Management of Zygomatico Orbital Trauma Flashcards
what are the 4 types of maxillofacial fractures
naso-ethmoidal
lateral middle third
central middle third
mandibular
what can the different types of central middle third fractures be
nasal bone
unilateral maxillary
le fort 1,2,3
what are the parts of the orbit
anterior wall
medial wall
lateral wall
floor
roof
apex
if someone gets an orbital fracture what will be the signs
periorbital haematoma
enopthalmos
proptosis
swelling
what do you examine clinically when someone presents with a fracture
soft tissue
nerves
skeleton
dentition
what is a malar fracture
fracture involving the suture lines of zygomatic bone
what are the clinical signs of a malar fracture
periorbital bruising and swelling
subconjunctival ecchymoses
sensory deficit
diplopia
subcutaneous emphysema
epistaxis
step deformity
what do you palpate when someone comes in with zygomatic fracture
supraorbital ridge
infraorbital ridge and zygoma
depression of zygomatic arch
manoeuvre to ascertain motion of maxilla
what is the initial care of zygomatic fracture
exclude ocular injury
prophylactic antibiotics
avoid blowing nose
what is the definitive management of zygomatic fracture
review when swelling subsided
further radiographs and CT scans
informed consent
reduction and fixation