Zygomatic Orbital Trauma

Question 1

Classification of maxillofacial fractures

Answer 1

Naso-ethmoidal
Lateral middle 3rd
Central middle 3rd

Question 2

Clinical signs of zygomatic fractures (4)

Answer 2

Diplopia
Step deformity
Subconjunctival ecchymoses
Peri-orbital bruising + swelling

Question 3

Clinical checks for zygomatic fracture (3)

Answer 3

1. Palpation for irregularities of supraorbital ridge
2. Palpation for irregularities of infraorbital ridge + zygoma
3. Palpation for depression fo zygomatic arch

Question 4

Initial care for zygomatic fracture

Answer 4

1. Exclude ocular injury
2. Prophylactic antibiotics
3. Avoid nose blowing

Question 5

Definitive management for zygomatic fracture

Answer 5

Review when swelling subsided
Further radiographs + CT scan
Consent
Closed reduction +/- fixation