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Chapter 19
| Question | Answer |
|---|---|
| What tissue is used in nipple reconstruction | labia |
| How many classes of skin burns are there | four |
| What benign lesion is in the hand | gaglion cyst |
| What is a topical hemostatic used on skin graft donor site | Epi |
| What is mineral oil used for in skin grafts | lubricant |
| What is a mesher used for | to expand the skin |
| What is the thumb side of the hand known as | radial |
| What configuration do plastic surgeons use for scar revision | z plasty |
| Pinna and tragus are portions of the | ear |
| Cupids bow is reconstucted in | cleft lip |
| Cressent, benelli lifts are used in | mastopexy |
| How many muscles and tendons control the wrist, hand and fingers | 40 |
| Which cranial nerve must be avoided during a rhytidectomy | 7 facial nerve |
| Medical term for club hand | Radial dysplasia |
| Which muscles are tightened in an abdominal plasty | Rectus |
| Which graft has skin sensation preserved | Pedicle |
| Plastic reconstruction must be done when a patient stops growing. True or false | false |
| What type of power may be used with an oscillating blade type dermatome | Nitrogen or electricity |
| What is the width of the graft determined by | The gap in the edge of the plate ranging from 1-4inches |
| What unit is the graft thickness measured in | tenths of a millimeter |
| What are three types of handheld knife dermatomes | Ferris smith (free hand), watson (adjustable roller) and weck (used on small skin grafts) |
| What are drum type dermatomes | Padgett and Reese (needs sterile dermatome tape) |
| What is the ratio for derma carriers | 3 to 1. The expanded graft will be three times larger than prior to being meshed. Diamond shaped holes like a fishing net. |
| What is a FTSG composed of | Epidermis and dermis |
| What is STSG involves removing the | epidermis and half of the dermis |
| What is keratin | Hard, fibrous, waterproof protein that is found in hair, nails and epidermis. begins in stratum granulosum |
| What are the two divisions of the dermis | Reticular- collagen, strength, elastin. Papillary-groundwork for fingerprints |
| What is responsible for the production of nails | stratum basale |
| What are the oil producing glands and what i he oil produced called | sebaceous glands. Sebum |
| What are sweat glands? | sudoriferous glands |
| What are the three types of sweat glands | Merocrine-on most of body. Apocrine-axilla and external genitalia. Ceruminous gland-external auditory canal |
| First degree burn | Affects the epidermis. Do not blister |
| Second degree burn | blister. affect the dermis. Can leave hypertrophic scar |
| Third degree burn | penetrate the full thickness of the skin. Permanent tissue damage. Charred or white escars |
| Fourth degree burn | char burns. damage blood vessels, nerves, muscle. Can affect bone density. |
| Abbreviated burn severity index | ABSI. 1.Age 2.Gender 3.inhalation injury 4.depth of burn 5.percentage of total body surface burned |
| What is dermachalasis | Relaxation and hypertrophy of the eyelid skin |
| What are the four main complaints of skin aging | loose skin, fine lines, exaggeration of normal features, bagginess around the eyes |
| What is micrognathis | Underdevelopment of the jaw |
| What is the auricular sulcus | Depression behind the ear next to the scalp |
| What is microtia | Congenital absence of part or all of the ear |
| What is prominent ears | Pinnae that abnormally protrude from the sides of the head. due to absence of antihelix causing the scapha and helical rim to protrude |
| What is the ideal time for otoplasty to be performed | age 4 to 10 years |
| What is the grooved middle portion from below the nose to the upper lip called | philtrum |
| What is formed by the joining of the frontal nasal prominences | cupids bow |
| What are the four categories of cleft lip | Unilateral incomplete. Unilateral complete. Bilateral incomplete. Bilateral complete on one side and incomplete on the other side. |
| what is the optimal age for cleft lip or palate surgery | 3-18months |
| What is the most common cleft lip repair technique | Rotation advancement. |
| what is the palm of the hand | Volar surface |
| What is the back of the hand | Dorsal surface or dorsum |
| What is the medial side of the hand | Ulnar |
| What makes up the wrist | Eight carpal bones. Aka carpus |
| Which bones make up the proximal wrist | scaphoid, lunate, triquetral, pisiform |
| What is diarthroses | freely movable joints. |
| Radial nerve | travels along the radius and provides feelings to the skin of the hand |
| Median nerve | Branches into two. innervates the skin of the lateral 2/3 of the hand and several intrinsic muscles of the hand |
| Ulnar nerve | provides feeling to the skin of the medial third of the hand and some of the flexor muscles of the hand and wrist |
| How many flexor tendons and nerves pass through the main tunnel of the hand | nine |
| What lines and covers the compartments in the hand | Synovial membrane lines the compartments and dorsal carpal ligament covers them. |
| What is dupuytrens contracture | 1.nonpainful nodule in the palm of hand near 4th and 5th digit. 2.dimpling or pit in hand 3.longitudinal fibrous band or cord extending from palm to fingers |
| How many types of radial dysplasia are there | four. The fourth is the most common |
| How many surgical procedures are there to correct radial dysplasia | five. centralization is the most common |
| What is polydactyly | duplication of digits |
| What is bifid thumb | duplication of the thumb. Wassel classification most common |
| aesthetic | visually pleasing |
| Arthrodesis | surgical fixation of a joint to relieve pain and provide support |
| cheilo | lip |
| cleft | crack or fissure |
| Elliptical | curved or cresent shaped |
| Integumentary | pertaining to or composed of skin |
| MPJ Metacarpophalangeal joint | A synovial hinge type joint consisting of a metacarpal that articulates with a phalange |
| Replantation | the replacement of an organ or other structure to the site from which it was previously lost or removed |
| schisis | root word pertaining to split or cleft |
| synthesis | formation of a new entity out of previously existing ones |
| Acne vulgaris | inflammatory disease causes pustules |
| neoplasms | abnormal growth-warts cysts moles |
| premalignant lesions | dysplastic nevi and acinic keratosis |