Exam 18: Otorhinolaryngologic Surgery

A power drill and assorted rotating burrs are essential for middle ear surgery and some sinus procedures.A selection of burrs including assorted sizes of round cutting burrs and diamond polishing burrs should be available.During drill and power saw use,the scrub person keeps irrigation solution on the sterile field to:

Sally Andres and her orientee have returned from an airway fire simulation exercise with the otorhinolaryngologic surgeon,fellow,and anesthesia provider.They were amazed at the statistics for OR fires and the threat of serious injury to the patient and team.Patients undergoing otorhinolaryngologic procedures are at greater risk for fire injury because of the proximity of the surgical field to high concentrations of oxygen.The team discussed a plan to change their practices.An example of a risk reduction strategy that involves collaboration of the entire surgical team during otorhinolaryngologic surgery would be:

The Caldwell-Luc procedure is a radical antrostomy used to establish a large opening into the wall of the inferior meatus leading to the sinuses.Where is this large incisional approach made?

The nose is divided into the prominent external portion and the internal portion known as the nasal cavity.The primary purpose of the nose is to:

During the preoperative assessment and teaching for a patient scheduled for otolaryngologic surgery performed using local anesthetic,the perioperative nurse reviews with the patient normal coping mechanisms that are personally effective and supports and encourages the patient during the surgical intervention.The nurse is preparing the patient to anticipate and self-control physiologic indicators of:

The supraglottis,glottis,and the subglottis represent three portions of which structure of the throat?

Patients scheduled for otologic surgery may have undergone evaluation of their hearing through audiograms to determine whether they have which of these diagnoses? Select all that apply.

The external ear,which includes the auricle (or pinna)and external auditory canal,is composed of cartilage covered with skin.The primary function of the auricle is to:

When laryngoscopy,bronchoscopy,and esophagoscopy are performed in a single session on a patient,the procedure is termed triple endoscopy or panendoscopy.The purpose of triple endoscopy is usually diagnostic.A critical role of the perioperative nurse during this complex diagnostic procedure is that of: