Trauma

Question 1

four examples of ear trauma

Answer 1

1. pinna haematoma
2. temporal bone fracture
3. sudden SNHL
4. foreign bodies

Question 2

management of pinna haematoma

Answer 2

incision, aspiration and drainage
apply pressure dressing
no sport for 2 weeks

Question 3

presentation of temporal bone fracture

Answer 3

battle sign (bruising behind ear) is specific for fracture of mastoid process

Question 4

what needs to be checked in temporal bone fracture?

Answer 4

tympanic membrane
facial nerve functioning
hearing

Question 5

two types of temporal bone fractures

Answer 5

1. longitudinal

2. transverse

Question 6

management of sudden SNHL

Answer 6

steroids

Question 7

management of foreign bodies in the ear

Answer 7

remove batteries urgently!

drown animals and remove the next day

Question 8

how is neck trauma classified?

Answer 8

into zones

Question 9

which zone of neck trauma is most dangerous?

Answer 9

zone 1

Question 10

what can result in deep neck space invasion?

Answer 10

infections of tonsils and oropharynx

Question 11

what does the retropharyngeal and parapharyngeal spaces risk development of?

Answer 11

abscesses

impacted foreign body must be removed immediately

Question 12

presentation of maxillary fractures

Answer 12

pain
decreased visual acuity
diplopia
hypoaesthesia
oedema
restricted movement

Question 13

diagnosis of maxillary fracture

Answer 13

CT shows tear drop sign in sinus

Question 14

management of maxillary fracture

Answer 14

conservatively

surgery if entrapment, large defect or significant enophthalmos

Question 15

two types of mid-face fractures

Answer 15

1. Rene Le Fort

2. Canonballs

Question 16

presentation of mid-face fractures

Answer 16

swelling
bruising
haematoma
upper airway can be compromised