Page 1 of 1: # maxilla

mohna · Credits: 856 My Scrapbook

there is a question in salgunal pg 356 qno 153
it goes like this
which is not seen in # maxilla
1)csf rhinorhea
2)malocclusion
3)Anaesthesia of upper lips
4)surgical emphysema of cheek

well according to me all of the above mentioned points r seen need hlp n confirmation

drdga · Credits: 2300 My Scrapbook

csf rhinorrhea???

drpsg · Credits: 6198 My Scrapbook

YA THE ANS IS CSF RHINORRHOEA

REF DHINGRA CHAPTER ON FACE TRAUMA

mohna · Credits: 856 My Scrapbook

wat about # lefort II n in lefortIII r they not included in # maxilla, they involve the cribriform plate n in that case there seems to b the posibilty of csf rhinorhhea
plz guide me if i sound wrong
thanxs

decembermist · Credits: 41121 My Scrapbook

it could be c or d

After reading this paragraph I think its d

INDICATION FOR TREATMENT OF MAXILLARY FRACTURES :

a)physical s/o # maxilla
b)# maxilla in X-ray
c)disruption of occlusion ot the teeth
d) displacement of maxilla
e) pain
f)post traumatic facial deformity
g) # or displaced teeth
h) CSF leak
i) abnormal or restricted eye movements
j) nasolacrimal duct occlusion
k) snsory or motor deficit.

if any1 gets the correct ans , do reply

RM1VM1 · Credits: 308 My Scrapbook

Hi,
CSF rhinorrea doe soccur in lefort III. I think D is the answer...never heard about surgical emphysema of the cheek

decembermist · Credits: 41121 My Scrapbook

F/O MAXILLARY # ( B & L )

gross edema of face
circumoral ecchymosis
subconjuctival hrge
nasal bleed
gaaging on the back teeth
diplopia
anesthesia of cheek
palpable # thru the zygomatic buttress in the upper buccal sulcus

mohna · Credits: 856 My Scrapbook

hi there ,well though it's not mentioned in book especially while lokin in dhingra about surgical emphysema but cant it b possible if the cheek's s/c tissue is in communication with the antrum of highmore(in # maxilla)
well would like to hear more explaination if possible
thanxs.

decembermist · Credits: 41121 My Scrapbook

got it guys....the ans : c

damage to infra-orbital nerve -----> upper lip anesthesia ----> orbital blow out or rim fractures.

F/O orbital # :
hyphema
orbital emphysema
epistaxis
anesthesia / hyposthesia over the distribution of 2nd branch of trigeminal .N ie, lower eyelid & cheek down to the upper lip on the side of injury
diplopia
exophthalmos
restricted eye movements

damage to mental or mandibular nerve----> lower lip anesthesia----> mandibular #

supra orbital / supra trochlear anesthesia ----> frontal bone #

Akil · Credits: 28144 My Scrapbook

Surgical emphysema is rare in in maxillofacial fractures.

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