Term
What is the repair of the mandibular/maxillary fractures?
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Definition
| it is the placement of plates in the face to fixate the jaw, different plates can be used of different shapes and thickness. Sometimes the entire jaw is wired shut to help healing. The plates used are called arch bars. They are not commonly used because fixation techniques have improved and bettered the recovery of patients. |
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Term
What kind of equipment will be used?
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Definition
| Outside of the normal equiptment, a bovie and ortho set are needed. Also needed are arch bars with varying diamater as well as screws and steel wire, again of varying sizes. If arch bars are to be applied, an arch bar set should be available. |
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Term
| What are the parts of the mandible? |
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Definition
| From superior to inferior... the condyle, coronoid process, ramus, angle, body and symphsis. [image] |
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Term
What must the surgical technologist do to the wires before putting them into the patient?
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Definition
| Stretch them... To ensure that the wires do not stretch during or after surgery, you must place them in the wire jaws and stretch them just a bit and cut off the crimped ends. This must be done for each wire and several will be used.. always tighten and loosen in the correct direction.. righty tighty, lefty loosy... |
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Term
| How is the mouth protected during surgery? |
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Definition
| To protect the mouth, use a mouth prop and plastic cheek retractor. Also throat packs can be inserted. They must be removed before the surgery is over because THE MOUTH WILL BE WIRED SHUT. Carefully complete counts before the jaw is wried shut! |
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Term
| After the mouth is propped open, what can the scrub tech do to help the surgery go smoothly? |
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Definition
After wires are prepared, pass with caution, the ends can easily puncture. Place end in wire jaws and make sure they are secure.
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Term
After the wires and arch bars have been placed, what will be needed?
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Definition
| Suction and water/NS to rinse out the mouth. After the jaw is wired shut, it should be cleaned. After retractors are removed depnding on the case, sutures may or may not be needed. |
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Term
| During recovery, why are the wire cutters sent with the patient? |
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Definition
| Vomiting or respiratory distress may occur in which case the mouth will need to be opened to alleviate symptoms. A tracheotomy may even be nessesary. |
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Term
| What do the arch bars wrap around? |
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Definition
| The teeth are very strong anchor points in the mouth. |
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Term
| What is the expected recovery time on a mandbular fracture? |
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Definition
| 4-6 weeks if no complication occurs. Complications include but are not limited to hemorrage, postoperative SSI, misalignment/malocclusion. |
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Term
| What is the position for maxilofacial fracture repairs? |
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Definition
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Term
| Why is x-ray used during surgery? |
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Definition
| To ensure that the fracture has been reduced and also that the screws are not protuding too far but are getting a good bite into the bone. |
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Term
What is the difference between a screw fixation on the mandible and the arch bars?
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Definition
| Screw fixation is when screws are placed through a plate to fixate the mandible for healing. Arch bars are used on the teeth, wrapping around teeth to fixate the mouth shut so the bones are compressed for healing. Sometimes both methods are used in severe fractures. |
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Term
What is the process of DGMTS?
(Don't Get Married Too Soon) |
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Definition
First drill,
then use guide,
next, measure the depth,
tap for the screw, and
finally screw in the screw. |
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Term
| What is done to prep the mouth? |
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Definition
| No prep is needed because it is a clean contaminated case AKA, class 2 of the mouth area. However, sometimes teeth may be brushed and a mild antiseptic wash may be used. |
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