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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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