Difference between revisions of "Zygomaticomaxillary (tripod) fracture"
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Revision as of 05:58, 10 July 2016
Contents
Background
- Must distinguish Zygomatic Arch Fracture from Zygomaticomaxillary (Tripod) Fracture
- Definition = fracture through:
- Inferior orbital rim
- Lateral orbital wall
- Zygomatic arch
Clinical Features
- Facial trauma
- Normally depression of tripod (cheekbone) complex
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
- CT face
- Rule-out associated ocular injuries or other trauma
Management
- Usually requires admission and surgical repair
Disposition
- Loss of vision or displacement: admit for IV antibiotics and surgery