Trauma Flashcards
four examples of ear trauma
- pinna haematoma
- temporal bone fracture
- sudden SNHL
- foreign bodies
management of pinna haematoma
incision, aspiration and drainage
apply pressure dressing
no sport for 2 weeks
presentation of temporal bone fracture
battle sign (bruising behind ear) is specific for fracture of mastoid process
what needs to be checked in temporal bone fracture?
tympanic membrane
facial nerve functioning
hearing
two types of temporal bone fractures
- longitudinal
2. transverse
management of sudden SNHL
steroids
management of foreign bodies in the ear
remove batteries urgently!
drown animals and remove the next day
how is neck trauma classified?
into zones
which zone of neck trauma is most dangerous?
zone 1
what can result in deep neck space invasion?
infections of tonsils and oropharynx
what does the retropharyngeal and parapharyngeal spaces risk development of?
abscesses
impacted foreign body must be removed immediately
presentation of maxillary fractures
pain decreased visual acuity diplopia hypoaesthesia oedema restricted movement
diagnosis of maxillary fracture
CT shows tear drop sign in sinus
management of maxillary fracture
conservatively
surgery if entrapment, large defect or significant enophthalmos
two types of mid-face fractures
- Rene Le Fort
2. Canonballs