Difference between revisions of "Zygomaticomaxillary (tripod) fracture"
Neil.m.young (talk | contribs) (Text replacement - "Tintinalli's" to "") |
|||
| Line 2: | Line 2: | ||
*Must distinguish [[Zygomatic Arch Fracture]] from Zygomaticomaxillary (Tripod) Fracture | *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 | **Tripod fx = fx of zygomatic arch, lat and inf orbital rims, lat wall of maxillary sinus | ||
| + | |||
| + | ==Clinical Features== | ||
| + | |||
| + | ==Differential Diagnosis== | ||
| + | {{Maxillofacial trauma DDX}} | ||
==Diagnosis== | ==Diagnosis== | ||
| Line 10: | Line 15: | ||
#Must r/o associated ocular injuries | #Must r/o associated ocular injuries | ||
#Usually requires admission and surgical repair | #Usually requires admission and surgical repair | ||
| − | |||
| − | |||
| − | |||
==Disposition== | ==Disposition== | ||
Revision as of 16:34, 28 June 2016
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
Clinical Features
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
Diagnosis
- Fx through:
- inferior orbital rim
- lateral orbital wall
- zygomatic arch
- Must r/o associated ocular injuries
- Usually requires admission and surgical repair
Disposition
- Loss of vision or displacement: admit for IV abx and surg