Difference between revisions of "Zygomaticomaxillary (tripod) fracture"

(Source)
(Diagnosis)
Line 4: Line 4:
  
 
==Diagnosis==
 
==Diagnosis==
*Fx through:
+
#Fx through:
**1. inferior orbital rim
+
## inferior orbital rim
**2. lateral orbital wall
+
## lateral orbital wall
**3. zygomatic arch
+
## zygomatic arch
*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 18:58, 11 June 2012

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

Diagnosis

  1. Fx through:
    1. inferior orbital rim
    2. lateral orbital wall
    3. zygomatic arch
  2. Must r/o associated ocular injuries
  3. Usually requires admission and surgical repair

Disposition

  • Loss of vision or displacement: admit for IV abx and surg

See Also

Source

Tintinalli's