Maxillofacial Trauma Flashcards
what are the signs that a mandible has definitely fractured
sublingual haematoma
2 point vertical mobility
abnormal sensation contralateral to side of injury
pain contralateral to side of injury
numbness that cannot be explained by direct injury to the nerve
how many x-rays do you need after examining a fracture trauma patient
2
what is the treatment for a fractured mandible
fast
analgesia
antibiotics for open fractures
liquid diet
immediate discussion with OMFS team
what are the signs of a midface fracture including the zygoma
nosebleed without a blow to the nose
V2 numbness without a direct blow to the nerve
subconjunctival bleed
midface mobility
malocclusion
surgical emphysema around eye
swelling after nose blowing
diplopia
change of appearance
CSF coming from nose
what must be broken for a fracture to be a le fort fracture
pterygoid column
what is le fort 1
grab top teeth and they move like a denture back and forward
what is le fort 2
grab top teeth and teeth and nose move but eyes stay in place
what is le fort 3
grab top teeth and teeth, nose and eyes move back and forward
what is the treatment for zygoma fracture
no indication for routine antibiotics
call OMFS
no nose blowing for 6 weeks
soft diet for their comfort
warn about retrobulbar bleed
how many places does a tripoid fracture break in
4
what is the treatment for orbit fracture
ensure VA and diplopia documented (can see)
discuss with OMFS
no need for antibiotics
no nose blowing
warn about retrobulbar bleed
what is the treatment for a maxilla fracture
fast
antibiotics
discuss with OMFS
liquid diet
no nose blowing
how do you make a referral to OMFS
contact QEUH
have patient details ready
keep patient fasting until discussed with OMFS
dont tell the patient a review date
