Complications of Jaw Fractures
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Questions and Answers

In a single fracture of the body of the lower jaw, how do the fragments shift?

  • Big fragment upwards and towards the fracture, small one downwards and outwards
  • Big fragment downwards and outwards, small one upwards and towards the fracture
  • Big fragment downwards and towards the fracture, small one upwards and outwards
  • Big fragment downwards and towards the fracture, small one downwards, backwards and outwards (correct)

    • What happens to the fragments in a single fracture of the mandibular angle?

  • Big fragment is not displaced, small one upwards and outwards
  • Big fragment downwards and outwards, small one upwards and inwards (correct)
  • Big fragment upwards and towards the fracture, small one downwards and inwards
  • Big fragment downwards and towards the fracture, small one upwards and outwards

    • In a fracture of the ramus of the lower jaw, how do the fragments shift?

  • Big fragment outwards, small one downwards and inwards
  • Big fragment downwards and inwards, small one upwards and outwards (correct)
  • Big fragment inwards, small one downwards
  • Big fragment is not displaced, small one inwards

    • What changes occur in the bite after a fracture of the coronoid process of the mandible?

    <p>Antagonist teeth do not occlude at the side of injury</p> Signup and view all the answers

    What happens to the big fragment in a single fracture of the body of the lower jaw?

    <p>It shifts downwards and towards the fracture</p> Signup and view all the answers

    What happens to the small fragment in a single fracture of the mandibular angle?

    <p>It shifts upwards and inwards</p> Signup and view all the answers

    In a fracture of the ramus of the lower jaw, what happens to the small fragment?

    <p>It shifts downwards and inwards</p> Signup and view all the answers

    What is the result of a fracture of the coronoid process of the mandible on the bite?

    <p>Antagonist teeth do not occlude at the side of injury</p> Signup and view all the answers

    What is the characteristic of the fracture line in Lefort III fracture type?

    <p>Above alveolar ridge and on the hard palate, through the lower edge of the pear-shaped holes and the ends of the pterygoid process of sphenoid bone</p> Signup and view all the answers

    What is the definition of a sagittal fracture of the upper jaw?

    <p>A fracture of the upper jaw of the type II Lefort, but without damage to the nasal bones</p> Signup and view all the answers

    What is the key distinction of the 'symptom of glasses' in case of an isolated fracture of the upper jaw and bone fractures of the skull base?

    <p>The localization of haemorrhage</p> Signup and view all the answers

    When does the 'symptom of glasses' appear in case of fractures of the upper jaw?

    <p>No earlier than 24-48 hours after the injury and is of prevalent nature</p> Signup and view all the answers

    What is the characteristic of Lefort III fracture type in relation to the upper jaw and cheekbones?

    <p>Separation of the upper jaw with cheekbones</p> Signup and view all the answers

    What is the path of the fracture line in Lefort II fracture type?

    <p>Through the root of the nose, the inner wall of the eye socket to the infraorbital slit</p> Signup and view all the answers

    What is the characteristic of the 'symptom of glasses' in case of an isolated fracture of the upper jaw?

    <p>The appearance after the injury and limited character</p> Signup and view all the answers

    What is the difference between Lefort II and Lefort III fracture types?

    <p>One involves the nasal bones, while the other does not</p> Signup and view all the answers

    Which treatment tactic of posttraumatic maxillary sinusitis in chronic phase involves creating an oroantral opening?

    <p>creation oroantral opening</p> Signup and view all the answers

    Which one is not a complication of post zygomatic traumas?

    <p>dislocation asphyxia</p> Signup and view all the answers

    Which variant does not indicate secondary displacement of facial bone fractures?

    <p>additional trauma to that area</p> Signup and view all the answers

    In which case could be observed nasal bleeding?

    <p>zygomatic bone fractures</p> Signup and view all the answers

    Which combination correctly matches the types of injuries?

    <p>I-3, II-1, III-2</p> Signup and view all the answers

    What is the definition of cooperative trauma?

    <p>Trauma that arise under the influence of external damaging factor (mechanical injury+burn)</p> Signup and view all the answers

    Which treatment tactic for posttraumatic maxillary sinusitis does not involve rinostomy?

    <p>radical maxillary sinusotomy without the rinostomy</p> Signup and view all the answers

    Which condition is not typically caused by zygomatic bone fractures?

    <p>dislocation asphyxia</p> Signup and view all the answers

    Which complication is not a result of reparative osteogenesis disturbance in jaw fractures?

    <p>not fractured bone fragments healing</p> Signup and view all the answers

    In which type of fracture do posttraumatic complications develop most frequently?

    <p>open fractures</p> Signup and view all the answers

    What is part of the treatment tactics for posttraumatic osteomyelitis in the acute phase?

    <p>opening of abscesses, fracture line tooth extraction, sequestrectomy, antibacterial, anti-inflammatory and fortifying treatment</p> Signup and view all the answers

    Which of the following is included in the treatment tactics of posttraumatic osteomyelitis in the chronic phase?

    <p>sequestrectomy</p> Signup and view all the answers

    Which of the following is not a promotion factor for the development of posttraumatic osteomyelitis?

    <p>fractures which are pass out of the tooth</p> Signup and view all the answers

    Which is not a promotion factor for developing posttraumatic osteomyelitis?

    <p>satisfactory conditions of life of the patient</p> Signup and view all the answers

    Which of the following treatments is not part of the acute phase management of posttraumatic osteomyelitis?

    <p>dental prosthodontics</p> Signup and view all the answers

    Which of these is not typically a posttraumatic complication?

    <p>early healing of non-fractured bone fragments</p> Signup and view all the answers

    What is the relevant way to check the symptom of pressure during fractures in the mandibular symphysis area?

    <p>Pressure through the body area of mandible</p> Signup and view all the answers

    When is the 'coupling' symptom observed during the fractures of the mandible?

    <p>During X-ray picture of frontal projection appearing after the fractures of mandible’s body area</p> Signup and view all the answers

    Which are the common clinical signs of fractures of unilateral joint protrusion accompanied by the protrusion of the articular head?

    <p>Symptom of Vensan, Inertia in joint, frontal harshness of pinna</p> Signup and view all the answers

    Which are not the common clinical signs if the fractures of unilateral joint protrusion are accompanied by the protrusion of the articular head?

    <p>Symptom of Vensan, Chin paresthesia, Symptom of Malevich</p> Signup and view all the answers

    Which of the following belongs to the provisional methods of immobilization during the fractures of the mandible?

    <p>Catapult-shaped bandage, Brace of Tiqerstedt, Bandage of Pomeranseva –Urbanski</p> Signup and view all the answers

    To check pressure in the mandibular symphysis fracture, which method should not be used?

    <p>Pressure from outside to the under of eye socket</p> Signup and view all the answers

    Which symptom is typically observed during a rear projection X-ray of a fractured mandible symphysis area?

    <p>Coupling symptom</p> Signup and view all the answers

    Which sign is not included if the fractures of the unilateral joint protrusion are accompanied by the protrusion of the articular head?

    <p>Chin paresthesia</p> Signup and view all the answers

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