Lecture 9 Maxillofacial Surgery Flashcards
What is the aetiology of facial trauma
- Assaults
- RTA
- Sports
- Falls
- Industrial accidents
How do assess someone with facial trauma
- ATLS
- Airway
- Breathing
- Circulation
What are the subtypes of facial trauma
- Bone injuries
- Mandible
- Midface- maxilla, zygomatic
- Soft tissue
- Combination (panfacial trauma)- usually from RTA
What is the 2nd most common fracture in the face
Mandibular fractures
• Angle and condylar process most common areas
How do you assess a mandibular fracture
History
• Pain on biting swallowing, teeth don’t meet properly
• Swelling/tenderness along TMJ, angles, lower border
• 2 X-rays 90 degrees to each other
How do you manage a mandibular fracture
Surgery
• Titanium plates over fracture
How d you manage a maxillary fracture
Le Fort
• Coronal flap- access to orbits, zygotes
Surgical techniques for facial deformity
o Le Fort I osteotomy- commonest
o Mandible- bilateral sagittal split osteotomy
o BSSO (Commonest)
Head and Neck cancer is most common in
men
What is the 6th most common malignancy worldwide
Oral cancer
What are the risk factors for oral cancer
- Smoking
* Alcohol
What are worrying signs when examining a patients mouth
- Ulcers in mouth (painless) >3 weeks
- Area of redness
- Combined white/red lesion
- Areas of melanin pigmentation
- White patch- Leukoplakia
- Red patch- Erythroleukoplakia
