BDS 10025 Maxillofacial Trauma: Soft Tissue Injuries
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Questions and Answers

Which process of wound healing involves longer repair and healing time, greater chances of scarring, and increased chance of infections?

  • Inflammatory Phase of Wound Healing
  • Primary Intention Wound Healing
  • Secondary Intention Wound Healing (correct)
  • Tertiary Intention Wound Healing
  • Which phase of the wound healing process involves denuding the epithelial layer, potential involvement of nerve endings, and minor bleeding from capillaries?

  • Remodeling/Maturation Phase
  • Proliferative Phase
  • Inflammatory Phase (correct)
  • Primary Intention Wound Healing
  • Which type of wound healing process creates more scar tissue?

  • Proliferative Phase of Wound Healing
  • Secondary Intention Wound Healing
  • Tertiary Intention Wound Healing (correct)
  • Primary Intention Wound Healing
  • What type of wound healing occurs when tissue edges are closed by stitches, staples, or steri-strips, resulting in quick and easy wound healing?

    <p>Primary Intention Wound Healing</p> Signup and view all the answers

    Which phase of the wound healing process involves the formation of new blood vessels, collagen deposition, and granulation tissue formation?

    <p>Proliferative Phase</p> Signup and view all the answers

    What is the primary cause of an abrasion?

    <p>Friction</p> Signup and view all the answers

    What is the primary difference between primary and secondary intention wound healing?

    <p>Tissue loss</p> Signup and view all the answers

    What is a characteristic feature of tertiary intention wound healing?

    <p>'Delayed closing'</p> Signup and view all the answers

    What is the main purpose of applying gentle pressure for minor bleeding from capillaries?

    <p>'To promote wound healing'</p> Signup and view all the answers

    'Wound has lots of lost tissue/ gaping edges' is a characteristic feature of which type of wound healing?

    <p>Secondary Intention Wound Healing</p> Signup and view all the answers

    Which type of wound healing requires 'delayed closing' to allow for drainage and creates more scar tissue?

    <p>Tertiary Intention Wound Healing</p> Signup and view all the answers

    Which aspect is involved in orofacial region injuries as detailed in the lecture's aims?

    <p>Clinical manifestations understanding</p> Signup and view all the answers

    What is the most appropriate management for a contusion (bruise) caused by dentoalveolar trauma?

    <p>Application of ice and pressure to decrease hematoma formation</p> Signup and view all the answers

    What is the most appropriate management of superficial external burns?

    <p>Running under cool water and applying burn ointment</p> Signup and view all the answers

    Which type of sutures is used for suturing deep structures like muscle and tendons?

    <p>Synthetic resorbable sutures</p> Signup and view all the answers

    What should be considered if there is doubt about tetanus vaccination in the case of a soft tissue injury?

    <p>Referral to a physician for tetanus shot consideration</p> Signup and view all the answers

    In what circumstance is surgical intervention required for a contusion (bruise)?

    <p>When there is subcutaneous hemorrhage</p> Signup and view all the answers

    What is the most effective technique for removing debris from a deep laceration?

    <p>Pulsed irrigation</p> Signup and view all the answers

    When should systemic antibiotics be considered in the management of soft tissue injuries?

    <p>For deep multilayer lacerations only</p> Signup and view all the answers

    What should be done if a laceration in the oral cavity does not require closure with sutures?

    <p>No treatment other than routine oral hygiene is indicated</p> Signup and view all the answers

    What should be ensured when repairing a lip laceration to avoid an ugly step on healing?

    <p>Correct alignment of the vermilion border</p> Signup and view all the answers

    When should facial skin sutures be removed postoperatively?

    <p>4 to 6 days postoperatively</p> Signup and view all the answers

    What type of burns are described as full thickness burns?

    <p>Full thickness (third-degree burn)</p> Signup and view all the answers

    What type of injury usually requires surgical nerve repair/grafting?

    <p>Nerve injury</p> Signup and view all the answers

    Study Notes

    Wound Healing Processes

    • Secondary intention wound healing involves longer repair and healing time, greater chances of scarring, and increased chance of infections.
    • Delayed primary intention wound healing creates more scar tissue.
    • Primary intention wound healing occurs when tissue edges are closed by stitches, staples, or steri-strips, resulting in quick and easy wound healing.

    Wound Healing Phases

    • Debridement phase involves denuding the epithelial layer, potential involvement of nerve endings, and minor bleeding from capillaries.
    • Proliferation phase involves the formation of new blood vessels, collagen deposition, and granulation tissue formation.

    Wound Characteristics

    • Abrasions are caused by friction or scraping forces.
    • Wounds with lost tissue or gaping edges are characteristic of delayed primary intention wound healing.

    Wound Management

    • Gentle pressure is applied to control minor bleeding from capillaries.
    • Orofacial region injuries involve specialties like oral surgery, orthodontics, and pediatrics.
    • Contusions (bruises) caused by dentoalveolar trauma are managed by applying cold compresses and monitoring for hematoma.
    • Superficial external burns are managed by applying topical antibiotics and non-adherent dressings.
    • Deep structures like muscle and tendons are sutured with braided sutures.
    • Tetanus vaccination status should be considered in soft tissue injuries.
    • Surgical intervention is required for contusions (bruises) that involve significant hematoma or nerve damage.
    • Debris from a deep laceration is removed using a scrub brush and antibacterial soap.
    • Systemic antibiotics are considered in soft tissue injuries with signs of infection or in immunocompromised patients.
    • Lacerations in the oral cavity that do not require closure with sutures are managed with antibacterial mouthwash and monitoring.
    • Lip lacerations require careful repair to avoid an ugly step on healing.
    • Facial skin sutures are removed postoperatively 4-7 days after surgery.

    Burns and Injuries

    • Full-thickness burns involve the entire dermis and may require skin grafting.
    • Nerve injuries usually require surgical nerve repair or grafting.

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    Description

    Learn about the clinical, diagnostic, and management aspects of soft tissue injuries in the orofacial region. Understand the principles of managing soft-tissue injuries, and the process of wound healing involving inflammatory, proliferative, and remodeling stages.

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