Facial trauma Flashcards
1
Q
What are some common facial fractures?
A
Maxillary fractures
Orbital floor fractures
Midfacial fractures
2
Q
What is a risk of maxillary fracture?
A
Fracture of these bones is potentially life-threatening as well as disfiguiring
3
Q
What is mechanism of injury for maxillary fracture?
A
High-energy blunt force trauma to the facial skeleton
4
Q
How do orbital floor fractures usually present?
A
- Pain, decreased visual acuity, diplopia
- Hypoaethesia in infraorbial region
- Periorbital ecchymosis
- Oedema
- Enopthalmos
- Restriction of ocular movement
- Bony step of orbital rim
5
Q
What investigation is required for orbital floor fracture?
A
CT - ‘tear drop’ sign indicates blow-out fracture
6
Q
How is an orbital floor fracture managed?
A
- Conservative
- Surgical repair of bony walls if there is entrapment, a large defect, or significant enopthlamos
7
Q
What are the 3 stages of Le Fort classification of mid facial fractures?
A
8
Q
What are some presentations of mid facial fractures?
A
- Soft tissue swelling
- Bruising and haematoma
- Posterior retrusion of the mid face
- Upper airway may be compromised
- Palpate - detect for bony irregularities, step-offs, crepitus, and sensory disturbances
9
Q
A
