Surgical Approaches to the Facial Skeleton Quiz
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Questions and Answers

What is the main subject of the work referenced?

  • Facial bones surgery (correct)
  • Medical ethics
  • Surgical procedures of the heart
  • Pharmaceutical development

    • The publisher provides medical advice and guidance within this work.

    False

    What should healthcare professionals verify before prescribing medication?

    The product information sheet or the manufacturer's package insert.

    To the maximum extent permitted under applicable law, no responsibility is assumed by the publisher for any _____ and/or damage.

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

    Match the following components with their descriptions:

    <p>LCCN = Library of Congress Control Number ISBN = International Standard Book Number MESH = Medical Subject Headings DDC = Dewey Decimal Classification</p> Signup and view all the answers

    Who are the authors of the work?

    <p>Eric W. Wang and Jenny Y. Yu</p> Signup and view all the answers

    Independent professional verification is suggested for medical diagnoses.

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

    What is the primary focus of this work as a reference tool?

    <p>Surgical treatment of facial bones.</p> Signup and view all the answers

    Which group of professionals primarily showed interest in the first edition of Surgical Approaches to the Facial Skeleton?

    <p>Oral and maxillofacial surgeons, plastic surgeons, and otolaryngologists</p> Signup and view all the answers

    The third edition of Surgical Approaches to the Facial Skeleton includes a chapter on soft tissue closure techniques.

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

    What major addition is featured in the third edition of Surgical Approaches to the Facial Skeleton?

    <p>Narrated videos demonstrating key surgical approaches.</p> Signup and view all the answers

    The first chapter of Surgical Approaches to the Facial Skeleton discusses _____ principles involved in surgical approaches.

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

    Which assumption does the book make regarding the readers?

    <p>They have basic understanding of regional anatomy and skills for soft tissue handling.</p> Signup and view all the answers

    Match the surgical approach with its description:

    <p>Oral and maxillofacial surgery = Deals with surgical treatment of the face, mouth, and jaws Plastic surgery = Focuses on reconstructive and cosmetic procedures Otolaryngology = Specializes in conditions of the ear, nose, and throat General surgery = A broad category that may include various types of surgical interventions</p> Signup and view all the answers

    The book contains specific instructions for each surgical approach presented.

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

    How many chapters are included in the third edition of Surgical Approaches to the Facial Skeleton?

    <p>14 chapters</p> Signup and view all the answers

    What is the outermost layer of the lower eyelid?

    <p>Skin and subcutaneous tissue</p> Signup and view all the answers

    The orbicularis oculi muscle completely encircles the palpebral fissure.

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

    What are the two main portions of the orbicularis oculi muscle?

    <p>Orbital portion and palpebral portion</p> Signup and view all the answers

    The skin of the eyelids is the ______ in the body.

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

    What is the primary function of the orbital portion of the orbicularis oculi muscle?

    <p>Tight closure of the eye</p> Signup and view all the answers

    The skin of the lower eyelid is firmly attached to the underlying muscle.

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

    What supplies blood to the skin of the eyelids?

    <p>Perforating blood vessels of the muscles</p> Signup and view all the answers

    Match the portions of the orbicularis oculi muscle to their locations:

    <p>Pretarsal portion = Superficial to the tarsal plates Preseptal portion = Superficial to the orbital septum Orbital portion = Extends below the inferior orbital rim Palpebral portion = Diverse thickness in cross-section</p> Signup and view all the answers

    What is the purpose of placing a corneal shield during the procedure?

    <p>To protect the globe</p> Signup and view all the answers

    Two or three traction sutures placed through the eyelid help in the placement of the corneal shield.

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

    What structures are cut during the lateral canthotomy?

    <p>Skin, orbicularis oculi muscle, orbital septum, lateral canthal tendon, and conjunctiva.</p> Signup and view all the answers

    The lateral canthotomy incision extends to the depth of the underlying __________ rim.

    <p>lateral orbital</p> Signup and view all the answers

    Match the following steps with their descriptions:

    <p>Protection of the Globe = Placement of a corneal shield to prevent injury Traction Sutures = Sutures placed to evert the lower eyelid Lateral Canthotomy = Initial incision in the lateral eyelid Cantholysis = Release of the inferior limb of the lateral canthal tendon</p> Signup and view all the answers

    How deep should the lateral canthotomy incision approximately extend?

    <p>7 to 10 mm</p> Signup and view all the answers

    The inferior limb of the lateral canthal tendon must be cut to effectively perform the cantholysis.

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

    What technique is used to evert the lower eyelid during the procedure?

    <p>Fine forceps for traction sutures.</p> Signup and view all the answers

    What is the primary purpose of the periorbita incision?

    <p>To gain exposure of the medial wall of the orbit</p> Signup and view all the answers

    What is the primary function of the plica semilunaris?

    <p>Serves as a support structure</p> Signup and view all the answers

    The closure of the periorbita is essential for surgical success.

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

    What type of suture is recommended for repairing the conjunctiva?

    <p>6-0 gut suture</p> Signup and view all the answers

    The caruncle is located laterally from the plica semilunaris.

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

    The medial wall of the orbit is exposed from the floor to the _____

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

    What surgical technique is recommended to avoid damaging the lacrimal drainage system?

    <p>Transconjunctival incision</p> Signup and view all the answers

    Which instrument is mentioned for palpating the posterior lacrimal crest?

    <p>Freer elevator</p> Signup and view all the answers

    The small, fleshy mound of tissue attached to the inferomedial side of the plica semilunaris is called the ______.

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

    Match the following structures with their descriptions:

    <p>Plica semilunaris = Crescent-shaped fold of conjunctiva Caruncle = Small fleshy mound of tissue Horner muscle = Anatomical structure inserting into the periorbita Medial canthal ligament = Supports several ocular structures</p> Signup and view all the answers

    The transcaruncular approach can be used alone for medial orbital wall surgery.

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

    Match the following surgical steps with their descriptions:

    <p>Step 4 = Incision of the periorbita Step 5 = Closure of the conjunctiva and caruncle Step 3 = Exposure of the medial wall Step 2 = Palpating the posterior lacrimal crest</p> Signup and view all the answers

    What is the role of vasoconstrictors in the surgical step described?

    <p>To facilitate hemostasis</p> Signup and view all the answers

    The medial orbital septum inserts into the periorbita anteriorly to the posterior lacrimal crest.

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

    A _____ retractor is placed deep along the medial wall during surgery.

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

    After infiltrating the conjunctiva with a vasoconstrictor, one should wait about ______ minutes to allow for diffusion.

    <p>7 to 10</p> Signup and view all the answers

    Study Notes

    Book Title

    • Surgical Approaches to the Facial Skeleton

    Book Information

    • Third Edition
    • Authors: Edward Ellis III, Michael F. Zide
    • Video Editors: Eric W. Wang, Jenny Y. Yu
    • Publisher: Wolters Kluwer

    Dedication

    • Dedicated to teachers and friends
    • Individuals listed

    Preface

    • Treatment of facial fractures, paranasal sinus disease, and various other reconstructive procedures require approaches to the facial skeleton.
    • This book details common surgical approaches.
    • Anatomical structures are important considerations for surgical approaches.
    • The method of surgical approach is greatly dependant on the surgeon's training, experience, and bias.
    • This text is written for students, and assumes a basic understanding of regional anatomy, particularly osteology.
    • The book is not a guide to a singular approach but rather presents multiple solutions to access the facial skeleton.
    • Illustrations and videos to demonstrate surgical techniques.

    Contents

    • Listed by section and subsections.
    • Chapters on Surgical Approaches (14 in total) are included.

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