Midface II fractures Flashcards

1
Q

Initial management

A

airway
haemorrhage
head injury (Glasgow Coma Scale)
Secondary survery

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2
Q

what does the Glasgow Coma scale measure

A

eye opening
verbal response
motor response

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3
Q

scale of Glasgow Coma scale

A

3-15
3 - worst
15 - highest

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4
Q

what is the secondary survey

A

head and neck

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5
Q

Presentation of Le Fort I

A

mobility of tooth bearing segment of upper jaw
crepitus in buccal sulcus
cracked pot percussion note from upper teeth
intra oral haematoma in buccal sulcus
occlusal discrepancy
anterior open bite
dentures not fitting

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6
Q

Clinical presentation of Le Fort II /III

A

bilateral peri-orbital bruising
subconjunctival haemhorrhage
lengthening of face
malocclusion - AOB
mandibular fractures
nasal septal haematoma
palatal split

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7
Q

what radiograph

A

CT scan

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8
Q

unique fracture line for Le Fort I

A

lateral piriform aperture

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9
Q

unique fracture line for le fort II

A

inferior orbital rim and zygomatic buttress

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10
Q

unique fracture line for le fort III

A

lateral orbital wall and zygomatic arch

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11
Q

management

A

open reduction and internal fixation

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12
Q

name disimpaction forces

A

Rowes maxillary

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