Podcast
Questions and Answers
What is the most common cause of facial nerve injury at the geniculate ganglion?
What is the most common cause of facial nerve injury at the geniculate ganglion?
- Fracture of temporal bone (correct)
- Mandibular injury
- Scalp lacerations
- Orbital blowout fractures
What is the recommended initial treatment for anterior nosebleeds?
What is the recommended initial treatment for anterior nosebleeds?
- Angioembolization
- Packing (correct)
- Epidural catheter
- Balloon tamponade
What is the primary indicator of injury in mandibular injuries?
What is the primary indicator of injury in mandibular injuries?
- Facial nerve injury
- Temporal bone fracture
- Malocclusion (correct)
- Orbital blowout fracture
What is the conservative therapy duration for nasoethmoidal orbital fractures with a CSF leak?
What is the conservative therapy duration for nasoethmoidal orbital fractures with a CSF leak?
What is indicated for prevertebral soft tissue swelling without bony injury?
What is indicated for prevertebral soft tissue swelling without bony injury?
What is the most common spine injury?
What is the most common spine injury?
What is the recommended treatment for a C-2 hangman’s fracture?
What is the recommended treatment for a C-2 hangman’s fracture?
What is the primary indication for steroids in spine injury?
What is the primary indication for steroids in spine injury?
When is the spine considered unstable and in need of operative fixation?
When is the spine considered unstable and in need of operative fixation?
What type of odontoid fracture extends into the vertebral body?
What type of odontoid fracture extends into the vertebral body?
What causes a C-2 hangman's fracture?
What causes a C-2 hangman's fracture?
What type of fractures usually involve only the anterior column and are considered stable?
What type of fractures usually involve only the anterior column and are considered stable?
What are the components of the middle column of the thoracolumbar spine?
What are the components of the middle column of the thoracolumbar spine?
What is required for clinical clearance of C-spine?
What is required for clinical clearance of C-spine?
What can cause cord injury and is usually associated with hyperextension and rotation with ligamentous disruption?
What can cause cord injury and is usually associated with hyperextension and rotation with ligamentous disruption?
Which imaging technique is needed for neurologic deficits without bony injury to check for ligamentous injury?
Which imaging technique is needed for neurologic deficits without bony injury to check for ligamentous injury?
What is the most common cause of facial nerve injury?
What is the most common cause of facial nerve injury?
What is used to diagnose mandibular and tripod fractures?
What is used to diagnose mandibular and tripod fractures?
What is indicated for emergent surgical spine decompression?
What is indicated for emergent surgical spine decompression?
What is required for asymptomatic blunt or penetrating neck trauma?
What is required for asymptomatic blunt or penetrating neck trauma?
What are patients with maxillofacial fractures at high risk for?
What are patients with maxillofacial fractures at high risk for?
What may be required for completely occluded carotid to prevent clot propagation?
What may be required for completely occluded carotid to prevent clot propagation?
What are nasoethmoidal orbital fractures often associated with?
What are nasoethmoidal orbital fractures often associated with?
What is indicated for blunt cerebrovascular injury after significant blunt head/neck injury?
What is indicated for blunt cerebrovascular injury after significant blunt head/neck injury?
What may be required for diagnosis of esophageal injuries?
What may be required for diagnosis of esophageal injuries?
What increases the risk for calcaneus, lumbar, and wrist/forearm fractures?
What increases the risk for calcaneus, lumbar, and wrist/forearm fractures?
What is the primary indicator of injury in mandibular injuries?
What is the primary indicator of injury in mandibular injuries?
What type of odontoid fracture extends into the vertebral body?
What type of odontoid fracture extends into the vertebral body?
What causes a C-2 hangman's fracture?
What causes a C-2 hangman's fracture?
What is required for clinical clearance of C-spine?
What is required for clinical clearance of C-spine?
What is the recommended imaging technique for diagnosing mandibular and tripod fractures?
What is the recommended imaging technique for diagnosing mandibular and tripod fractures?
What is the primary treatment for completely occluded carotid to prevent clot propagation?
What is the primary treatment for completely occluded carotid to prevent clot propagation?
What is the most common cause of facial nerve injury at the geniculate ganglion?
What is the most common cause of facial nerve injury at the geniculate ganglion?
What is indicated for asymptomatic blunt or penetrating neck trauma?
What is indicated for asymptomatic blunt or penetrating neck trauma?
What is the primary imaging technique needed for neurologic deficits without bony injury to check for ligamentous injury?
What is the primary imaging technique needed for neurologic deficits without bony injury to check for ligamentous injury?
What is the recommended initial treatment for anterior nosebleeds?
What is the recommended initial treatment for anterior nosebleeds?
What increases the risk for calcaneus, lumbar, and wrist/forearm fractures?
What increases the risk for calcaneus, lumbar, and wrist/forearm fractures?
What is required for clinical clearance of C-spine?
What is required for clinical clearance of C-spine?
What causes a C-2 hangman's fracture?
What causes a C-2 hangman's fracture?
What are nasoethmoidal orbital fractures often associated with?
What are nasoethmoidal orbital fractures often associated with?
What is the best indication for steroid use in spine injury?
What is the best indication for steroid use in spine injury?
What is the primary treatment for a C-1 burst (Jefferson fracture)?
What is the primary treatment for a C-1 burst (Jefferson fracture)?
What type of odontoid fracture is unstable and will need fusion or halo?
What type of odontoid fracture is unstable and will need fusion or halo?
What must be present for clinical clearance of C-spine?
What must be present for clinical clearance of C-spine?
What is the primary treatment for a C-2 hangman’s fracture?
What is the primary treatment for a C-2 hangman’s fracture?
What can cause cord injury and is usually associated with hyperextension and rotation with ligamentous disruption?
What can cause cord injury and is usually associated with hyperextension and rotation with ligamentous disruption?
What indicates that the spine is considered unstable and needs operative fixation?
What indicates that the spine is considered unstable and needs operative fixation?
What kind of fractures usually involve the anterior column only and are considered stable?
What kind of fractures usually involve the anterior column only and are considered stable?
What are the components of the middle column of the thoracolumbar spine?
What are the components of the middle column of the thoracolumbar spine?
What is required for asymptomatic blunt or penetrating neck trauma?
What is required for asymptomatic blunt or penetrating neck trauma?
Study Notes
Management of Trauma to the Neck and Maxillofacial Region
- Burst fractures are considered unstable and require spinal fusion
- Upright fall increases the risk for calcaneus, lumbar, and wrist/forearm fractures
- MRI is needed for neurologic deficits without bony injury to check for ligamentous injury
- Indications for emergent surgical spine decompression include fracture or dislocation not reducible with distraction
- Fracture of temporal bone is the most common cause of facial nerve injury
- Nasoethmoidal orbital fractures often have a CSF leak and may require surgical closure
- Fine-cut facial CT scans with reconstruction are used to diagnose mandibular and tripod fractures
- Patients with maxillofacial fractures are at high risk for cervical spine injuries
- Asymptomatic blunt or penetrating neck trauma requires neck CTA
- Blunt cerebrovascular injury requires neck CTA for any significant blunt head/neck injury
- Completely occluded carotid may be treated with Plavix or heparin to prevent clot propagation
- Esophageal injuries are the hardest neck injury to find and may require esophagoscopy and esophagogram for diagnosis
Management of Trauma to the Neck and Maxillofacial Region
- Burst fractures are considered unstable and require spinal fusion
- Upright fall increases the risk for calcaneus, lumbar, and wrist/forearm fractures
- MRI is needed for neurologic deficits without bony injury to check for ligamentous injury
- Indications for emergent surgical spine decompression include fracture or dislocation not reducible with distraction
- Fracture of temporal bone is the most common cause of facial nerve injury
- Nasoethmoidal orbital fractures often have a CSF leak and may require surgical closure
- Fine-cut facial CT scans with reconstruction are used to diagnose mandibular and tripod fractures
- Patients with maxillofacial fractures are at high risk for cervical spine injuries
- Asymptomatic blunt or penetrating neck trauma requires neck CTA
- Blunt cerebrovascular injury requires neck CTA for any significant blunt head/neck injury
- Completely occluded carotid may be treated with Plavix or heparin to prevent clot propagation
- Esophageal injuries are the hardest neck injury to find and may require esophagoscopy and esophagogram for diagnosis
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Description
Test your knowledge on spine trauma with this quiz. Learn about the screening for spine injury, indications for steroids, and treatment options for specific cervical spine fractures.
