● Internal Carotid/Middle Cerebral: Located on both sides of the sella turcica on the floor of the cranial vault. To expose the Internal Carotid/Middle Cerebral the sella turcica must be chipped away opening the sphenoidal sinuses providing necessary length of vessels to secure
arterial tubes. Reverse injection will provide distribution to the inner eye and inner ear. For proper distribution, the most inferior portion of the Internal Carotid must be tied off.
Advanced embalming and restorative art tips and techniques As presented by Wallace P. Hooker at the 2014 NFDA Conference
11. Treating swollen eyes: ○ For severe cases, it may be necessary to remove the vitreous humor. ○ Channel the upper eyelid, following the curvature of the skull, to create channeling to relieve the swelling. ○ Coat with massage cream and manipulate the fluid from the deep tissue. ○ After physically manipulating as much fluid as possible from the tissue, use the electric tissue dryer and if time allows, insert 12. For ease of suturing complete the following: ○ If you are right handed, suture from right to left, or if left handed suture from left to right. 13. If preparing for the final stages of substantial facial restoration, dress the remains and casket them to eliminate the chance of damaging extensive restorative efforts while handling the body. 14. Autopsy cases: ○ Use mortuary putty over the cranial separation before replacing the scalp, manipulate the putty through the scalp and fill or hide the deficit. ○ Use tissue gatherers to assist holding suture lines together while suturing. 15. Donor/harvested cases: ○ Embalm on the bottom of the body pouch. ○ Always open the harvest sites of the upper arm and leg bones and treat the tissue in these sites with a strong cauterizing material, cover with cotton and wrap with plastic while you embalm. ○ If skin was harvested, treat the area with cauterizing material and cover with plastic. ○ Try to ligate any severed arteries. ○ If time allows, let the body set for 12 hours, remove the cotton and plastic, retreat with more cauterizing material, then dry the tissue. ○ Use plastic garments before dressing the body. ● Hypodermic tissue-building: Injection of creams, liquids, or other materials into the tissues through the use of a syringe and needle to restore natural contour or depth. ● Hypostasis: Settling of blood or other fluids to dependent areas of the body. ● Humectant: Chemical that increases ability to retain moisture. ● Incision: Exact, surgical cut into tissue or skin. ● Index: Strength of an embalming fluid, indicated by the number of grams of pure HCHO gas dissolved in 100 mL of water. ● Injection: Forcing fluids into the vascular system or tissues. ● Major restoration: Requiring more time, extensive, requiring advanced technical skill, and written consent to perform. ● Massage cream: Preparation used as a protective coating for external tissues, base for cream cosmetics, and an emollient and wax softener. ● Restorative art: The care of the deceased to recreate natural form and color, to restore accurate appearance or resemblance in life.
1. The first rule for a case involving any amount of restoration is find a known feature and work with it. 2. For drying and treating open sores and wounds use a cauterizing chemical before embalming such as Dodge Dryene, SynGel, or mix the two to a gel like consistency. 3. For facial suturing try dental floss with a hidden stitch. ○ Dodge has a great adhesive called Tech Bond that is faster and neater than suturing and will adhere to moist tissue. 4. For delicate areas of the face needing tissue building, subdural bleaching or if you are using a cauterant, try using diabetic syringes. 5. When using Inr Seel to recreate sunken checks, use the Inr Seel applicator and overfill the area between the jaw and cheek on each side. 6. For extremely emaciated bodies, remember to be careful not to overdo it. The families have watched the downward progression for maybe months or years so be careful not to turn back the clock too far. 7. To speed the softening of restorative waxes and make application simpler, use a hand held hair blow dryer. 8. For filling larger facial deficits, cover the missing area with mortuary putty, such as Dodge Inr Seal, and sculpt to shape. 9. For non-facial surface dicing, scrapes, cancers, skin slip, or other possible sources of leakage, first cauterize the area with a product such as Dryene. ○ Let it dry then cover with a product called DodgeSeal , which is a new product that works very well for sealing orifices, punctures, bullet holes, incisions, and deep wounds. 10. An electric tissue reducer or electric iron should be in every prep room. It works great in reducing swelling of the lips and eyelids. Glossary terms ● Amino acids: First products of decomposition. ● Ante mortem or postmortem: Occurring after death. ● Buffers: Embalming chemicals that work to help stabilize acid base balance within embalming solutions and in tissues. ● Cavity: A hollow place or area. ● Coagulation: The action of formaldehyde (HCHO) on protein. ● Decomposition: Separation of body compounds into simpler substances. ● Dehydration: Loss of moisture from the body tissue that may occur after death. ● Edema: Abnormal accumulation of fluids in tissues or body cavities. ● Embalming: Process of chemically treating the dead human body to reduce the presence and growth of microorganisms for preservation and restoration. ● Filler: Material used to fill a large cavity such as plaster of paris, cotton, liquid sealer, and other materials used in restoration. ● Firmness: Degree of rigidity or stability: a condition of the tissues necessary for the fixation and surface repair of features or application of wax or cosmetics. ● Gas gangrene: Necrosis in a wound from Clostridium Perfringens.
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Book Code: FOK0425
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