Term
| The zygomatic bones are also known as ____ bones. |
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Definition
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Term
| The palatine bones that articulate with each other, and the sphenoid, ethmoid, maxillary, inferior turbinate, and vomer bones are of which letter shape? |
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Definition
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Term
| LeFort II fractures may also be referred to as? |
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Definition
| Pyramidal maxillary fractures, because of their pyramidal or triangular shape. |
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Term
| Lefort III fractures may also be referred to as? |
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Definition
| Craniofacial Disjunction Fractures |
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Term
| What resources may help the surgeon in determining the proper placement of fractured facial bones? |
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Definition
| Pre-trauma photographs & dental records. |
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Term
| What are some instruments unique to these procedures? |
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Definition
Right and left Rowe maxillary forceps
Brown fascia needle
Sterile polyethylene buttons
Sterile small foam pad
Periosteal elevators
Rigid fixation system |
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Term
| To facilitate the wire placement, where do we make bilateral incisions? |
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Definition
| Eyebrows. (Similar to the incisions made for a blepharoplasty.) |
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Term
| Where would the Rowe forceps be inserted? |
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Definition
| Intranasally & intraorally to help reduce the maxilla. |
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Term
| What type of wires will need to be passed to the surgeon? |
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Definition
| 24 or 26g stainless steel wires twisted into a "Jesus fish" shape on a passer. |
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Term
| What helps the suspension wires be passed through the eyebrow incisions, behind the zygomatic arches, and into the oral cavity? |
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Definition
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Term
| What type of button may be used in conjunction with foam padding? |
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Definition
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Term
| What retractor will the surgeons ask for repeatedly? |
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Definition
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Term
| Controls on the power equipment should be in what position when preparing the tool for use? |
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Definition
| "Safe" position to prevent injury while loading |
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Term
| What are the leading causes of mid facial fractures? |
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Definition
1) automobile accidents (53%)
2) blunt trauma (39%)
3) gun shot (8%) |
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Term
| What are some postoperative complications and considerations? |
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Definition
| Hemorrhage, postoperative SSI, malocclusion. Patient's exact visual appearance may not be restored. Further reconstructive surgery is often needed. |
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Term
| What should you do if you are assigned to scrub a LeForte and you have no idea what you're doing? |
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Definition
| Pull out almost everything from their specials set if it is small. Pull out instruments from the dental set that have a lot of dings on them and look well-used. Make a lot of Jesus fish wires ahead of time so you are ready, keep both wire gauges labeled separately and clearly. |
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