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Trauma to the Nose, Paranasal Sinuses, and Facial Skeleton

Built from Behrbohm — Ear, Nose and Throat Diseases with Head and Neck Surgery

The first 25 slides of Trauma to the Nose, Paranasal Sinuses, and Facial Skeleton
The first 25 slides, exactly as they appear. The full deck has 58 content slides.

What’s inside

8 sections · 58 slides

  1. 01

    Overview

    • What this topic covers

    1 slide

  2. 02

    Trauma to the Nose

    The most common midfacial fracture

    • What a nasal fracture is, and why it is so common
    • Clinical features: what the injured nose shows
    • Two kinds of nasal injury
    • Making the diagnosis
    • CT of a comminuted nasal bone fracture
    • The trap: injuries that hide

    6 slides

  3. 03

    Repositioning Nasal Bone Fractures

    Getting the bones back in line before they set

    • Timing a simple, closed fracture
    • Repositioning by direction of the blow
    • The repositioning technique
    • External splint immobilising a nasal fracture
    • Managing a compound (open) nasal fracture
    • When open surgical repositioning is required
    • Complications of nasal fractures

    7 slides

  4. 04

    Midface and Sinus Trauma

    High-speed injuries to the central face

    • How midface injuries happen in a road accident
    • Maxillary fractures: the pattern
    • The three Le Fort levels of midface fracture
    • The Le Fort classification of midface fractures
    • Reading the Le Fort levels
    • Examining the fractured midface
    • Bimanual palpation of the central midface
    • First priorities: the ABC of traumatology
    • Definitive midface surgery and the rhinologist's role
    • Fractures of the zygoma and bony orbit
    • Anatomy of a zygomatic (cheekbone) fracture
    • Clinical features of a zygomatic fracture
    • Diagnosing the zygomatic fracture
    • Repositioning and plating a zygomatic fracture
    • Treating the zygomatic fracture

    15 slides

  5. 05

    Isolated Blow-out Fracture

    When the orbital floor gives way

    • What a blow-out fracture is
    • Mechanism and repair of a blow-out fracture
    • Clinical features and diagnosis
    • Endoscopic view of a blow-out fracture
    • Treating the blow-out fracture

    5 slides

  6. 06

    Barotrauma of the Sinuses

    Injury from pressure, not impact

    • Pressure injury to the sinuses
    • Treating and preventing sinus barotrauma

    2 slides

  7. 07

    Frontobasal Injury

    Fractures reaching the anterior cranial fossa

    • What a frontobasal injury is and why it is dangerous
    • Escher classification of frontobasal fractures
    • Cardinal clinical features
    • Typical fracture lines of the anterior skull base
    • Proving a CSF leak
    • When to operate: three groups of indication
    • Surgical routes to the frontobasal region
    • The operation, and when to watch and wait
    • Complications of frontobasal injury

    9 slides

  8. 08

    Associated Injuries

    Tear system, mandible, and facial nerve

    • Relationship of the tear-drainage system to the nose
    • Lacrimal system and mandibular injuries
    • Three things to carry away
    • Summary: reading facial trauma
    • Ear, Nose, and Throat Diseases: With Head and Neck Surgery

    5 slides