Surg Tech Ch 25

Front 1

All of the following are common drills used in ear surgery except:

A. Skeeter.
B. Anspach.
C. Stryker.
D. Midas Rex.

Back 1

d

Front 2

The standard operating microscope lens for ear surgery is:

Back 2

250mm

Front 3

A __________________ dressing will be applied to the ear after minor procedures such as a stapedectomy.

Back 3

glasscock

Front 4

A ____________________ is performed to alleviate effusion.

Back 4

myringototmy

Front 5

All of the following patch materials can be used as a graft for a myringoplasty procedure except:

A. Gelfoam.
B. fat.
C. Steri-strip.
D. mesh.

Back 5

d

Front 6

A cholesteatoma is a mass of ________________ growing in the wrong place.

Back 6

skin

Front 7

When assisting in a mastoidectomy procedure, the surgical technologist can expect the step after making the postauricular incision and elevating the flaps to be:

Back 7

harvesting the temporalis fascia.

Front 8

A (An) _________________ is performed to restore hearing.

Back 8

cochlear implant

Front 9

A ________lens is attached to an operative microscope for microlaryngeal surgery.

Back 9

400mm

Front 10

All of the following are endoscopic sinus surgery scopes except:

A. 0 degrees.
B. 30 degrees.
C. 45 degrees.
D. 70 degrees.

Back 10

c

Front 11

When performing a tonsillectomy, a ________________ mouth gag is suspended from the mayo stand to hold the mouth open.

Back 11

crowe-davis

Front 12

_________________ is used in tonsillectomies as a hemostatic agent.

Back 12

bismuth

Front 13

is performed to produce access to the maxillary sinus.

Back 13

A Caldwell-Luc procedure

Front 14

When scrubbed for a turbinectomy, the surgical technologist should have a __________ blade ready for the surgeon to make an anterior incision into the mucosa at the base of the inferior turbinate.

Back 14

#15

Front 15

The septum is closed with a 4-0 ________________suture during a septoplasty procedure.

Back 15

silk

Front 16

What type of local anesthetic is injected into the nose before any nasal procedure?

Back 16

1% lidocaine with epinephrine 1:100,000

Front 17

All of the following are pathological indications for a tonsillectomy except:

Back 17

hypotrophy

Front 18

What type of suction is used for a tonsillectomy?

Back 18

Yankauer

Front 19

Put the following steps of an adenoidectomy in the correct order:
1. Adenoid tissue is removed.
2. The Crowe-Davis mouth gag is inserted.
3. Hemostasis is established.
4. A mirror is used to visualize the adenoids.
5. Traction is applied to the soft palate with a red rubber catheter.

Back 19

2, 5, 4, 1, 3

Front 20

a tube lined with mucous membrane that joins the nasopharynx and the middle ear cavity it allows for equalization of the pressure in the middle ear

Back 20

eustachian tube

Front 21

opens during yawning , sneezing and stays closed when pressure is greater outside

Back 21

eustachian tube

Front 22

____ hearing loss is caused most often by infection otosclerosis trauma or occlusion of the external auditory canal

Back 22

conductive hearing loss

Front 23

___ hearing loss may be caused by damage to the cochlea, 8th cranial nerve, or central nervous system

Back 23

sorineural

Front 24

the external ear contains

Back 24

auricle (pinna),external auditory canal, & meatus

Front 25

is a cartilaginous structure that is covered by skin its function is to gather sound

Back 25

auricle (pinna)

Front 26

the ___ canal is lined with glands that secrete a waxy substance called cerumen

Back 26

external auditory canal

Front 27

external auditory canal measures approx 2.5 cm and terminates at the ____

Back 27

tympanic membrane

Front 28

the ___ extends from the tympanic membrane (TM) to the middle ear

Back 28

middle ear

Front 29

what does the middle ear include

Back 29

staple incus malleus

Front 30

the ___ is the most lateral of the ossicles is partially embedded in the TM

Back 30

malleus (hammer bone)

Front 31

the __ is attached to the malleus

Back 31

incus (anvil)

Front 32

the ___ transmits the vibrations of the TM and the other ossicles to the inner ear via the oval window

Back 32

stapes ( stirrup)

Front 33

the inner ear is composed of a series of tunnels called

Back 33

labyrinths

Front 34

are responsible for the bodys equilibrium and for the final reception of sound waves

Back 34

labyrinths

Front 35

the ___ is a series of hollowed out of the temporal bone it consists of fluid called.

Back 35

perilymph

Front 36

a snail shaped structure that contains the organ of corti , organ of hearing

Back 36

cochlea

Front 37

organ of hearing is

Back 37

organ of corti

Front 38

the membranous labyrinths contains

Back 38

dolymph

Front 39

in addition to the cochlea the bony labyrinth also contains the

Back 39

vestibule

Front 40

contains the structures:
- utriculus
- sacculus

Back 40

vestibule

Front 41

the most frequently used drills are

Back 41

stryker
anspach,
skeeter

Front 42

tympanic eardrum
lateral-
medial-

Back 42

l-skin
m-mucous membrane

Front 43

post auricle is

Back 43

behind the ear

Front 44

they allow the surgeon to visualize parts of the ear anatomy that may otherwise be very difficult to see

Back 44

otologic endoscopes

Front 45

otologic endoscopes come in what sizes

Back 45

4.0mm or 2.7 mm

Front 46

shaving is never performed before a ____ and rarely before a ___

Back 46

myringotomy \ stapedectomy

Front 47

prolong exposure to the prep solutions in the ear can be

Back 47

ototoxic

Front 48

a local anesthetic with ___ is used in most ear surgeries

Back 48

epi

Front 49

in ear surgery what hemostatic agents are used

Back 49

gelfoam and helistat, or pleglets in epi

Front 50

two types of dressing used after ear surgery are

Back 50

mastoid and glasscock dressing

Front 51

is preformed to alleviate effusion

Back 51

myringotomy

Front 52

a small incision made into the TM to allow the drainage of fluid from the middle ear, can interfere w/ childs ability to learn how to speak

Back 52

myringotomy

Front 53

a ___ is often inserted to maintain the patency in a myringotomy

Back 53

PE tube (tympanostomy )

Front 54

in a myringotomy patient is in ___, surgeon uses a ___ to see TM

Back 54

supine, microscope

Front 55

if a tympanostomy tube is to be used the scrub uses an ___ to grasp the tube, and a ___to refine the position of the tube

Back 55

alligator forceps, rosen needle

Front 56

is performed to close a perforated TM

Back 56

myringoplasty

Front 57

is performed to eradicate disease close a tympanic defect and improve hearing

Back 57

tympanoplasty

Front 58

the edges of the perforated Tm are then everted and scratched with either a fine ____ or a ___ pick

Back 58

rosen needle or right angle pick

Front 59

inadequate airflow between the nasopharynx and the middle ear causes neg pressure in the in the middle ear and the retraction of the TM, causes to vibrate improperly

Back 59

Tympanoplasty

Front 60

the accumulation of ___ causes infection ottorrhea bone destruction hearing loss and parylsis of the facial nerve

Back 60

keratin

Front 61

____ is most common graft used keep dry

Back 61

temporalis fascia graft

Front 62

is done to remove the mastoid process and eradicate disease

Back 62

mastoidectomy/ tympanomastoidectomy

Front 63

is often performed in conjuction w/ tympanoplasty

Back 63

mastiodectomy

Front 64

is performed to restore mobilization of the ossicular chain

Back 64

stapedectomy / ossicular reconstruction

Front 65

may be done in patients who have hearing loss that can progress to deafness

Back 65

stapedectomy / ossicular reconstruction

Front 66

is done to restore sound perception

Back 66

cochlear implant

Front 67

___ are contraindicated in children until the age of 2

Back 67

cochlear implant

Front 68

in cochlear implant the insicion is

Back 68

postauricular incision

Front 69

the implant for the cochlea is to be opened ___ to reduce the amount of static electricity created b/c can interfere with the function of electrodes

Back 69

under water

Front 70

___ are used in nasal and laryngeal surgeries to excise tissue

Back 70

microdebriders

Front 71

___ is primarily used in tonsilectomies and adenoidectomies

Back 71

suction cautery

Front 72

sinus scopes are most in

Back 72

30 and 70

Front 73

the main decongestant used is

Back 73

afrin

Front 74

___ is used in tonsillectomies as a hemostatic agent

Back 74

bismuth

Front 75

removal of decreased bone only

Back 75

simple mastoidectomies

Front 76

removal of diseased bone with some of the ossicles and canal wall

Back 76

modified mastoidectomies

Front 77

removal of canal wall ossicles and TM

Back 77

radical mastoidectomies

Front 78

no dressing are placed after __- or __ procedures

Back 78

mouth or throath

Front 79

____ may be placed to hold the nasal packages open or aid in the control of bleeding or drainage after septoplasty or rhinoplasty

Back 79

internal splint pack

Front 80

is performed to treat diseases of the paranasal sinuses , nasal cavity, and skull base and to improve nasal airflow

Back 80

endoscopic sinus surgery

Front 81

most endoscopic procedures of the ___ are done to treat inflammatory or infectious diseases

Back 81

nose

Front 82

removes the nasal polyps

Back 82

polypectomy

Front 83

under the direct visualization with the 0 endoscope the surgeon displaces the middle turbinate using a freer elevator

Back 83

maxillary antrostomy

Front 84

under the direct visualization with the 0 endoscope the surgeon medializes the middle tubinate and removes the incinate with either a microdebrider or wilde

Back 84

ethmoidectomy

Front 85

any bony obstruction at the frontal sinus osteum is excised if necessary

Back 85

frontal sinus

Front 86

under the direct visualization with the 0 endoscope the surgeon medializes the middle tubinate and removes the incinate then the posterior ethmoids are removed

Back 86

sphenoidectomy

Front 87

is performed to produce access to the maxillary sinus

Back 87

caldwell-luc

Front 88

is done to improve nasal airflow

Back 88

turbinectomy/ turbinate reduction

Front 89

if a turbinectomy is being performed a ___ used used to make the incision in to the anterior border of the inferior turbinater

Back 89

#15

Front 90

in a turbinectomy the mucosa is elevated of the underlying bone with a ___ or ___

Back 90

freer or cottle elevator

Front 91

is performed to produce a patent passageway , is a removal of the bony nasal septum

Back 91

septoplasty

Front 92

is very rarely performed on children, can be obstructive sleep apnea, deviated septum, or rare occasions neoplasms

Back 92

septoplasty

Front 93

in a septoplasty the incision is closed with a

Back 93

4-0 chromic

Front 94

`is performed to cosmetically correct the nose

Back 94

rhinoplasty

Front 95

most used for cosmetic reasons, elevation of the nasal tip, hump removal, or a small tighter straighter or narrower nose

Back 95

rhinoplasty

Front 96

is performed to eradicate infection improve the airway or remove a cancer

Back 96

tonsillectomy

Front 97

yankuar suction=

Back 97

tonsil suction

Front 98

tonsil is separated by ___ blade or ___ and a ___ is used to free it from its attachments

Back 98

#12 / tonsil snare
hurd pillar

Front 99

in a tonsillectomy dont break down room until extubated b/c to many

Back 99

hemorrhage

Front 100

put steps in order for tonsillectomy:

Back 100

1.crow-davis mouth gag is inserted and suspended from mayo
2.surgeon retracts tonsil medially w/allis
3. the tonsil is sepated from the underlying ........
4. homeostasis is achieved

Front 101

homeostasis is achieved in a tonsillectomy by

Back 101

bovie and tonsil sponges

Front 102

is performed to eradicate infection and remove adenoid tissue

Back 102

adenoidectomy

Front 103

the primary reason for performing this are infection and obstruction caused by hypertrophy

Back 103

adenoidectomy

Front 104

know adenoidectomy steps

Back 104

1.crow-davis mouth gag
2.applies retraction to soft palate
3.surgeon visualizes the adenoids
4.adenoid tissue is removed
5.homeostasis is established

Front 105

another name for adenoids is

Back 105

pharyngeal tonsils

Front 106

is performed to improve the upper airway

Back 106

uvulopalatopharyngoplasty UPPP

Front 107

is performed to correct upper airway obstruction most often in the form of sleep apnea caused by the obstruction of anatomical structures of the soft palate and oopharynx

Back 107

UPPP

Front 108

tonsils uvula and cuff of soft palate are excised in this

Back 108

UPPP

Front 109

is performed to visualize the laryngeal mucosa and to treat or remove lesions

Back 109

laryngoscopy

Front 110

is performed to visualize the bronchus

Back 110

bronchoscopy

Front 111

is performed to visualize the esophagus

Back 111

esophagoscopy

Front 112

in children the primary reason for this is removal of a foreign body

Back 112

esophagoscopy

Front 113

laryngoscopy+branchoscopy+ esophogoscopy =

Back 113

triple endoscopy

Front 114

the ___ extends from the cricoid to the mediastinum

Back 114

trachea

Front 115

what r the three salivary glands

Back 115

parotid
submandibular
sublingual

Front 116

what is the largest salivary gland

Back 116

patotid

Front 117

the ___ instruments include cricoid hooks and tracheal spreader

Back 117

tracheal instruments

Front 118

is performed to provide a patent airway for the patient

Back 118

tracheotomy/ tracheostomy

- air in balloon

Front 119

the incision is made over the ____ in a tracheotomy/ tracheostomy

Back 119

anterior tracheal wall

Front 120

after a tracheotomy/ tracheostomy the ____ from the ET is sent with the patient, is usually taped to chart

Back 120

obturator

Front 121

the submandibular gland is excised

Back 121

submandibular gland excision

Front 122

is done for chronic infection stone formation or neoplasm is more common in adults than children and 60% of masses r malignant

Back 122

submandibular gland excision

Front 123

is done to excise the parotid gland

Back 123

parotidectomy

Front 124

is performed to remove mass most often neoplasm or a lymph node

Back 124

parotidectomy

Front 125

is the surgical removal of one or more lobes of the thyroid gland

Back 125

thyroidectomy

Front 126

in this procedure the patient is in supine position with the neck hyperextended , roll blanket under patients neck and shoulders

Back 126

thyroidectomy

Front 127

in the parotidectomy ___ of the parotid gland exposing the facial nerve

Back 127

blunt dissection

Front 128

___ retractor is used in thyroid procedures

Back 128

greenloop

Front 129

hyperthyroidism is also

Back 129

graves disease

Front 130

hypothyroidism is also

Back 130

myxedema

Front 131

a child with hypothyroidism is___
and can have ____

Back 131

cretinism
-decreased metabolism
-retarded growth
-sexual dev
-mental retardation

Front 132

incision is marked with a strand of ___ following naturally crease in neck

Back 132

silk

Front 133

b/c of tracheal swelling and obstructed airway a tracheostomy tray is sent to the recovery room with the patient after this surgery for 24 hrs

Back 133

thyroidectomy

Front 134

surgeons may examine the vocal cords w/ a ___ prior to and immediately following to access the symmetry of the vocal cords

Back 134

laryngoscope

Front 135

`is performed to medialize or a paralyzed vocal cord(vocal cord paralysis)

Back 135

thyroplasty

Front 136

is performed to remove one or more diseased or malfunctioning parathyroid glands

Back 136

parathyroidectomy

Front 137

the vocal cord is shifted ___ and the implant is placed

Back 137

medially

Front 138

is performed to remove affected lymph nodes and halt the spread of disease

Back 138

neck dissection

Front 139

done for many head and neck cancers, oral and pharyngeal cavities cutaneous malignant melanoma, skin cancer cervical lymph nodes

Back 139

neck dissection

Front 140

on a neck dissection have as many ___, ___, ___ available

Back 140

hemostats, Massachusetts and ties

Front 141

is to treat cancer of the oropharynx and tongue base and produce a watertight seal

Back 141

glossectomy

Front 142

in a ___ may be temp. placed in the larynx

Back 142

tracheostomy tube (NG)

Front 143

is done to remove the larynx and provide a watertight pharynx

Back 143

laryngectomy

Front 144

done for cancerous lesion of the larynx, diversion for total separation of the respiratory and digestive tracts and chrondoradionnecrosis of the framework

Back 144

laryngectomy

Front 145

done to create a coverage for a soft tissue defect

Back 145

pectoralis myocutanous (PM)/deltopectoral flap (DP)

Front 146

the ___ is a u shaped bone that is suspended from the temporal bone

Back 146

mandible

Front 147

in this procedure a mandibular fracture is repaired and dentition is restored

Back 147

ORIF mandible

Front 148

maxillomandibullar fixation =

Back 148

arch bars

Front 149

if a patient has a mandible ORIF a ___ must be sent with them incase of post op vomiting

Back 149

wire cutters

Front 150

in this procedure a fracture is reduced and the facial butresses and facial width and projection are restored

Back 150

ORIF midface fracture

Front 151

is performed to treat fractures of the maxilla, zygoma malar complex and lefort fractures

Back 151

ORIF midface fracture

Front 152

is a fracture involving the lower maxilla

Back 152

lefort I

Front 153

fracture through the inferior orbital floor

Back 153

lefort II

Front 154

fracture of the lateral rim of the orbit

Back 154

lefort III

Front 155

done to reduce one or more fractures, repair cerebrospinal fluid leak, and prevent future mucocele , result from traumatic event

Back 155

frontal sinus fracture

Front 156

is a fat graft from incision in the abdomen , keep in saline not dry for this procedure

Back 156

frontal sinus fracture

Front 157

done to reduce a fracture prevent entrapment of the extraoccular muscles and support the orbital contents

Back 157

orbital frcatures

Front 158

are threaded ,screw ,cylinder or flat blade that is implanted in the alveolus of the maxilla or mandible and covered with soft tissue

Back 158

endosteal iplants

Front 159

are bone plates with retaining posts.only used when patient has severe mandibular alveolar ridge atrophy

Back 159

transosteal implants

Front 160

are used to replace lost dentition

Back 160

dental implants

Front 161

dentition=

Back 161

teeth

Front 162

correct a bony deformity of the mandible

Back 162

mandibular advancement

Front 163

performed to remove affected teeth (extraction)

Back 163

odontectomy

Front 164

gnath=

Back 164

chin

Front 165

is to correct a bony deformity of the maxilla

Back 165

midface (maxillary) advancement

Front 166

is done to reduce pain and increase mobility, related with stress, grinding teeth, trauma, arthritis

Back 166

TMJ temporoandibular joint arthroplasty

Front 167

unable to chew properly , compromises digestion

Back 167

orthognathic

Front 168

if you remove all the ___ glands il result in death unless you take calcium

Back 168

parathyroid

Front 169

tetany will occur due to a lack of

Back 169

calcium

Front 170

all glands are removed and part of a gland can be reimplanted into a muscle pocket

Back 170

autotransplantation

Front 171

usually use the sternocleidomastoid musle of the neck or the brachioradiolis of the forearm

Back 171

reimplantation

Front 172

facial surgeries are repairs done with

Back 172

screws, wires plates

Front 173

____ may include many bones of the face and frontal sinus

Back 173

facial trauma

Front 174

a screw that goes in the inner and outer layer of the bone

Back 174

bicortal screw

Front 175

a procedure in which the external auditory canal is reconstructued

Back 175

canalplasty

Front 176

an ectopic growth of squamous epithelium in the ear

Back 176

cholesteoma

Front 177

necrosis of cartilage resulting from radiation

Back 177

chrondoradionecrosis

Front 178

a ring of cartilage between the trachea and the larynx

Back 178

crichoid cartilage

Front 179

fluid in the middle ear

Back 179

effusion

Front 180

bleeding arising from the nasal cavity

Back 180

epistaxis

Front 181

to turn outward or inside out

Back 181

evert

Front 182

area of the larynx from the superior surface of the vocal cords to about 1 cm below the medial of true voval cords

Back 182

glottis

Front 183

enlargement

Back 183

hypertrophy

Front 184

draining from the nose

Back 184

rhinorrhea

Front 185

vibration of the vocal cords, speaking

Back 185

phonation

Front 186

state in which a body part or organ supplied with nerves or nervous stimuli

Back 186

innervation

Front 187

condition of thickening of squamous epithelium

Back 187

hyperkeratotic

Front 188

substance created by the squamous epithelium

Back 188

keratin

Front 189

a white plague on mucosa

Back 189

luekoplakia

Front 190

to move to the midline

Back 190

medialize

Front 191

a screw that only goes through the outer layer of bone

Back 191

monocorticol screw

Front 192

a cyst that is filled with mucous and lined w/ mucosa

Back 192

mucocele

Front 193

a polyp of the nasal or paranasal cavity

Back 193

nasal polyp

Front 194

a flexible scope that is passed through the nose to viisualize the larynx

Back 194

nasalaryngoscope

Front 195

surgical breaking of the nose

Back 195

osteotomy

Front 196

inflammation of the middle ear

Back 196

otitis media

Front 197

drainage from the external auditory canal

Back 197

otorrhea

Front 198

tissue overlying the cartilage that provides it vascular and muscular supply

Back 198

perichrondrium

Front 199

tissue overlying the bone that provides it vascular and muscular supply

Back 199

periostium