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21 Cards in this Set

  • Front
  • Back
Nonabsorbable suture with highest tissue reactivity?
Silk
Absorbable sutures with highest initial tensile strength
*1. Monocryl (Poliglecaprone)
2 PDS (Polydioxane)
3 Vicryl (Polyglactin)
Absorbable suture with highest tissue reactivity?
Gut (monofilament twisted)
Non-abs suture with highest memory?
*1. Prolene-poor knot strength
2. Nylon-Poor knot strength
-high tensile strength
WHICH ONE CONTAINS MYOFIBROBLASTS, HYPERTROPHIC SCAR OR KELOID?
HYPERTROPHIC SCAR
Increased expression of what in keloids?
gli-1
How strong is a tissue one week after sutures placed?
5%
How strong 3 weeks after sutures placed?
20%


-70-80% after one year
Dermabond polymerizes in how many minutes? Provides wound strength equal to what?
2.5 minutes

wound strength equal to 5-0 nylon
Associated with ototoxicity and keratitis from direct contact,ususally in patients under general anesthesia?
Chlorhexidine
Can be added to reduce pain and burning associated with lower pH of lidocaine?
Sodium bicarbonate 8.3% added in 1:10 ratio
Allergic reactions to eter anesthetics occur due to what metabolite?
PABA (p-aminobenzoic acid)
Max dose of 1% lidocaine with epi?
7mg/kg. approx 49 ml in 70 kg person
Tensile strength of braided suture at 3 months?
50%
Boiling point for LN2?
-195.6 Degrees Celsius
BCC can be treated with cryotherapy at what temperature with a thermocouple present?
-50 degrees celsius

approx thaw time of 60 seconds
Safe for use in patient's with pacemaker?
-Electrocautery (heat only, no current passes through patient)
-Bipolar device (current transmitted between two tips)
Name the indications for Moh's surgery?
-Recurrent nmsc
-Aggressive histo subtype (infiltrative, morepheaform, micronodular, perivascular, perineural)
-Tumors with poorly defined clinical margins
-High risk location > 0.4 cm
-Large Tumors (>1 cm on face, >2 cm on trunk or extremities)
-Cosmetically and functionally important areas
-Tumors in immunosuppressed patients
-Tumor in previously irradiated site or in a scar
-Genetic conditions with increased ris of neoplasms
5-year Recurrence rate for primary and recurrent BCC's treated by Moh's?
99% primary
95% recurrent
5- year recurrence rates for SCC on skin and lip treated with moh's? Ear?
3.1%

5.3% ear versus 18% for other modalities
What are the types of advancement flaps?
Single advancement (U)
Dougle (H)
A to T
Burrows
Perialar cresentric flap
V to Y ("Island Pedicle)