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Topics of practical classes on operative surgery and topographic anatomy of head and neck Specialty "Dentistry" 2nd year (4th semester) – 2017 1. Topographic anatomy of the cerebral part of the cranium. Cranial vault. Frontoparietal-occipital, temporal regions, mastoid: borders, layering structure, cellular spaces, blood supply and innervation Covers of the brain and intermeningeal spaces. Venous sinus of dura matter of the brain. Blood supply of the brain. 2. Topographic anatomy of the facial part of the head. Borders, division into the parts and area. Anterior face region. The area of the orbit: wall, muscles, blood vessels and nerves. Infraorbital and zygomatic areas. Nose area. External nose. Nasal cavity: walls, nasal meatuses, the nasal septum, nasal conchas, blood supply, innervation. Paranasal (accessorial) sinuses. Anatomical relationship of the roots of the teeth with the nasal cavity and the maxillary sinus. Pathways of pus spreading at maxillitis and sinusitis. 3. Topographic anatomy of the mouth region. Surgical anatomy of the upper and lower lips. Oral cavity. The vestibule of the mouth. Teeth, periodont, parodont, gums. The hard palate, soft palate, tongue and the sublingual space. The bottom of the oral cavity: the muscles, cellular tissue gaps and spaces. Topographic-anatomical substantiation of anesthesia in maxillo-facial surgery (infiltration, extra- and intraoral, conduction anesthesia during operations on the maxillodental segment, the teeth, formations of the oral cavity). 4. Topographic anatomy of the lateral superficial face region: the border, layering structure, cellular spaces, blood supply and innervation. Surgical anatomy of the facial nerve and its branches. Buccal region. Fat body of the cheek and his role in the spread of inflammation on the face. Parotid-masseteric region. Surgical anatomy of the parotid gland and its excretory duct. Surgical anatomy of the temporomandibular joint. 5. Topographic anatomy of the deep lateral face region. Borders. Venous pterygium plexus and its relation with superficial veins of the face and sinuses of the dura mater. Surgical anatomy of the maxillary artery and mandibular nerve. Cellular spaces and pathways of spreading burrowing pus. 6. Topographic anatomy of the neck. The division into the parts, regions and triangles. Fascias and cellular spaces of the neck . External orientes. Projections of the main neurovascular structures. The middle region of the neck. Submandibular and carotic triangles: borders, layers, blood vessels and nerves. Pirogov's triangle. Surgical anatomy of the submandibular salivary gland. Submental and scapular-tracheal triangles. 7. Topographic anatomy of the neck. Sterno-claido-mastoid region. Scaleno-vertebral triangle. Borders, layers, blood vessels and nerves. The lateral neck region. Borders, layers, blood vessels and nerves. The topography of the subclavian artery and vein, the brachial plexus. Antescalene and interscalene spaces.Surgical anatomy of: larynx, trachea, pharynx, cervical esophagus and thyroid gland. 8. Surgical instruments. Suture material. The main elements of operational techniques are: the separation of tissues, stop bleeding, application and removal of skin sutures, tying ligature knots 9. Operations on the head. Primary surgical treatment of the head wounds. Trepanation. Trepanation of mastoid procesus. Incisions at parotiditis. Technique suturing wounds on the face (hidden, Plate-seam). Malformations of the lips, palate. Restorative and reconstructive surgery in these pathologies. Incisions in phlegmon of the mouth floor. 10. Operations on the neck. Primary surgical treatment of neck woundes. Incisions in phlegmon of the neck. Tracheostomy. Conicotomy. Operations on the thyroid gland.