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ST-103 Week 4
Plastic Reconstructive Surgery
132
Health Care
Professional
01/15/2009

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Cards

Term
Alloplasty
Definition
Plastic surgery with non-human tissue
Term
Debridement
Definition
Removal of foreign material and dead or damaged tissue from a wound
Term
Dermatome
Definition
Instrument for incising skin
Term
Dermis
Definition
Inner sensitive vascular layer of the skin
Term
Donor site
Definition
Area of the body used as a source for grafts
Term
Epidermis
Definition
Outer, nonsensitive , nonvascular layer of the skin
Term
Erythema
Definition
A small spot or area of the skin showing diffused redness
Term
Graft
Definition
Tissue that is transplanted or implanted to repair a defect
Term
Lop ears
Definition
Congenital deformity in which the ears protrude abnormally from the side of the head
Term
Micrognathia
Definition
Abnormal smallness of the jaw especially the lower jaw
Term
Microtia
Definition
unusually small size or absence of the external ears
Term
Plastic Surgery
Definition
Surgery designed to repair, restore, or reconstruct body parts
Term
Prognathia
Definition
Projection of jaws beyond projection of forehead
Term
Recipient Site
Definition
Area of the body that recieves the site
Term
List two purposes of plastic surgery
Definition
To improve aesthetic or cosmetic appearance, to correct congenital anomaly's, To correct disfigurement due to trauma or disease
Term
Blepharoplasty
Definition
Aesthetic procedure to remove excess skin and protruding periorbital flat of the upper and lower eyelids
Term
Cheiloplasty
Definition
Closure of a cleft lip
Term
Hair replacement (transplant)
Definition
Aesthetic transplant of hair follicles from scalp with good hair to scalp with bad hair growth
Term
Mentoplasty
Definition
Aesthetic procedure to reshape the chin by removing part of the mandible or by augmenting with bone or cartilage grafts or artificial implants for abnormally small jaws
Term
Neck Dissection
Definition
Resection of tumors originating from the neck and head region
Term
Orthognatic Surgery
Definition
Reconstruction with alignment of both jaws for congenital defect
Term
Otoplasty
Definition
Aesthetic or reconstructive procedure to correct the congenital deformities of lop ears or excessively large ears or for traumatic injury to one or both ears
Term
Palatoplasty
Definition
Closure of a cleft palate
Term
Reconstruction for microtia
Definition
Series of reconstructive procedures to insert an artificial ear implant or graft of patients costal cartilage to correct the congenital absence of an ear
Term
Removal of cancerous neoplasms
Definition
removal or carcinoma, malignant melanomas from skin or other parts
Term
Repair of mandibular fracture
Definition
correct of malocclusion by closure of the fracture mandible
Term
Repair of maxillary fracture
Definition
Correction of malocclusion and facial deformity by intermaxillary fixation with arch bars and open or closed reduction of the fractured maxilla depending upon the severity
Term
Repair of orbital-cranial deformaties
Definition
Procedure to repair cranial facial or orbital bone
Term
Repair of zygomatic fracture
Definition
closed reduction of zygomatic arch fractures
Term
Rhinoplasty
Definition
Reconstruction of the nose for aesthetic purposes or to repair damage done by trauma or removal of neoplasms
Term
Rhytidectomy (Face Lift)
Definition
Aesthetic procedure to remove excess skin in the face and neck area and tighten underlying support structures, such as muscle and superficial fascia; also called a face lift
Term
Soft tissue augmentation
Definition
Aesthetic procedure involving the extraction of the patient's own fat cells or bovine dermal collagen and injection to fill soft tissue defects or to smooth out wrinkles
Term
Abdominoplasty (Tummy Tuck)
Definition
Excision of excess fat and the abdominal wall skin and tightening of abdominal musculature
Term
Augmentation mammoplasty
Definition
Insertion of a breast prosthesis to enlarge or form the breast mound
Term
Debridement of burns
Definition
Removal of necrotic tissue (eschar) to be followed by skin grafting
Term
Dermabrasion
Definition
Physical sanding of the skin with a dermabrader to remove embedded dirt or tattoos, improve acne scars, or lessen elevated scars
Term
Lipectomies
Definition
Excision of excess fat and redundant skin from various areas of the body such as the abdomen, buttocks, thighs, and upper arms
Term
Liposuction
Definition
Removal of fat deposits by use of a blunt, hollow, metal cannula connected to negative pressure suction
Term
Plastic hand surgery
Definition
Restoration of hand function to correct injuries or deformities usually involving microsurgery of nerves and vessels
Term
Reconstructive mammoplasty
Definition
Post-mastectomy reconstruction of breast contour
Term
Reduction mammoplasty
Definition
Excision of breast tissue and overlining skin with reconstruction of conture
Term
Scar revision
Definition
Rearranging or reshaping an existing scar to improve its appearance
Term
(Special Features of Plastic Surgery)Instruments for plastic surgery are extremely _____ and must be handled with the utmost of care.
Definition
Delicate
Term
(Special Features of Plastic Surgery)
Microvascular and reconstructive procedures may take 12 to 18 hours. Patients' _____ _____ must be well padded
Definition
Pressure Points
Term
(Special Features of Plastic Surgery)
Fine sutures swaged to _____ needlies are commonly used for plastic surgery
Definition
Cutting
Term
Alloplastic materials such as _____ are commonly used as implants. They must be handled as little as possible, using sterile technique.
Definition
Dacron, silicon rubber, teflon
Term
(Special Features of Plastic Surgery)
_____ grafts may be needed.
Definition
Bone, cartilage, skin
Term
(Special Features of Plastic Surgery)
Sterile _____ are used to indicate incisional lines and geographical reference points
Definition
Colored marking pens
Term
(Special Features of Plastic Surgery)
Surgical headlights, fiberoptic headlights, loupes, and the _____ are commonly used for plastic surgery.
Definition
Operating microscope
Term
(Special Features of Plastic Surgery)
The pneumatic tourniquet is commonly used for _____ surgery
Definition
Extremity
Term
(Special Features of Plastic Surgery)
_____ prep solutions are often used so the surgeon can observe the true skin color
Definition
Colorless
Term
(Special Features of Plastic Surgery)
_____ drapes are commonly used; however, draping is often difficult when several areas need to be exposed, such as for skin grafting procedures
Definition
Head, hand
Term
(Special Features of Plastic Surgery)
_____ anesthesia is used for many procedures on adults. Epinephrine may be added to help localize the agent, prolong the anesthetic action, and provide hemostasis
Definition
local
Term
(Special Features of Plastic Surgery)
The _____ is used in many procedures to identify nerves, especially in craniofacial and hand reconstruction procedures.
Definition
Nerve stimulator
Term
(Special Features of Plastic Surgery)
Small sponges are used such as _____
Definition
2x2, 3x3
Term
(Special Features of Plastic Surgery)
Skin closure tapes are commonly used in conjunction with subcuticular suturing to improve the _____ results
Definition
Aesthetic
Term
(Special Features of Plastic Surgery)
_____ dressing are commonly used.
Definition
Medicated, non-adhesive
Term
Electrical
Definition
Resulting from overexposure to electricity
Term
Thermal
Definition
Resulting from contact with fire, hot objects, or hot fluids
Term
Radiation
Definition
Resulting from overexposure to radiant energy such as from radium, x-rays, nuclear explosions, or sunlight
Term
Chemical
Definition
Resulting from contact with corrosive or irritating acids or alkalines
Term
(1,2,3, or 4)
Char burn which extends damage into bones, tendons, muscles, blood vessels, and peripheral nerves below. Requires extensive grafting.
Definition
4
Term
(1,2,3, or 4)
Partial-thickness burn in which damage extends through the epidermis and into the dermis but reepithelialization can occur if the deepest layer of the epithelium is viable. Characterized by blister formation, pain , and a moist
Definition
2
Term
(1,2,3, or 4)
Full thickness burn in which both epidermis and dermis are destroyed with damage extending into underlying subcutaneous fat. Characterized by a dry, pearly white, or charred appearing surface void of sensation with a parchmentlike eschar over the are formed by the destroyed skin. Requires skin grafts for healing
Definition
3
Term
(1,2,3, or 4)
Superficial burn involving only the outer layer of the epidermis. Erythema and tenderness occur, but healing takes place rapidly.
Definition
1
Term
Homograft
Definition
Graft tissue taken from a donor of the same species as the recipient
Term
Heterograft (xenograft)
Definition
Graft of tissue taken from a donor of one species and grafted onto a recipient of another species
Term
Autograft
Definition
Graft of tissue taken form another part of the patients body
Term
Free graft
Definition
Tissue is completely detached from the donor site and moved to the recipient site. Vascularity depends on capillary ingrowth at the recipient site
Term
Pedicle graft
Definition
Tissue remains attached at one or both ends of the donor site during transfer to the recipient site
Term
free flap
Definition
Tissue, including its vascular bundle, is detached and transferred to the recipient site. Anastomosis between arteries and veins at the recipient site is accomplished with microvascular surgery
Term
(Full or Split Thickness)Are preferred on the face, neck, hands, elbows, axillae, knees, and feet
Definition
F
Term
(Full or Split Thickness)
Are used to cover large denuded areas on body surfaces such as back, trunk, and legs.
Definition
S
Term
(Full or Split Thickness)
Graft can be enlarged by putting it through a skin graft mesher
Definition
S
Term
(Full or Split Thickness)
Inhibit wound contraction better
Definition
F
Term
(Full or Split Thickness)
Involve removal of epidermis and a portion of the dermis to a depth of .010-.035" (.3-1 mm)
Definition
S
Term
(Full or Split Thickness)
Involve removal of the epidermis, dermis, and subcutaneous fat at a depth greater .035" (1 mm)
Definition
F
Term
(Full or Split Thickness)
Are excised from donor site by skin-graft knife
Definition
F
Term
(Full or Split Thickness)
Are excised from donor site by dermatomes
Definition
S
Term
(Full or Split Thickness)
Are smaller in diameter
Definition
F
Term
(Full or Split Thickness)
Donor site must be grafted or primarily closed because it will not heal on its own
Definition
F
Term
(Full or Split Thickness)
Donor site cannot be reused
Definition
F
Term
(Full or Split Thickness)
Skin at donor site regenerates rapidly if properly cared for, and sit can be reused approximately 2 weeks later if necessary
Definition
S
Term
Tissue expansion flap
Definition
Donor tissue intended for later transplant is elevated and a silicone pouch connected to a self-sealing inflation reservoir is inserted and expanded to stretch the skin to be transplanted, and therefore provide a larger flap
Term
Myocutaneous flap
Definition
Muscle, flap, and skin
Term
Muscle flap
Definition
Donor tissue involves muscle and its proximal blood supply
Term
Neurosensory flap
Definition
Donor tissue involves sensory nerves for transplant
Term
Omental flap
Definition
Donor tissue is mobilized and used to cover defects exposing vital organs
Term
(Drum Dermatomes or Oscillating-Blade)
Are electrically or pneumatically power driven
Definition
O
Term
(Drum Dermatomes or Oscillating-Blade)
Have a rotating blade housed in one-half of a metal drum
Definition
D
Term
(Drum Dermatomes or Oscillating-Blade)
Have a blade that moves back and forth like the blade of a hair cutter
Definition
O
Term
(Drum Dermatomes or Oscillating-Blade)
Are used on areas that have firm, underlying support, and therefore, are rarely used on the abdominal wall
Definition
O
Term
(Drum Dermatomes or Oscillating-Blade)
Are used on flat, open areas because they are bulky.
Definition
D
Term
(Drum Dermatomes or Oscillating-Blade)
An adhesive must be placed on both the skin surface and the drum to keep the skin in contact with the drum surface.
Definition
D
Term
(Drum Dermatomes or Oscillating-Blade)
Sterile mineral oil may be used on the donor site to facilitate its removal
Definition
O
Term
(T or F, Care of Burn Patients)
Strict adherence to all the principles of aseptic techniques must be followed to prevent infection.
Definition
T
Term
(T or F, Care of Burn Patients)
The patients environment is controlled and isolated to aid in the healing process, to prevent microbial invasion, and to protect the patient from hypothermia which is a common problem due to the loss of skin
Definition
T
Term
(T or F, Care of Burn Patients)
Burn patients usually do not require any assistance in moving
Definition
F, Burn patients usually require adequate care and assistance in moving
Term
(T or F, Care of Burn Patients)
Delays in transporting or scheduling for surgery must be avoided
Definition
t
Term
Hypo-hyperthermia units are used in surgery to prevent heat loss
Definition
t
Term
(T or F, Care of Burn Patients)
The patients temperature is checked occasionally throughout the procedure with an oral thermometer
Definition
F, The patients temperature is checked occasionally throughout the procedure with a rectal, esophageal, of tympanic thermometer
Term
(T or F, Care of Burn Patients)
O.R. room temperature is raised to 92 -95 degrees F
Definition
F, O.R. room temperature is raised to 80-85 degrees
Term
(T or F, Care of Burn Patients)
Prepping, irrigation, dressing, and intravenous solutions are all warmed prior to use
Definition
T
Term
(T or F, Care of Burn Patients)
The patient is covered with wet sheets
Definition
F, The patient is covered with warm blankets
Term
(T or F, Care of Burn Patients)
Most burn patients coming to the O.R. are anxious and apprehensive and will need special comforting, reassurance, and support.
Definition
T
Term
(Skin Grafting)
Donor and recipient sites are prepped and draped _____, and care is taken to prevent cross contamination from one sit to the other
Definition
Seperately
Term
(Skin Grafting)
Prepping is done very gently, and usually for only _____ minutes
Definition
3 Minutes
Term
(Skin Grafting)
The patient's intake and output must be carefully monitored including IV's, urine, and blood loss. _____ are weighed to estimate blood loss
Definition
Sponges
Term
(Skin Grafting)
Dermatomes must be carefully inspected prior to the procedure to make sure that all parts are in ______
Definition
Perfect Condition/working order
Term
(Skin Grafting)
Depth gauges of dermatomes should always be set on _____ before the procedure and after changing blades
Definition
0
Term
(Skin Grafting)
Dermatomes are to be kept on their _____ at all times except while being used to obtain skin grafts
Definition
stands
Term
(Skin Grafting)
The _____ of the drum dermatome must not be allowed to swing free since it could result in flexor tendon laceration for the operator
Definition
handle
Term
(Skin Grafting)
Grafts must not be allowed to _____ which would destroy them.
Definition
dry out
Term
(Skin Grafting)
Grafts are placed in a basin with a few drops of warm _____ unless otherwise requested by the surgeon
Definition
saline
Term
(Skin Grafting)
Hemostasis is obtained during the operation using _____
Definition
pressure/thrombin/warm saline pack
Term
(Skin Grafting)
One method used to secure the graft to the recipient site is _____
Definition
suture/skin staples
Term
(Skin Grafting)
A _____ is frequently applied to immobilize extremities during migration or transfer of pedicle grafts.
Definition
plaster cast
Term
(Skin Grafting)
_____ over grafts vary according to surgeon preference.
Definition
dressing
Term
(Skin Grafting)
One requirement that must be met for grafts to heal or "take" is _____
Definition
aseptic technique, stabilize contact with recipient site, bleeding and infection must be controlled
Term
Bone curettes
Definition
Term
Caliper
Definition
Term
Dermabrader
Definition
Term
Dermatome
Definition
Term
Forceps, delicate tissue and dressing
Definition
Term
Implants and prostheses
Definition
Term
Liposuction curettes and liposuction vacuum machine
Definition
Term
Nerve retractor
Definition
Term
osteotome
Definition
Term
Rasp
Definition
Term
Scissors (several types)
Definition
Term
Skin Hook
Definition
Term
Tissue Expanders
Definition
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