Difference between revisions of "Zygomaticomaxillary (tripod) fracture"
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Revision as of 08:32, 10 January 2015
Contents
Background
- Must distinguish Zygomatic Arch Fracture from Zygomaticomaxillary (Tripod) Fracture
- Tripod fx = fx of zygomatic arch, lat and inf orbital rims, lat wall of maxillary sinus
Diagnosis
- Fx through:
- inferior orbital rim
- lateral orbital wall
- zygomatic arch
- Must r/o associated ocular injuries
- Usually requires admission and surgical repair
Differential Diagnosis
Maxillofacial Trauma
- Auricular hematoma
- Dental trauma
- Head trauma (main)
- Le Fort fractures
- Mandible fracture
- Nasal fracture
- Nasal septal hematoma
- Orbital trauma
- Skull fracture
- Zygomatic arch fracture
- Zygomaticomaxillary (tripod) fracture
Disposition
- Loss of vision or displacement: admit for IV abx and surg
See Also
Source
Tintinalli's