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Transcript
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.