II Lecture Chapter 17 Short Answer: Oral Surgery pp 384
What is the unique feature of the #12 knife blade?
The #12 knife blade is often used in oropharyngeal surgery. The special feature of the #12 blade is that it is curved with the cutting surface on the inner aspect of the curve. Because of its extended length and slim handle, the #7 knife handle is used as well.
What histological stain may be used for esophageal or laryngeal biopsies?
A histological stain may be used to differentiate abnormal cells. This is especially useful in the esophagus and larynx. An example of one of these stains is toluidine blue.
When positioning the patient for oral cases, what additional positioning devices will be needed?
A scapular towel roll towel will be used to slightly hyperextend the neck to provide better exposure and visualization of the surgical site.
Describe where a Zenker's diverticulum is located.
An esophageal diverticulum is referred to as a Zenker's diverticulum. The patient usually complains of dysphagia or difficulty swallowing.
Oral packing may be used to prevent blood and other debris from entering the esophagus and stomach and causing postoperatively. What other complication may occur and should be prepared for?
Oral packing is an important post-operative thing after throat surgery. While recovering from anesthesia, the patient's gag reflex may not be present. If vomiting or bleeding in the throat occur, liquids may enter the airways and cause contamination or aspiration, more importantly. Oral packing also prevents blood from entering the stomach, where it may go undetected or cause false findings. Be ready and prepared for symptoms like dysphagia, postoperative sore throat and difficulty breathing.
What tests are completed to diagnose the condition?
Polysomnography Multiple Sleep Latency Test
When obtaining secretions or fluid using a Lukens tube, what should be carefully observed during the procedure?
The tube must be maintained in the upright position during specimen collection to prevent the fluid from entering the suction tubing.
When working in the oral cavity, indirect visualization is used. What is used to perform this assessment? How is it prepared and used?
The use of a mirror can be employed to view the nasopharynx and laryngopharynx. The mirror should be treated with a commercial antifog preparation or warmed to prevent fogging. A light is directed towards the mirror and refracted into the area to be viewed.
Can tonsillitis affect the palatine tonsils?
Tonsillitis may affect the pharyngeal, palatine, and lingual tonsils. It usually refers to the palatine tonsils.
What is the pillar dissector used for?
Used in a tonsillectomy to free the tonsil lobe from its attachments to the pillars
How is speech assessed?
Videostroboscopy is used for precise analysis of endolaryngeal tissue during speech. The strobe equipment is introduced into the larynx via a flexible laryngoscope. The exact movement of the vocal mucosa can be studied and pathological changed easily noted.
What is the purpose of the uvula? What condition may require surgery on the uvula?
the uvula is a projection of lymphoid tissue that is connected to the soft palate dissection of the uvula may be required during a Uvulopalatopharyngoplasty (UPPP) for sleep apnea treatment
