Facial Fractures

Question 1

Frontal sinus fracture important areas

Answer 1

Anterior table
Posterior table - risk of csf leak, intracranial infection
Frontal recess - risk of mucocoele and pyomucocoele

Question 2

Orbital blow out frac spares what

Answer 2

Orbital wall fracture but spares rim

Question 3

Trapdoor fracture presents with ?

Answer 3

Restricted mobility of inferior rectus - entrapment it is a clinical diagnosis

Question 4

Blowout fracture defect area important in

Answer 4

More than 2 sqcm defect or more than 1.5ml volume > enopthalmos risk

Question 5

Naso-orbito-ethmoid fractures
Classification basis
Complication

Answer 5

Classified acc to morphology of central fragment where medial canthal tendon inserts

Displaced NOE # > telecanthus + same issues as frontal #

Question 6

Nasoseptal fractures complication

Answer 6

Saddle nose deformity if there is septal hematoma > septal necrosis

Question 7

Le fort 1

Answer 7

Lateral margin of lateral nasal aperture
Free floating hard palate

Question 8

Le fort fracture criteria

Answer 8

All Le Fort fractures involve the pterygoid plates of the sphenoid bone and maxillary sinus walls.

Le Fort fractures are classified by the anterosuperior course of the fracture lines