Term
| What wound class is an orbital floor fracture repair? |
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Definition
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Term
| What bones protect and support the eyes? |
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Definition
| Frontal, Lacrimal, Ethmoid, Maxilla, Zygomatic, Sphenoid, Palatine. |
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Term
| What are the two classifications of an orbital fracture? |
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Definition
| 1. Floor fracture 2. Orbital blowouts (involve multiple bones of the orbit) |
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Term
| What can cause this injury? |
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Definition
| Auto accidents, fights, and falls are most common. |
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Term
| What position is the patient in for an orbital floor fracture? |
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Definition
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Term
| Where would we place a traction stitch? |
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Definition
| Between the lower eyelashes and incision site. |
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Term
| For local anesthetic will we use epinephrine? |
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Definition
| Yes and let the anesthesia provider know we are using epinephrine. |
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Term
| What conditions can be associated with an orbital floor fracture? |
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Definition
| Diplopia and enophthalmos |
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Term
| Where is the incision made for this procedure? |
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Definition
| We use a #15 blade underneath the lower eyelid. |
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Term
| What supplies are used to blot away blood? |
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Definition
| Cotton swabs or Weck-Cel. |
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Term
| What should you have premoistened during the surgery? |
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Definition
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Term
| What instrument is used to free periorbital fat and other fat tissues entrapped? |
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Definition
| Freer elevator and tissue forceps. |
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Term
| How do we remove bone fragments from the eye? |
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Definition
| Reposition the bone fragments and irrigate the wound. |
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Term
| If the reduction is not stable what will we use for fixation? |
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Definition
| A rigid fixation device will be implanted followed by silastic sheeting. |
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Term
| What device is used to protect the eye? |
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Definition
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