Midface II fractures Flashcards
Initial management
airway
haemorrhage
head injury (Glasgow Coma Scale)
Secondary survery
what does the Glasgow Coma scale measure
eye opening
verbal response
motor response
scale of Glasgow Coma scale
3-15
3 - worst
15 - highest
what is the secondary survey
head and neck
Presentation of Le Fort I
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
Clinical presentation of Le Fort II /III
bilateral peri-orbital bruising
subconjunctival haemhorrhage
lengthening of face
malocclusion - AOB
mandibular fractures
nasal septal haematoma
palatal split
what radiograph
CT scan
unique fracture line for Le Fort I
lateral piriform aperture
unique fracture line for le fort II
inferior orbital rim and zygomatic buttress
unique fracture line for le fort III
lateral orbital wall and zygomatic arch
management
open reduction and internal fixation
name disimpaction forces
Rowes maxillary