Midface Trauma

Question 1

Imaging to detect damage to major vessels.

Answer 1

Angiography

Question 2

Provides the best images of head and facial trauma.

Answer 2

CT

Question 3

Gold standard for diagnosing midfacial injuries.

Answer 3

CT

Question 4

Type of fixation where you use bone plates and screws to hold the fracture together.

Answer 4

Internal fixation

Question 5

Fracture of just the tooth-bearing area

Answer 5

Le Fort I

Question 6

Pyramidal fracture that includes the nose and orbits.

Answer 6

Le Fort II

Question 7

Craniofacial dysfunction fracture that includes the lateral orbit and zygomatic arch.

Answer 7

Le Fort III

Question 8

Blood supply of the nose.

Answer 8

From BOTH internal and external carotid.

Question 9

Plexus in the nose.

Answer 9

Kisselbalch’s

Question 10

Open or closed reduction for nasal fractures?

Answer 10

CLOSED!

Question 11

How to tx a hematoma.

Answer 11

Poke a hole in it and let drain.

Question 12

In this sinus fracture, a depressed fracture may impinge on the brain, impede sinus drainage, and be associated with a significant cosmetic defect.

Answer 12

Frontal sinus fracture

Question 13

Tx if sinus drainage is impaired.

Answer 13

Ablation of the sinus (remove the sinus).

Question 14

Used to ablate the frontal sinus.

Answer 14

Belly button

Question 15

Tx for hyphema.

Answer 15

None- just wait for it to be resorbed.

Question 16

Blood pooling in the anterior chamber of the eye.

Answer 16

Hyphema

Question 17

Functional deficits associated with orbital blowout

Answer 17

1) Diploia (double vision)

2) Hyphema (Blood pooling in anterior chamber of the eye).

Question 18

This muscle is trapped in orbital blowouts, so the person can’t look up.

Answer 18

Inferior

Question 19

Another name for zygomatic arch fracture.

Answer 19

“Gull wing” fracture

Question 20

Vessel and nerve to be aware of when doing surgery for a fractured zygomatic arch.

Answer 20

Superficial temporal artery
and
Facial Nerve

Question 21

Quadripod fracture

Answer 21

ZMC (Zygomaticomaxillary complex fracture)

Question 22

Components of ZMC fracture:

Answer 22

1) Zygomatic arch
2) Maxilla
3) Inferior orbit
4) Lateral orbit

Question 23

Infraorbital anesthesia is seen with this fracture.

Answer 23

ZMC Fracture

Question 24

Can impede growth.

Answer 24

Titanium plates

Question 25

This fracture may involve the medial canthi and must consider nasolacrimal drainage.

Answer 25

Naso-Orbital-Ethmoid