Difference between revisions of "Zygomaticomaxillary (tripod) fracture"
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==Diagnosis== | ==Diagnosis== | ||
| − | + | *Fracture through: | |
| − | + | **Inferior orbital rim | |
| − | + | **Lateral orbital wall | |
| − | + | ** zygomatic arch | |
| − | + | *Must r/o associated ocular injuries | |
| − | + | ||
| + | |||
| + | ==Treatment== | ||
| + | *Usually requires admission and surgical repair | ||
==Disposition== | ==Disposition== | ||
Revision as of 16:53, 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
- Fracture through:
- Inferior orbital rim
- Lateral orbital wall
- zygomatic arch
- Must r/o associated ocular injuries
Treatment
- Usually requires admission and surgical repair
Disposition
- Loss of vision or displacement: admit for IV abx and surg