MaxFax

Question 1

Le Fort Fracture grade 1

Answer 1

from nasal septum –> lateral pyriform rims
horizontal
above teeth apices
crosses below zygomaticomaxillary junction
traverses pterygomaxillary junction to interrupt pterygoid plates

Question 2

Le Fort Fracture grade 2

Answer 2

pyramidal shape
extend from nasal bridge/below nasofrontal suture through frontal process maxilla
Inferolat through lacrimal bones + inf orbital floor + rim through/near inf orbital foramen
Inf through ant wall maxillary sinus

Question 3

Le Fort 3

Answer 3

start at nasofrontal + frontomaxillary sutures, extend post along med wall orbit through NL groove + ethmoid bones
continues along inf orbital fissure, continues superolaterally through lat orbital wall, through zyogmatic arch

Question 4

What symptom do you see more in Le Fort 3 vs Le Fort 2/1

Answer 4

CSF rhinnorrhoea

Question 5

What is Superior orbital fissure syndrome

Answer 5

severe force to lat wall orbit –> compression NV structures

Question 6

Sx Superior orbital fissure syndrome

Answer 6

opthalmoplegia + ptsosis
RAPD
Dilatation pupil + loss accommodation + corneal reflexes
Altered sensation from forehead to vertex

Question 7

What is an orbital blow out fracture?

Answer 7

striken orbital rim
bone fragment = displaced downwards into antral cavity, remaining attached to orbital periosteum

Question 8

Sx retrobulbar haemorrhage (PPPPV)

Answer 8

Pain
Proptosis
Pupil reactions = lost
Paralysis
Visual Acuity lost

Question 9

Mx retrobulbar haemorrhage

Answer 9

mannitol
acetazolamide
dexamethasone