Oral and Maxillofacial Surgery - NEETMDS- courses
Oral and Maxillofacial Surgery
Silk
- Composition: Natural protein fiber
- Structure: Braided
- Advantages: Excellent handling, superior knot security,
cost-effective
- Disadvantages: Inflammatory response, bacterial
adherence, gradual weakening
- Clinical uses: Oral surgery, temporary sutures
requiring easy removal
Nylon (Polyamide)
- Structure: Monofilament or braided
- Advantages: High tensile strength, minimal tissue
reaction
- Disadvantages: Difficult handling, poor knot security
- Clinical uses: Skin closure, situations requiring high
strength
Polypropylene (Prolene)
- Structure: Monofilament
- Advantages: Chemically inert, minimal tissue reaction,
maintains strength
- Disadvantages: Difficult handling, tendency to cut
through tissues
- Clinical uses: Vascular surgery, situations requiring
permanent support
- Soft palate lesion <2 cm: Excisional biopsy
- Osteoradionecrosis (ORN): Post – radiation >
5000 – 6000 rads
- Phlebectasia: Blue – black mucosal lesions (lips, tongue,
palate)
- Pain types:
- Allodynia: Pain from non – painful stimulus
- Dysesthesia: Painful abnormal sensation
- Anesthesia: Total loss of sensation
- Hydrocortisone injection: Mixed with 2% lignocaine for
joint inflammation
- GA contraindications: Hemoglobinopathies, severe
hematologic disorders
- Non – depolarizing relaxants: Reversed by neostigmine
+ atropine
- Succinylcholine: Depolarizing muscle relaxant
- Inferior turbinectomy: Done when maxilla is >6 mm
superiorly positioned
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