Management of Zygomatico Orbital Trauma Flashcards

1
Q

what are the 4 types of maxillofacial fractures

A

naso-ethmoidal
lateral middle third
central middle third
mandibular

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2
Q

what can the different types of central middle third fractures be

A

nasal bone
unilateral maxillary
le fort 1,2,3

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3
Q

what are the parts of the orbit

A

anterior wall
medial wall
lateral wall
floor
roof
apex

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4
Q

if someone gets an orbital fracture what will be the signs

A

periorbital haematoma
enopthalmos
proptosis
swelling

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5
Q

what do you examine clinically when someone presents with a fracture

A

soft tissue
nerves
skeleton
dentition

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6
Q

what is a malar fracture

A

fracture involving the suture lines of zygomatic bone

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7
Q

what are the clinical signs of a malar fracture

A

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

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8
Q

what do you palpate when someone comes in with zygomatic fracture

A

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

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9
Q

what is the initial care of zygomatic fracture

A

exclude ocular injury
prophylactic antibiotics
avoid blowing nose

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10
Q

what is the definitive management of zygomatic fracture

A

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

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