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Plastic and Reconst
Plastic and Reconstructive surgery
| Question | Answer |
|---|---|
| Surgery that is performed to improve appearance but not necessarily function, known as cosmetic surgery | Aesthetic surgery |
| A tissue graft in which the donor and recipient are of the same species | allograft |
| The surgical transplantation of tissue from one part of the body to another in the same individual | Autograft |
| Grafts derived from live tissue, whether human or animal | Biological graft |
| A type of graft or implant material made of synthetic absorbable material | Biosynthetic |
| A biological graft composed of different types of tissues such as skin and muscle | composite graft |
| The surgical removal of dead skin, debris, and infections material from a wound | Debridement |
| A medical device used for removing single thickness skin graft | Dermatome |
| Tissue that has been burned (second and third degree burns) but remains adherent to the wound. Nonelastic and may constrict underlying structures, impairing vital functions | Eschar |
| Excision of eschar to release stricture in surrounding tissues | Escharotomy |
| Longitudinal incisions made in the fascia to release severe swelling or stricture which can result in necrosis | Fasciotomy |
| A skin graft composed of the epidermis and dermis | Full-thickness skin graft (FTSG) |
| A dressing impregnated with a water-based gel. This type of dressing prevents the wound from drying | Hydrodressing |
| A raised scar characterized by excess collagen | Hypertrophic scar |
| A synthetic, natural, or biosynthetic substance used to fill in or replace an anatomical | Implant |
| A hypertrophic scar occurring in dark-skinned individuals. The scar may become bulbous and usually does not reduce over time | Keloid |
| A procedure in which a malignant tissue mass is removed and cut into quadrants before frozen section. These quadrants are used to map the tumor and determine the exact location of malignant margins. | Mohs surgery |
| Damage to the skin caused by ultraviolet light | Photodamage |
| Folding of tissue and securing it in place surgically | Plication |
| Derived from pig tissue | Porcine |
| Drooping or sagging of any anatomical structure | Ptosis |
| A skin graft that consists of the epidermis and a portion of papillary dermis | Split-thickness (or partial-thickness) |
| A surgical technique in which a plane of tissue is created or an existing tissue plane is lifted, such as skin from the fascia | Undermine |
| A graft made up of tissue taken from one species and grafted into another species ( porcine graft implanted in human tissue) | Xenograft |
| Integumentary system | Skin |
| What are the Integumentary system functions | Protects underlying tissue and organs, Excretes organic waste and stores nutrients, Excretes water and dissipate heat, Sensor organs transmit touch, Pressure, Pain, and Temperature |
| outer layer of the skin. | Epidermis |
| Cells of the epidermis | Keratinocytes |
| Composed of dead keratinocytes that are filled with a protein | Keratin |
| The thick layer of living tissue between the epidermis and subcutaneous fatty layer that forms the true skin, containing blood capillaries, nerve endings, sweat glands, hair follicles, and other structures. | Dermis |
| a small gland in the skin which secretes a lubricating oily matter (sebum) into the hair follicles to lubricate the skin and hair. | Sebaceous glands |
| Protective structure that covers most areas of the body, except the palms and soles of the feet. | Hair |
| 2 types of sweat glands | apocrine and eccrine glands |
| This gland is developed in areas abundant in hair follicles, such as your armpits and groin, and they empty into the hair follicle just before it opens onto the skin surface. | Apocrine sweat glands |
| This gland secretes fluid onto the surface of your skin, where it cools your body as it evaporates. | Eccrine glands |
| This gland discharges a waxy, oily secretion | sebum |
| A small gland in the skin which secretes a lubricating oily matter (sebum) into the hair follicles to lubricate the skin and hair. | Sebaceous gland |
| The subcutaneous fatty tissue is separated into deep and superficial layers by a tissue plane | Superficial musculoaponeurotic system (SMAS) |
| Unstaining prep solution that is used for procedures other than the face | Povidone-iodine |
| Which term describes the thumb side of the hand? | radial |
| Which anatomical area is a TRAM flap used to reconstruct? | breast |
| Submalar augmentation is performed to address structural deficiency in the _______ | cheeks |
| Which procedure is performed for dermachalasis? | blepharoplasty |
| Which cosmetic procedure is performed for micrognathia? | mentoplasty |
| The mandibular symphysis is better known as the: | chin |
| The pinna, helix, crus, and tragus are all portions of the: | ear |
| Breast ptosis is surgically corrected by: | mastopexy |
| “Cupid’s bow” is reconstructed in which of the following procedures? | cleft lip repair |
| A full-thickness skin graft may be taken from the inner thigh or labial fold to re-create which anatomic area? | areola |
| Which cranial nerve must NOT be compromised by retractor placement during rhytidectomy? | seventh (VII) |
| When would a congenital facial deformity likely occur? | first trimester |
| Which of the following bones make up the palm of the hand? | metacarpals |
| Which nerve passes through the carpal tunnel? | median |
| Which of the following order of steps for replantation of a digit is CORRECT? | bones, tendons, vessels, then nerves |
| The skin is a ____ membrane. | cutaneous |
| Which layer contains hair follicles, sweat glands, sebaceous glands, and nerve fibers? | dermis |
| Which layer of skin functions best as a heat insulator? | subcutaneous |
| Which skin layer contains blood vessels to aid in the regulation of body temperature? | dermal |
| What does the sebaceous glands secrete? | sebum |
| Fat | adipose |
| Skin is made up of two layers | Epidermis and dermis |
| Accessory structures | Hair and nails |
| What is the name of the hair muscle that aids thermoregulation of the body by contracting in cold environments | arrector pili muscle |
| Split-thickness skin grafts are used to cover which type of burned tissue? | denuded areas of third-degree burns |
| What is the term for the process of removing necrotic tissue or eschar prior to skin grafting? | debridement |
| What does a mesh graft device do? | It expands the size of the skin graft. |
| Which cosmetic procedure is performed for micrognathia? | mentoplasty |
| Which procedure is performed for dermachalasis? | blepharoplasty |
| In which procedure would the procerus and corrugator muscles be ablated, avulsed, resected, or separated? | endoscopic brow lift |
| Which of the following terms is more commonly referred to as a full face lift? | rhytidectomy |
| “Cupid’s bow” is reconstructed in which of the following procedures? | cleft lip repair |
| Anchor-shaped incisions with joining of tissue envelope folds are performed in which procedure? | mastopexy |
| Which of the following might be used for stabilization in a Dupuytren’s contracture release if an assistant is unavailable? | lead hand |
| What suturing technique would the surgeon use to attach tendons in a toe-to-thumb transfer procedure? | figure of eight |
| Before closure in augmentation mammoplasty, what is done to verify correct size? | Temporary sizers are placed and filled with saline, and the table is raised to sitting position to evaluate appearance. |
| How would a transverse rectus abdominis musculocutaneous flap be classified? | pedicle-flap graft |
| Why would two separate setups be required for an immediate reconstruction following mastectomy? | to prevent seeding of cancer cells if same instruments are used for both |
| Which muscles are tightened in an abdominoplasty procedure? | rectus abdominis |
| Which type of specialized retractor enhances visualization in many breast and abdominoplasty procedures? | fiber-optic |
| Which artery provides blood to the medial side of the forearm? | ulnar |
| What is applied to a skin graft site for lubrication to allow for a dermatome to easily pass over the skin? | mineral oil |
| Which surgical procedure is performed to improve the cosmetic appearance of the chin by correcting micrognathia? | mentoplasty |
| Where would an autograft be taken from to replace the congenital absence of an ear? | costal cartilage (ribs) |
| Which instrument set should a surgical technologist open for an autograft to treat microtia? | thoracic set |
| Which type of flap allows the tissue to be transferred to remain attached to its blood supply? | pedicle flap |
| Which of the following is an analgesic that can be given to a patient who is about to undergo plastic surgery? | meperidine |
| A graft that contains the complete dermis and epidermis | Full-thickness Skin graft (FTSG) |
| Allografts, same species | Homograft |
| Xenografts, pig, calf | Heterograft |
| Cleft lip and palate development between | 4th and 8th week of gestation |
| Procedure that corrects the cleft lip | Cheiloplasty |
| Procedure that joins maxillary and palatine. | Palatoplasty |
| The triangular flap method used to repair the cleft lip. | Z plasty |
| Congenital absence of part or all of the ear | Microtia |