Difference between revisions of "Zygomaticomaxillary (tripod) fracture"

(Diagnosis)
Line 9: Line 9:
  
 
==Diagnosis==
 
==Diagnosis==
#Fx through:
+
*Fracture through:
## inferior orbital rim
+
**Inferior orbital rim
## lateral orbital wall
+
**Lateral orbital wall
## zygomatic arch
+
** zygomatic arch
#Must r/o associated ocular injuries
+
*Must r/o associated ocular injuries
#Usually requires admission and surgical repair
+
 
 +
 
 +
==Treatment==
 +
*Usually requires admission and surgical repair
  
 
==Disposition==
 
==Disposition==

Revision as of 16:53, 28 June 2016

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

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

See Also

References