Facial Fractures

Question 1

What should you evaluate with patients with facial trauma?

Answer 1

Airway

Breathing

Circulation

Vital signs

Bleeding

Neurological status, neck

Other non-facial injuries

Question 2

what is a hyphema? (Subconjunctival occymosis)

Answer 2

Direct ocular injury.

Half circle of blood around iris. Indication of severe injury to the skull

Question 3

How do you test for alveolar fractures?

Answer 3

Test mobility

Wiggle the whole maxilla to see if the mid face moves too

Question 4

True or false.. medial canthral ligaments are attached to the lacrimal bones.

Answer 4

True

Question 5

Where is the most common fracture in the mandible? What about second and third most common?

Answer 5

1) subcondylar
2) angle of mandible
3) symphysis

Question 6

What are four types of mandibular fractures?

Answer 6

Green stick

Simple

Comminuted (shattered)

Compound (broken bone and through soft tissues

Question 7

What is the difference between unfavorable and favorable mandible fractures?

Answer 7

Unfavorable when fracture is parallel to masseter because the masseter pulls the fracture apart

Favorable when the fracture goes towards the masseter superiorily cause the masseter will pull the bone together

Question 8

What are Le forte I, II and III maxillary fractures?

Answer 8

I = just maxillary alveolus

II = includes medial orbit (no zygoma involvement)

III = the entire maxilla and zygoma

Question 9

True or false… arch fractures may prevent the mandible from opening

Answer 9

True

Question 10

What is an orbital blowout fracture?

Answer 10

Fracture of the floor of the orbit due to impact to the eye

Question 11

What is intermaxillary fixation?

Answer 11

Arch bars

Wiring the jaw shut