Trauma Flashcards
what is a septal haematoma
accumulation of blood under lining of the septum due to trauma
appearance of a septal haematoma
red boggy swelling arising from nasal septum
treatment of septal haematoma
surgical incision + drainage
IV antibiotics
complication of untreated septal haematoma
avascular necrosis
- susceptible to infection + abscess formation
- saddle nose deformity if prolonged
management of nasal fracture
review 5-7 days post injury to allow swelling to go down
assess
- nasal deformity
- nasal obstruction
pinna haematomas are most commonly seen in which group of people
rugby players, boxers
management of a pinna haematoma
same day ENT assessment
incision + drainage following by gauze padding and tight headband
complication of untreated pinna haematoma
avascular necrosis of the pinna – fibrocartilage overgrowth – structural deformity (cauliflower ear)
imaging required in patient with suspected temporal bone fracture
CT scan
types of temporal bone fracture and their mechanism of injury
longitudinal – lateral blows
transverse – frontal blows
which type of temporal bone fracture is most common
longitudinal
what type of hearing loss is associated with longitudinal temporal bone fractures
conductive
what type of hearing loss is associated with transverse temporal bone fractures
sensorineural
what is battle’s sign
bruising behind ear due to rupture of posterior auricular artery
- indicates base of skull fracture
what fracture is associated with a teardrop sign on CT
orbital floor fracture
