Flashcards in ENT Trauma and plastics Deck (31):
What kind of trauma can happen to the ear?
Temporal bone fracture
Sudden sensory hearing loss
How do you treat pinna hematoma?
Incision and drainage
How do you treat ear lacerations?
What should you look for when investigating temporal bone fractures?
Condition of TM and ear canal
What classifications of temporal bone fracture are there?
Otic capsule involved or not
Are longitudinal or transverse temporal fractures more common?
What causes longitudinal temporal fractures?
Give some symptoms of a longitudinal temporal fracture?
Bleeding from EOM
Haemotympanum (conductive deafness)
Ossicular chain disruption (conductive deafness)
Give some symptoms of a transverse temporal fracture?
Facial nerve palsy (50%) & Vertigo
Sensorineural hearing loss due to damage to 8th cranial nerve
Can cross the internal acoustic meatus causing damage to auditory and facial nerves
What should you do for someone with sudden sensory hearing loss?
What is the Weber test?
Tuning fork in front of ear and bone behind
What foreign object should you remove immediately from the ear?
What should you look for in nasal trauma?
How should you manage nasal fractures?
Review in 3-7 days once swelling has gone down
What is epistaxis?
What first aid can be administered for epistaxis?
External Pressure to Nose
What hospital management can be used for epistaxis?
Remove clot: suction, nose blowing
Cautery / pack
Cauterise vessel: silver nitrate / diathermy
300 rigid nasendoscopy
What generally causes CSF leak?
Fracture to the cribriform plate
How many zones are there in the neck trauma classification?
What is included in neck trauma zone 1?
What is included in neck trauma zone 2?
What is included in neck trauma zone 3
What are common places for fractures in facial trauma?
How dangerous are maxilla fractures?
Potentially life threatening
How do you diagnose an orbit floor fracture (blow out fracture)?
Tear drop sign
Describe a Le Fort I
Break through maxilla under nose
Describe a Le Fort II
Maxilla breaks away
Describe a Le Fort III
Maxilla and part of temporal break
What are the 4 steps in the reconstruction ladder?
Healing by secondary intent
What is primary closure?