SUR 104 - ENT

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Author:
jb124
ID:
185849
Filename:
SUR 104 - ENT
Updated:
2012-11-29 22:05:12
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ENT
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ENT surgeries
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  1. primary function of auricle
    concentrate and conduct incoming sound waves (B)
  2. what does cerumen do?
    traps bacteria
  3. structure of trachea that is landmark for bronchoscopy
    carina
  4. trachea extends from?
    cricoid to the carina
  5. which instrument is used to remove nasal polyp?
    Wilde forceps
  6. immediate post thyroidectomy complication
    paralysis
  7. benign epithelial neoplasm characterized by lobular tumor
    papilloma
  8. why is uvulopalatopharyngeoplasty performed?
    sleep apnea
  9. primary reason for performing adenoidectomy?
    hypertrophy
  10. neck anatomically divided into?
    triangles
  11. what is sent with the patient to their room for tracheostomy?
    obturator
  12. myringoplasty is performed for what part of the ear?
    tympanic membrane
  13. situated behind the nasal cavity and above oral cavity
    nasopharynx
  14. why is turbinectomy (removal of bony turbinate) performed?
    increase air flow to the nose
  15. parathyroid glands produce parathyroid hormone that does what?
    elevates calcium levels
  16. paired sinuses that are large sinuses below orbits
    maxillary
  17. floor of mouth contains ducts for what glands?
    submandibular and lingual
  18. thyroid hormones (T3, T4) are necessary for regulating what?
    metabolism and growth
  19. why is submandibular gland removed?
    chronic infection, stone formation, or neoplasm
  20. contains ossicles
    ear
  21. maxillary sinus is approached through what?
    nose
  22. contains arytenoid cartilage
    throat
  23. contains ear wax
    external ear
  24. where is cochlear implant performed?
    internal ear
  25. where is stapendectomy performed?
    middle ear
  26. where is portion of facial nerve?
    middle ear
  27. incision for thyroidectomy
    collar
  28. concentration of cocaine used for local anesthetic
    5%
  29. most common ear infections
    • otitis externa (swimmer's ear)
    • atopic dermatitis
  30. infection of middle ear
    otitis media
  31. abnormal thickening of the bone in middle and inner ear
    otosclerosis
  32. most common cause of conductive hearing loss
    otosclerosis
  33. what is placed in the ear canal to prevent prep solution from entering the canal?
    sterile cotton ball
  34. prep area
    extends to cheek medially, occiput laterally, temporal bone superiorly and upper neck inferiorly
  35. irrigation solutions used
    saline or lactated Ringer solution
  36. two types of dressings used
    • mastoid
    • Glasscock
  37. when is a mastoid dressing applied?
    after complex procedures of ear, especially those requiring drilling of the mastoid
  38. when is a Glasscock dressing applied?
    after minor procedures of the ear
  39. meds used in most ear surgeries to control bleeding by vasoconstriction
    lidocaine with epinephrine
  40. primary hemostatic agents
    • Gelfoam
    • Helistat
  41. surgical opening made in tympanic membrane
    myringotomy
  42. fluid in middle ear
    effusion
  43. how is general anesthesia administered for myringotomy?
    by mask because procedure is brief
  44. procedure performed to close a small, nonhealing hole in the tympanic membrane
    myringoplasty
  45. surgical removal of cholesteatoma and mastoid bone
    tympanoplasty
  46. two methods used to perform tympanoplasty
    • underlay technique
    • overlay technique
  47. removal of diseased bone, mastoid air cells, and soft tissue lining the air cells of the mastoid
    mastoidectomy/tympanomastoidectomy
  48. reconstruction of ossicles to restore conduction to oval window
    stapedectomy/ossicular reconstruction
  49. why is stapedectomy performed?
    to treat profound hearing loss related to sclerosis of stapes
  50. most common cause of break in ossicle chain
    cholesteatoma
  51. for what is cochlear implant used?
    transmit external sound directly to 8th cranial nerve in the treatment of sensorineural deafness
  52. when can a cochlear implant be inserted in a child?
    age 2
  53. 2 primary components of a cochlear implant
    • electronic processor - implanted outside the ear that captures and transmits sound to internal transmitter
    • internal transmitter - implanted in cochlea - conveys signals to electrodes
  54. prep for intranasal and endoscopic procedures
    may not be prepped because case is considered clean, not sterile
  55. sponges commonly used in procedures of nasal cavities, mouth and throat
    • flat cottonoid sponges (patties)
    • cotton pledgets
    • round gauze sponges
  56. technique used to enter maxillary sinus in which an incision is made in gingival-buccal sulcus
    Caldwell-Luc procedure
  57. why is Caldwell-Luc procedure performed?
    for drainage of abscess in maxillary sinus and surgical removal of granulation tissue that has accumulated as result of chronic sinus infection
  58. removal of bony turbinate to increase airflow through the nose
    turbinectomy
  59. manipulation of septum to return it to its correct anatomical position
    septoplasty
  60. procedure performed to reshape external nose for aesthetic or functional purposes
    rhinoplasty
  61. removal of tonsils to eradicate infection, improve airway or remove cancer
    tonsillectomy
  62. most common reasons for which tonsillectomy is indicated
    • chronic infection
    • hypertrophy
    • suspected cancer
  63. retractor used for tonsillectomy
    Crow-Davis retractor
  64. primary concern after tonsillectomy
    bleeding
  65. primary reasons for adenoidectomy
    chronic infection and obstruction caused by hypertrophy of tissue
  66. reconstruction of uvula and oropharynx performed to reduce and tighten oropharyngeal tissue
    uvulopalatopharyngoplasty
  67. in what procedure is the patient placed in reverse Trendelenburg?
    laryngoscopy
  68. instruments used to remove nasal polyps under direct visualization with nasal endoscopes
    Wilde forceps or microdebrider
  69. what nerve crosses posterior triangle of neck behind sternocleidomastoid muscle?
    spinal accessory nerve (cranial nerve XI)
  70. what are the 2 lobes of thyroid connected by?
    isthmus
  71. hemostatic agents used for extensive neck extension
    • Gelfoam
    • thrombin
  72. removal of all cervical lymph nodes and surrounding structures
    radical neck dissection
  73. excision of all lymph nodes with preservation of one or more of nonlymphatic structures
    modified neck dissection
  74. removal of upper 2/3 of cervical lymph nodes and structures with preservation of neurovascular and musculoskeletal structures
    selective neck dissection
  75. removal of tongue for treatment of cancer
    glossectomy
  76. sections of ossicles
    • malleus
    • stapes
    • incus
  77. receptors for hearing and balance within inner ear
    labyrinths
  78. suction used for middle or inner ear procedures
    Frazier tip suction
  79. procedure in which external auditory canal is reconstructed
    canalplasty
  80. benign tumor of middle ear caused by shedding of keratin in chronic otitis media
    cholesteatoma
  81. abnormal growth of cells
    neoplasm
  82. rapid oscillation of eye (symptom of certain nervous system diseases)
    nystagmus
  83. bones of middle ear that conduct sound
    ossicles
  84. benign epithelial tumor
    papilloma
  85. excessive proliferation of mucosal epithelium
    polyp

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