31 Questions
Which of the following is a common subjective finding in orbital fractures?
Malocclusion
What is a common physical examination finding in orbital fractures?
Periorbital edema
Which test is used to assess infraorbital nerve paresthesia?
Bow-string test
What is considered a diagnostic range for intercanthal distance suggestive of naso-orbito-ethmoidal (NOE) fractures?
More than 40 mm
Which imaging modality is recommended for the diagnosis of orbital fractures with suspected intraorbital or subcutaneous emphysema?
Fine cut CT scan (1.0 mm slice thickness)
What is the primary objective in the management of orbital fractures with extraocular muscle entrapment?
Releasing the entrapped muscle
Which surgical approach is commonly used for transconjunctival orbital floor repair?
Gillies approach
What type of reconstruction is indicated for combined orbital floor and medial wall fractures?
Combined orbital floor and medial wall reconstruction
What is a potential complication of Zygomaticomaxillary Complex (ZMC) fractures after open reduction?
Malunion
What is a potential complication of Le Fort II and III fractures after reduction and fixation?
Increased infraorbital paresthesia
What is a potential complication of orbital fractures requiring surgical therapy?
Infection
What is a potential complication after internal orbital fractures reduction without fixation?
Persistent diplopia
What is the most common type of midfacial fracture?
Zygomatic fractures
Why is excellent communication between the ophthalmologist and the maxillofacial surgeon essential?
To ensure prompt diagnosis and intervention
What is mandatory in the diagnosis of conditions that require immediate interventions and conditions that contraindicate surgery?
Adherence to systematic diagnostic protocol
What is the primary aim of the lecture mentioned in the text?
To detail management aspects of orbital and zygomatic trauma
What are the objectives of the lecture mentioned in the text?
To understand the principles of management of maxillofacial traumatic injuries
What percentage of midfacial fractures are accounted for by le fort II fractures?
22%
Why is diagnosis of conditions requiring immediate interventions important?
To ensure prompt treatment
What do zygomatic fractures represent among midfacial fractures?
The most common type
"Strict adherence to systematic diagnostic protocol" ensures what in the diagnosis process?
[Accuracy and completeness] of findings
"Excellent communication between the ophthalmologist and the maxillofacial surgeon" is essential for what reason?
[Ensuring prompt diagnosis and intervention]
What should a student be able to understand upon completion of this lecture?
The clinical manifestations, diagnostic processes, and management principles of orbital and/or zygomatic traumatic injuries
What should students understand about zygomatic fractures?
They are more common than Le fort II fractures.
What is the primary focus of the lecture on orbital and zygomatic trauma?
Diagnostic processes for orbital and zygomatic injuries
What is the most common etiology for orbital and zygomatic trauma?
Motor Vehicle Accidents (MVA)
What is the primary diagnostic consideration for orbital fractures?
Inspection of the orbital rim
Which type of fracture is commonly associated with other fractures of the facial skeleton?
Le Fort fractures
What should the initial ophthalmologic evaluation include for suspected orbital fractures?
Periorbital examination
What is a potential clinical manifestation of orbital fractures?
Infraorbital nerve paresthesia
1
This lecture aims to cover the clinical, diagnostic, and management aspects of orbital and zygomatic trauma, providing a comprehensive understanding of the manifestations, diagnostic processes, and principles of management for such traumatic injuries.
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