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Flashcards in Trauma Deck (14)
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1
Q

What is a nasal septal haematoma?

A

Collection of blood within the nasal septum, causing disruption of blood supply to the cartilage of the septum

2
Q

List some complications of nasal fractures

A

Epistaxis
CSF leaking
Meningitis
Anosmia if cribriform plate fracture

3
Q

Outline management for epistaxis

A
Resus if necessary
Slow flow: ice, pressure, topical vasoconstrictor
Remove clot: suction
Rhinoscopy
Cautery
4
Q

CSF leaks usually settle spontaneously. True/False?

A

True

Repair if unresolved after 10 days

5
Q

What are the 3 main ear traumas?

A

Pinna haematoma
Laceration
Temporal bone fracture

6
Q

Outline treatment for pinna haematoma

A

Aspiration/drainage

Pressure dressing

7
Q

List associated symptoms + signs with temporal bone fractures

A
Hearing loss
Facial palsy
Vertigo
CSF leak
Bruising (battle sign)
8
Q

How are temporal bone fractures classified?

A

Longitudinal or transverse

Otic capsule -sparing or -involved

9
Q

The majority of temporal bone fractures are what - longitudinal or transverse?

A

Longitudinal (80%) from lateral blows

10
Q

Conductive hearing loss is more closely assoc. with which temporal bone fracture - longitudinal or transverse?

A

Longitudinal

11
Q

Sensorineural hearing loss is more closely assoc. with which temporal bone fracture - longitudinal or transverse?

A

Transverse

12
Q

Describe a Le Fort 1 fracture

A

Horizontal

Passes along teeth apices

13
Q

Describe a Le Fort 2 fracture

A

Pyramidal

Nasal bridge, frontal processes of maxilla, lacrimal bone, inferior orbital floor, zygoma, pterygoid plates

14
Q

Describe a Le Fort 3 fracture

A

Transverse

Dysjunction between neuro + viscero -cranium