steplight 16 - Lecture 18 Facial Fracture Cranium covers...

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Lecture 18 Facial Fracture Cranium covers brain (frontal, temporal, occipital, parietal) Facial – maxilla, zygomatic, palatine, nasal mandible - Brain: cerebellum, cerebrum, brain stem, pons, medulla oblongata, midbrain - Eyes: protected by the eyelids, eyelashes, conjunctiva, cornea, sclera Facial Fractures (mandible, maxilla, zygomatic or nasal fracture) o Mechanism: direct impact (most common is a nasal fracture) Zygomatic (Blowout Fracture) o Signs and Symptoms Depressed cheek Swelling and ecchymosis around eye Eye on same side appears sunken Double vision is common o Management Ice pack to control swelling Don’t blow nose Avoid compression Refer to physician Heal within 6 to 8 weeks (facial protection to play) Maxillary Fracture o Signs and symptoms Appearance of long face, nose bleeding, ecchymosis, flattening or nasal orbital o Management Maintain airway Place forward in sitting position with ice pack Refer to physician Mandible Fracture o Signs and Symptoms Rarely an isolated fracture Results in malocclusion (can’t close your mouth) Change in speech Possible bleeding of the mouth Tongue Blade test (bite test) o Management Maintain open airway, refer to physician Immobilize with ace wrap under chin Control any swelling with ice pack Liquid diet 6-8 weeks to heal (mouth is wired shut) Nasal Fracture
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o Signs and Symptoms Epistaxis Nose appears flattened or asymmetrical Lateral displacement Look for more severe injuries o Management Control bleeding Ice pack Refer to Physician Can participate in few days as long as they wear nose guard Leave nose tampons in for only 30 minutes Deviated Septum o Septum is partition between right and left half o Can be congenital and asymptomatic o Can be caused by nasal injury o Signs and Symptoms Difference in airflow between right and left sides, confirm by looking through otoscope o Management Refer to physician, may require surgery (not rhinoplasty-nose job) septaplasty is what fixes this condition Epitaxis o Mechanism: hit in nose o Signs and Symptoms: blood from nose o Treatment Direct pressure Cold compress Nose plug (35 minutes) Send to ENT after ~5 episodes Acute Sinusitis o Signs and Symptoms Tender over sinuses Thick yellow nasal discharge Sore throat (sinus passages are inflamed) Bacterial Headache o Treatment Antibiotics Expectorant (dry’s it up) Mouth Injuries Tooth Avulsion o Signs and Symptoms: Tooth Knocked out
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o Treatment Find tooth (pick up by enamel) Rinse Re-implant (new solution, cold milk, saline soaked gauze, under
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This note was uploaded on 04/05/2011 for the course PSYCH 4280 taught by Professor Staff during the Fall '09 term at Georgia State.

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steplight 16 - Lecture 18 Facial Fracture Cranium covers...

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