Management of Zygomatico Orbital Trauma

Question 1

what are the 4 types of maxillofacial fractures

Answer 1

naso-ethmoidal
lateral middle third
central middle third
mandibular

Question 2

what can the different types of central middle third fractures be

Answer 2

nasal bone
unilateral maxillary
le fort 1,2,3

Question 3

what are the parts of the orbit

Answer 3

anterior wall
medial wall
lateral wall
floor
roof
apex

Question 4

if someone gets an orbital fracture what will be the signs

Answer 4

periorbital haematoma
enopthalmos
proptosis
swelling

Question 5

what do you examine clinically when someone presents with a fracture

Answer 5

soft tissue
nerves
skeleton
dentition

Question 6

what is a malar fracture

Answer 6

fracture involving the suture lines of zygomatic bone

Question 7

what are the clinical signs of a malar fracture

Answer 7

periorbital bruising and swelling
subconjunctival ecchymoses
sensory deficit
diplopia
subcutaneous emphysema
epistaxis
step deformity

Question 8

what do you palpate when someone comes in with zygomatic fracture

Answer 8

supraorbital ridge
infraorbital ridge and zygoma
depression of zygomatic arch
manoeuvre to ascertain motion of maxilla

Question 9

what is the initial care of zygomatic fracture

Answer 9

exclude ocular injury
prophylactic antibiotics
avoid blowing nose

Question 10

what is the definitive management of zygomatic fracture

Answer 10

review when swelling subsided
further radiographs and CT scans
informed consent
reduction and fixation