Term
Arch bars have small hooks that intermittently placed. How should these hooks be pointed when the arch bars placed?
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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