Oral, Maxillofacial surgery

teeth

Procedures involving the _____ are performed primarily by an oral-maxillofacial surgeon.

subperiosteal

_____ implants are placed beneath the periosteum directly on the alveolar bone. This type of implant is used primarily when bone is insufficient to support other implants.

maxilla

Midface advancement is performed to correct a bony deformity of the _____.

The face is divided into which of the following 3 parts?

upper face, midface, and lower face

Mandibular micrognathia

_______ is a congenital defect resulting in a small lower jaw. This can affect feeding in the infant and alignment of the teeth as the infant grows.

sternal notch

Facial fractures are prepped with betadine scrub and paint. The entire face is prepped, from the hairline to the _______.

arch bars

_____ are implanted to realign dentition of the mandible and midface.

I

Le Fort ___ is a horizontal fracture of the maxilla that causes the hard palate and alveolar process to become separated from the remainder of the maxilla. The fracture extends into the lower nasal septum, laterally maxillary sinus, and palatine bones.

orbital floor fractures

Complications of ____ include extrusion of the globe into the nasal sinus and entrapment of the eye muscles.

TMJ Disease

_____ is characterized by persistant pain is usually associated with stress-related tension and grinding of the teeth (bruxism), malocclusion, trauma, or arthritis.

Oralmaxillofacial surgery

____ focuses on reconstruction and repairs of the facial bones and may include structures of the oral cavity.

Blurred vision

Patients frequently experience _____ immediately after surgery to repair orbital floor fractures because of the use of the corneal shield and antibiotic ointment.

fat graft

Before repair of frontal sinus fractures, the sinus mast be removed and duct occluded. The sinus is then often filled with a _____.

standard protocol

_____ dictate(s) that wires in arch bars be tightened in a clockwise fashion so that any other surgeon knows to remove then in a counter-clockwise direction.

maxillofacial procedures

____ are performed primarily by oral-maxillofacial, plastic, or otorhinolaryngology surgeons.

III

In Le Fort ____ fracture there is a separation of all facial bones from their cranial base. It includes fracture of the zygoma, maxilla, and nasal bones. The fracture line extends through the ethmoid bone and bony orbit with severe facial flattening and s

CT scanning

Plain x-ray is used for baseline assessment or for simple fractures. However, extensive tissue swelling may obscure complex anatomical features and injuries. ____ is therefore performed for complex facial fractures and reconstruction.

unique bit pattern

One of the fundamental goals of any maxillomandibular procedure is to preserve the patient's ____ between the mandible (lower jaw), maxilla, and midface bones.

long-term physiological effects

_____ of injury or congenital anomalies can affect speech, mastication (chewing), and development of the teeth.

II

The Le Fort fracture is pyramidal. It extends from the nasal none, to the frontal process of the maxilla, lacrimal bones, and inferior orbital floor, and may extend into the anterior maxillary sinus, and into the pterygoid plates.

Nasal bone

The _____ forms the bridge of the nose and articulates with the ethmoid and maxilla.

mandible

The _____ is the only movable bone of the face.

plates and screws

_____ are the primary means of repairing facial fractures.

scrub

The ____ must keep track of all the plates and screws that are used during surgery for the purposes of charging and documentation.

bicoronal incision

If a _____ is planned, the patient's head may be shaved and the prep carried from the posterior head to the sternal notch.

oral-maxillofacial surgery

Surgery involving the bones of the face, primarily for repair of fractures and reconstruction for congential anomalies, is defines as ____.

Dentition

_____ is the number, type, and pattern of the teeth.

biocortical

A screw that penetrates both cortical layers and intervening spongy layer of the bone is called a ____ screw.

maxillomandibular fixation (MMF)

Also called application of arch bars, a procedure in which the maxilla and mandible are placed in their normally closed position and fixed with wires is called _____.

zygoma

The ______ forms the lateral walls and floor of the bony orbit, which houses the eyeball.

Class II

In which classification of surgical wounds would oral procedures be placed where no infection is present or spillage occurs.

vasoconstrution

Which of the following is an action of epinephrine?

closed

What type of inhalation system for an administration of inhalation anesthetics used to reduce the risk of fire during maxillofacial procedures.

upright with neck hyperextended

In which position will the patient be placed to obtain a Water's view radiograph?

CT Scan

Which of the following diagnostic imaging methods provides images of bony defects?

Le Fort I

What is the most common type of midfacial fracture?

silastic

An example of synthetic graft materials is _____.

arthroscopy

Endoscopic viewing of a joint is called _____.

coronal

What type of incision is made at the patient's hairline and can be bilaterally extended?

4-6 weeks

Under ideal circumstances, bone healing is expected with in ____.

22

The skull is comprised of ____ bones.

teeth that are not in proper alignment

The term malocclusion refers to ______.

Heterograph

Coral is a type of ___.

provide access to the oral cavity

Why is nasal intubation preferred when arch bar application is anticipated?

infection

Vomiting can lead to aspiration, but in the maxillofacial patient it can also pose a risk of ______.

wire

Arch bars are fixed into position with a _____.

stabilize the maxillary bones

Which of the following is a purpose of arch bars?

patient

What is the source of autogeneous graft material?

alveolar process of the maxilla is horizontally separated from base of the skull

Which of the following best describes a Le Fort I fracture?

craniosynostosis

What is the medical term from premature closure of the skull?

sagging of the eye

The term enophthalmos is used to describe _____.

micrognathia

What is the term used to describe a deformity involving an abnormally small jaw?

masseter

Which facial muscle allows for closure of the mouth and protrusion of the chin?

mandible

The lower jaw bone is called ____.

lingual frenulum

What structure attaches the tongue to the floor of the buccal cavity?

soft palate

The anterior portion of the palate is the _____.

primary teeth

The term deciduous refers to the ______.

vestibule

The space between the lips (extending to include the cheeks) and the teeth is the _____.

cover with fat, fascia, or muscle graft

What can be done to treat an intranasal dural tear?

low pH in the oral cavity

What causes dental caries to form?

facial nerve

The seventh cranial nerve is also called ____.

zygomatic

Another name for the malar bone is ____.

temporomandibular

The synovial joint formed at the bicondylar junction of the mandible and the temporal bone is the ______.

meniscus

Cresent - shaped cartilage found in the TMJ and knee joints is _____.

circular

The term oribicular means _____.

arthroplasty

Repair of the joint is called ____.

alveolar process

The portion of the jaw which surrounds and supports the tooth is the _______.

The infasia

What can be done to treat an intranasal dural tear?

hard palate

The anterior portion of the palate is the _____.

uvula

What structure attaches the tongue to the floor of the buccal cavity?

create a burr hole

A craniotome with perforator attachment is used to _______.

midface

Fractures in this area are important in their association with injury to the eye, especially in displaced fractures.

upper face

This area is generally injured during a blow to the forehead and trauma may include the nasal duct.

lower face

The mandible is the only movable bone of the face. It is U-shaped bone that is suspended from the temporal bone.

upper face

The frontal bone is part of the cranium but forms the forehead and contains portions of the nasal sinus.

midface

The bony orbit is formed by the frontal bone, but also contains portions of the other bones of the face. They include the zygoma, maxilla, lacrimal, ethmoid, sphenoid, and palatine bones.

lower face

The ramus extends inferiorly from the condyle to the angle, where it joins the body of the mandible and extends anteriorly and medially to join the other half of the mandible.

midface

The ethmoid bone is a complex structure that contributes to the floor of the cranium and contains a number of sinus cavities.

Lower face

The condyles insert into the glenoid fossa of the temporal bones to form the temporomandibular joints.