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Related Concept Videos

Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask and...
Tracheostomy Suctioning I: Pre-Procedural Steps01:26

Tracheostomy Suctioning I: Pre-Procedural Steps

Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...

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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
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Coronectomy practice. Paper 1. Technique and trouble-shooting.

Clare F Gleeson1, Vinod Patel, Jerry Kwok

  • 1Oral Surgery Department, Guys Dental Hospital, Floor 23 Tower Wing, Great Maze Pond, London Bridge, London, SE1 9RT, United Kingdom. clare.gleeson@kcl.ac.uk

The British Journal of Oral & Maxillofacial Surgery
|January 31, 2012
PubMed
Summary

Coronectomy, a surgical technique for high-risk mandibular third molars, minimizes nerve damage. This paper details the procedure and discusses common complications and their management.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Dental Anesthesiology

Background:

  • Mandibular third molar extraction carries risks, particularly nerve injury.
  • Coronectomy offers a method to reduce postoperative nerve morbidity.

Purpose of the Study:

  • To provide a comprehensive overview of the coronectomy technique.
  • To describe common intraoperative and postoperative complications associated with coronectomy.
  • To outline management strategies for these complications.

Main Methods:

  • Literature review and synthesis of existing data on coronectomy.
  • Detailed description of the coronectomy surgical procedure.
  • Categorization and discussion of impaction types and associated challenges.

Main Results:

  • Coronectomy effectively reduces the risk of inferior alveolar nerve injury.
  • Common complications include root fracture, pericoronitis, and delayed healing.
  • Management strategies involve conservative approaches and, in some cases, surgical intervention.

Conclusions:

  • Coronectomy is a valuable technique for managing high-risk mandibular third molars.
  • Awareness and proper management of potential complications are crucial for successful outcomes.
  • Further research can refine techniques and improve patient care.