Complex facial fractures

If a fracture is suspected, the doctor may order a computer tomography scan CT scan to determine the exact location and type of the fracture or fractures. Such injuries may be sustained during a fall, physical assault, motor vehicle collision, or gunshot wound. Their ages ranged from 2 to 72 years, with a mean age of 30 years. These numbers are similar to those of Sherer et al. A similar situation can occur in lower orbital wall fractures with small bone misplacement that go unseen in the first few hours following trauma because of eye lid swelling and imaging only with plain cranial radiography. Other options such as correction with the patient awake, therefore feeling pain and unable to cooperate adequately, induce failure and may require a second or third surgical procedure 11,12, The presence of fractures in this area should raise the suspicion of a Le Fort injury as, by definition, all Le Fort fractures involve the pterygoid.
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Zygomaticomaxillary complex fracture

CT imaging of facial trauma. Bruising underneath the tongue 4. However, here are several simplifying rules that can make life a lot easier:. High-impact accidents, such as motor vehicle collisions Sports injuries Workplace accidents Falls Interpersonal trauma or domestic violence What are the symptoms of a facial fracture? Triple fractures occasionally occur, and the most common type is fracture of both condyles plus the symphysis. A fracture line entering the root of a tooth is considered an open fracture by definition.
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Zygomaticomaxillary complex fracture - Wikipedia

Unable to process the form. Facial nerves and muscles responsible for sensations, expressions and eye movements are positioned near the facial bones. If patients present with hemodynamic instability without a known etiology, abdominal ultrasound, CT scan and echocardiographic studies should be done. Agents that promote bleeding, such as aspirin and anti-platelet drugs may need to be held if the patient is bleeding. The complex anatomy and fractures of the facial bones are shown extremely well by CT, and soft tissue complications can be evaluated to a far greater degree with CT. This condition requires emergent surgical intervention. Facial skin and bone are extremely exposed to such trauma due to their anterior location.
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The "K" wire is then cut off at skin level and left in place for 6 weeks to stabilize the fracture A helpful rule is that this channel runs parallel to the bridge of the nose, while most nasal bone fractures will run perpendicular to the bridge. Thus, this fracture is also referred to as craniofacial disassociation. The cause is usually a direct blow to the malar eminence of the cheek during assault. Lacrimal Apparatus Diseases. The condylar region should be carefully inspected for any evidence of fracture, including pain, restricted movement, deviation, crepitus, trismus, and open bite as the patients actively open and close their mouths [ 8 ]. These types of fractures are best managed with some form of internal fixation.
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