Difference between revisions of "Zygomaticomaxillary (tripod) fracture"

(Diagnosis)
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==Background==
 
==Background==
 
*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
+
*Definition = fracture through:
 +
**Inferior orbital rim
 +
**Lateral orbital wall
 +
**Zygomatic arch
  
 
==Clinical Features==
 
==Clinical Features==
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==Diagnosis==
 
==Diagnosis==
*Fracture through:
+
*CT face
**Inferior orbital rim
+
*Rule-out associated ocular injuries or other trauma
**Lateral orbital wall
 
** zygomatic arch
 
*Must r/o associated ocular injuries
 
 
 
  
 
==Treatment==
 
==Treatment==
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==Disposition==
 
==Disposition==
*Loss of vision or displacement: admit for IV abx and surg
+
*Loss of vision or displacement: admit for IV antibiotics and surgery
  
 
==See Also==
 
==See Also==

Revision as of 18:04, 28 June 2016

Background

  • Must distinguish Zygomatic Arch Fracture from Zygomaticomaxillary (Tripod) Fracture
  • Definition = fracture through:
    • Inferior orbital rim
    • Lateral orbital wall
    • Zygomatic arch

Clinical Features

Differential Diagnosis

Maxillofacial Trauma

Diagnosis

  • CT face
  • Rule-out associated ocular injuries or other trauma

Treatment

  • Usually requires admission and surgical repair

Disposition

  • Loss of vision or displacement: admit for IV antibiotics and surgery

See Also

References