Maxillofacial Injuries Flashcards
Describe telecanthus
Abnormally increased distance between the medial canthi of the eyes
State 5 horizontal facial buttresses
Frontal bar
Orbital rims
Maxillary alveolar
Mandibular alveolar
Inferior border of the mandible
4 vertical facial buttresses
Nasomaxillary
Zygomaticomaxillary
Pterygomaxillary
Vertical mandibular
Question in history taking x5
Pain with eye or jaw movement
Tingling or numbness on the face
Visual or hearing problems
Pain when biting
Hemorrhage control in nasal bleeding x2
Direct compression
Anterior and posterior packing
Airway control methods x5
Manual movement of tongue forward
Cervical immobilization
Suctioning
Jaw thrust
Chin lift
Signs of head injury in maxillofacial injuries x5
Seizures
Lateralizing signs
Reduced level of consciousness
When to suspect naso-ethmoidal-orbital fractures x3
Pain with eye moment
Trauma to nose or medial orbit
Orbital signs of zygomatic fractures x5
Proptosis
Diplopia
Scleral show
Enophthalmos
Periorbital edema
Subconjunctival hemorrhage
Define LeFort I fracture
Horizontal fracture of the maxilla at the level of the nasal fossa
Define LeFort ll
Pyramidal fracture involving the maxilla, nasal bones, medial aspects of the orbits
Define LeFort lll
Discontinuity between the skull and face involving the maxilla, nasal bones, ethmoid, zygoma and bas of skull
Treatment options for lefort fracture x2
Closed reduction with intermaxillary fixation
Open reduction with intraosseous wiring
Nerve affected by mandible fractures
V3 ie mandibular branch of trigeminal nerve
Indications for open reduction x4
Patient comfort
Facilitate return to work
Unfavorable displaced fractures
Mandible fracture with associated midface fractures
