Pt. came with fracture because of blow in the right side of his face m he has ecchymosed around the orbit in the right side only.
and subjunctional bleeding in the maxillary buccal vestibule , with limited mouth open what is your diagnosis?
A. Lefort I
B. Lefort II
C. Lefort III
D. Zygomatic fracture***
The fracture of the zygomatic arch corresponds to a parcel fracture of the bone of the paumette (malar bone). It is a frequent facial fracture.
It follows a lateral shock that causes a broken fracture of the zygomatic arch. It gives a depressed and unsightly appearance to the lateral part of the face. This depression is often not very visible at first (it is masked by edema).
The consequences of a malar fracture are:
1) aesthetic: the erasure of the bone reliefs of the zygomatic arch linked to its depression is responsible for an unsightly facial asymmetry.
2) functional: the displacement of the zygomatic arch compresses the tendon of the temporal muscle, which passes under the arch. This phenomenon is responsible for a painful limitation of mouth opening which, untreated, can lead to fibrosis of this tendon, sometimes to a real constriction of the jaws.
WHEN TO OPERATE?
An undisplaced fracture of the zygomatic arch that has no aesthetic or functional consequences is not necessary.
Whenever the fracture is depressed and / or has functional consequences, surgical treatment is required.
A fracture of the zygomatic aracode must be performed within 10 days after the trauma.
HOW DOES THE INTERVENTION BEGIN?
The procedure requires general anesthesia. Emergency anesthesia consultation and hospitalization are therefore essential. Hospitalization will last on average 24 hours.
Schematically, the procedure is as follows: the fracture is reduced; that is, the displaced zygomatic arch is replaced in its place. This single gesture suffices in the very great majority of cases. The reduction of the fracture is stable. There is no need to do more. The intervention is over. There is no scar outside a small wound of 1 mm at the cheek or points in the mouth according to the technique used.
The operative sequences include:
- relatively minor pain that gives way thanks to simple analgesics.
- more or less significant edema of the lateral part of the face which regresses in a few days.
- post-operative care (local care) is required for a period of 8 to 10 days.
and subjunctional bleeding in the maxillary buccal vestibule , with limited mouth open what is your diagnosis?
A. Lefort I
B. Lefort II
C. Lefort III
D. Zygomatic fracture***
The fracture of the zygomatic arch corresponds to a parcel fracture of the bone of the paumette (malar bone). It is a frequent facial fracture.
It follows a lateral shock that causes a broken fracture of the zygomatic arch. It gives a depressed and unsightly appearance to the lateral part of the face. This depression is often not very visible at first (it is masked by edema).
The consequences of a malar fracture are:
1) aesthetic: the erasure of the bone reliefs of the zygomatic arch linked to its depression is responsible for an unsightly facial asymmetry.
2) functional: the displacement of the zygomatic arch compresses the tendon of the temporal muscle, which passes under the arch. This phenomenon is responsible for a painful limitation of mouth opening which, untreated, can lead to fibrosis of this tendon, sometimes to a real constriction of the jaws.
WHEN TO OPERATE?
An undisplaced fracture of the zygomatic arch that has no aesthetic or functional consequences is not necessary.
Whenever the fracture is depressed and / or has functional consequences, surgical treatment is required.
A fracture of the zygomatic aracode must be performed within 10 days after the trauma.
HOW DOES THE INTERVENTION BEGIN?
The procedure requires general anesthesia. Emergency anesthesia consultation and hospitalization are therefore essential. Hospitalization will last on average 24 hours.
Schematically, the procedure is as follows: the fracture is reduced; that is, the displaced zygomatic arch is replaced in its place. This single gesture suffices in the very great majority of cases. The reduction of the fracture is stable. There is no need to do more. The intervention is over. There is no scar outside a small wound of 1 mm at the cheek or points in the mouth according to the technique used.
The operative sequences include:
- relatively minor pain that gives way thanks to simple analgesics.
- more or less significant edema of the lateral part of the face which regresses in a few days.
- post-operative care (local care) is required for a period of 8 to 10 days.
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Oral Surgery