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14 Cards in this Set
- Front
- Back
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How to classify maxillary fractures?
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Le Fort I, II, III
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Le Fort I
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transverse frx, just above teeth at level of nasal fossa
grasping upper alveolar ridge --> alveolar ridge and hard palate move |
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Le Fort II
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pyramidal frx, apex just above nasal bridge extending laterally and interiorly through infraorbital rims
grasping upper alveolar ridge --> maxilla, nose and infraorbital rims move |
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Le Fort III
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** MOST SERIOUS **
complete craniofacial disruption frx of zygoma, infraorbital rims, maxilla |
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Patient with Le Fort frx.
What else to r/o? |
ANOTHER Le Fort frx
blunt carotid/vertebral aa injury (get CTA) basilar skull frx C-spine injury |
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Nasal frx - Cx?
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septal hematoma (blood btw mucoperichondrum and cartilage)
= grape-like swelling over nasal septum |
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septal hematoma - Cx? Tx?
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can --> abscess, necrosis of cartilage
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Pt with blunt trauma to forehead.
forehead anesthesia, anosmia, clear rhinorrhea, subconjunctival hemorrhage Dx? Test? |
frontal sinus frx
get CT |
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u/l Mandible frx --> jaw deviates ____
u/l TMJ dislocation --> jaw deviates ___ |
TOWARD frx
AWAY from dislocation |
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TMJ dislocation - Tx?
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BZD (for masseter relaxation)
narcotic Push DOWN and POSTERIOR |
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facial trauma - imaging indications?
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- exam findings / LOW suspicion for frx --> radiographs
+ exam findings / HIGH suspicion for frx --> CT |
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Which facial lacerations should NOT be closed immediately?
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facial nerve
lacrimal duct parotid / Stenson's duct avulsions |
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Parotid (Stenson's) duct injury - what other injury?
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buccal branch of facial nerve
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Patient with facial laceration and facial droop - lesion? r/o what else?
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buccal branch of facial nerve injury
r/o parotid (Stenson's) duct injury |
