Maxillofacial Trauma 2: Orbital and Zygomatic Trauma
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Questions and Answers

Which of the following is a common subjective finding in orbital fractures?

  • Malocclusion (correct)
  • Increased visual acuity
  • Normal eye movement
  • Reduced corneal sensitivity

    • What is a common physical examination finding in orbital fractures?

  • Normal pupillary light reflex
  • Unchanged visual fields
  • Periorbital edema (correct)
  • Intact extraocular muscles

    • Which test is used to assess infraorbital nerve paresthesia?

  • Kelly clamp test
  • Forced duction test
  • Bow-string test (correct)
  • Jones lacrimal tests

    • What is considered a diagnostic range for intercanthal distance suggestive of naso-orbito-ethmoidal (NOE) fractures?

    <p>More than 40 mm</p> Signup and view all the answers

    Which imaging modality is recommended for the diagnosis of orbital fractures with suspected intraorbital or subcutaneous emphysema?

    <p>Fine cut CT scan (1.0 mm slice thickness)</p> Signup and view all the answers

    What is the primary objective in the management of orbital fractures with extraocular muscle entrapment?

    <p>Releasing the entrapped muscle</p> Signup and view all the answers

    Which surgical approach is commonly used for transconjunctival orbital floor repair?

    <p>Gillies approach</p> Signup and view all the answers

    What type of reconstruction is indicated for combined orbital floor and medial wall fractures?

    <p>Combined orbital floor and medial wall reconstruction</p> Signup and view all the answers

    What is a potential complication of Zygomaticomaxillary Complex (ZMC) fractures after open reduction?

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

    What is a potential complication of Le Fort II and III fractures after reduction and fixation?

    <p>Increased infraorbital paresthesia</p> Signup and view all the answers

    What is a potential complication of orbital fractures requiring surgical therapy?

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

    What is a potential complication after internal orbital fractures reduction without fixation?

    <p>Persistent diplopia</p> Signup and view all the answers

    What is the most common type of midfacial fracture?

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

    Why is excellent communication between the ophthalmologist and the maxillofacial surgeon essential?

    <p>To ensure prompt diagnosis and intervention</p> Signup and view all the answers

    What is mandatory in the diagnosis of conditions that require immediate interventions and conditions that contraindicate surgery?

    <p>Adherence to systematic diagnostic protocol</p> Signup and view all the answers

    What is the primary aim of the lecture mentioned in the text?

    <p>To detail management aspects of orbital and zygomatic trauma</p> Signup and view all the answers

    What are the objectives of the lecture mentioned in the text?

    <p>To understand the principles of management of maxillofacial traumatic injuries</p> Signup and view all the answers

    What percentage of midfacial fractures are accounted for by le fort II fractures?

    <p>22%</p> Signup and view all the answers

    Why is diagnosis of conditions requiring immediate interventions important?

    <p>To ensure prompt treatment</p> Signup and view all the answers

    What do zygomatic fractures represent among midfacial fractures?

    <p>The most common type</p> Signup and view all the answers

    "Strict adherence to systematic diagnostic protocol" ensures what in the diagnosis process?

    <p>[Accuracy and completeness] of findings</p> Signup and view all the answers

    "Excellent communication between the ophthalmologist and the maxillofacial surgeon" is essential for what reason?

    <p>[Ensuring prompt diagnosis and intervention]</p> Signup and view all the answers

    What should a student be able to understand upon completion of this lecture?

    <p>The clinical manifestations, diagnostic processes, and management principles of orbital and/or zygomatic traumatic injuries</p> Signup and view all the answers

    What should students understand about zygomatic fractures?

    <p>They are more common than Le fort II fractures.</p> Signup and view all the answers

    What is the primary focus of the lecture on orbital and zygomatic trauma?

    <p>Diagnostic processes for orbital and zygomatic injuries</p> Signup and view all the answers

    What is the most common etiology for orbital and zygomatic trauma?

    <p>Motor Vehicle Accidents (MVA)</p> Signup and view all the answers

    What is the primary diagnostic consideration for orbital fractures?

    <p>Inspection of the orbital rim</p> Signup and view all the answers

    Which type of fracture is commonly associated with other fractures of the facial skeleton?

    <p>Le Fort fractures</p> Signup and view all the answers

    What should the initial ophthalmologic evaluation include for suspected orbital fractures?

    <p>Periorbital examination</p> Signup and view all the answers

    What is a potential clinical manifestation of orbital fractures?

    <p>Infraorbital nerve paresthesia</p> Signup and view all the answers

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