Zygomatic arch fracture - Revision history

Rossdonaldson1: /* Evaluation */

2021-09-25T13:07:06Z

Evaluation

← Older revision		Revision as of 13:07, 25 September 2021
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	==Evaluation==		==Evaluation==
	[[File:PMC4311579 eplasty15ic05 fig1.png\|thumb\|CT face showing an isolated left zygomatic arch fracture impinging the coronoid of the left mandible.]]		[[File:PMC4311579 eplasty15ic05 fig1.png\|thumb\|CT face showing an isolated left zygomatic arch fracture impinging the coronoid of the left mandible.]]
			[[File:PMC3389904 poljradiol-76-1-41-g009.png\|thumb\|3D reconstruction of CT examination showing acute fracture of the left zygomatic arch.]]
	*CT Sinus/Face		*CT Sinus/Face

Rossdonaldson1: /* Evaluation */

2021-09-25T12:31:04Z

Evaluation

← Older revision		Revision as of 12:31, 25 September 2021
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	==Evaluation==		==Evaluation==
			[[File:PMC4311579 eplasty15ic05 fig1.png\|thumb\|CT face showing an isolated left zygomatic arch fracture impinging the coronoid of the left mandible.]]
	*CT Sinus/Face		*CT Sinus/Face

Rossdonaldson1: /* Clinical Features */

2021-09-25T12:27:18Z

Clinical Features

← Older revision		Revision as of 12:27, 25 September 2021
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	==Clinical Features==		==Clinical Features==
			[[File:Zygomatic-arch.jpg\|thumb\|Area of tenderness and/or deformity in zygomatic arch fracture.]]
	*Flattening of malar eminence		*Flattening of malar eminence
	*Ipsilateral eye may appear to tilt due to pulling of lateral canthus		*Ipsilateral eye may appear to tilt due to pulling of lateral canthus

Rossdonaldson1: /* Background */

2021-09-25T12:26:08Z

Background

← Older revision		Revision as of 12:26, 25 September 2021
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	==Background==		==Background==
	[[File:Gray188-Sphenozygomatic suture.png\|thumb\|Side view of skull showing zygomatic arch.]]		[[File:Gray188-Sphenozygomatic suture.png\|thumb\|Side view of skull showing zygomatic arch (arrow).]]
			[[File:Processuszygomaticusossisfrontalis.png\|thumb\|Lateral articulation of the mandible showing zygomatic arch (arrow).]]
	*Must distinguish zygomatic arch fracture from [[Zygomaticomaxillary (tripod) fracture]]		*Must distinguish zygomatic arch fracture from [[Zygomaticomaxillary (tripod) fracture]]
	**Tripod fracture = fracture of zygomatic arch, lateral and inferior orbital rims, and lateral wall of maxillary sinus		**Tripod fracture = fracture of zygomatic arch, lateral and inferior orbital rims, and lateral wall of maxillary sinus

Rossdonaldson1: /* Background */

2021-09-25T12:24:42Z

Background

← Older revision		Revision as of 12:24, 25 September 2021
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	==Background==		==Background==
			[[File:Gray188-Sphenozygomatic suture.png\|thumb\|Side view of skull showing zygomatic arch.]]
	*Must distinguish zygomatic arch fracture from [[Zygomaticomaxillary (tripod) fracture]]		*Must distinguish zygomatic arch fracture from [[Zygomaticomaxillary (tripod) fracture]]
	**Tripod fracture = fracture of zygomatic arch, lateral and inferior orbital rims, and lateral wall of maxillary sinus		**Tripod fracture = fracture of zygomatic arch, lateral and inferior orbital rims, and lateral wall of maxillary sinus

	==Clinical Features==		==Clinical Features==

ClaireLewis: /* Management */

2019-09-30T23:09:14Z

Management

← Older revision		Revision as of 23:09, 30 September 2019
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	==Management==		==Management==
	*[[Analgesia]]		*[[Analgesia]]
	*If concomitant sinus fracture, prophylactic [[antibiotics]] are indicated ([[amoxicillin/clavulanate]], [[doxycycline]], or [[clindamycin]])		*If concomitant sinus fracture, prophylactic [[antibiotics]] are indicated ([[amoxicillin-clavulanate]], [[doxycycline]], or [[clindamycin]])

	==Disposition==		==Disposition==

ClaireLewis: /* Management */

2019-09-30T23:08:55Z

Management

← Older revision		Revision as of 23:08, 30 September 2019
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	==Management==		==Management==
	*[[Analgesia]]		*[[Analgesia]]
	*If concomitant sinus fracture, prophylactic [[antibiotics]] are indicated		*If concomitant sinus fracture, prophylactic [[antibiotics]] are indicated ([[amoxicillin/clavulanate]], [[doxycycline]], or [[clindamycin]])

	==Disposition==		==Disposition==

ClaireLewis: /* Management */

2019-09-30T23:08:15Z

Management

← Older revision		Revision as of 23:08, 30 September 2019
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	==Management==		==Management==
	*Analgesia		*[[Analgesia]]
	*If concomitant sinus fracture, prophylactic antibiotics are indicated		*If concomitant sinus fracture, prophylactic [[antibiotics]] are indicated

	==Disposition==		==Disposition==

Mholtz at 03:25, 29 September 2019

2019-09-29T03:25:01Z

← Older revision		Revision as of 03:25, 29 September 2019
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	==Background==		==Background==
	*Must distinguish zygomatic arch fracture from [[Zygomaticomaxillary (~~Tripod~~) ~~Fracture~~]]		*Must distinguish zygomatic arch fracture from [[Zygomaticomaxillary (tripod) fracture]]
	**Tripod fracture = fracture of zygomatic arch, ~~lat~~ and ~~inf~~ orbital rims, ~~lat~~ wall of maxillary sinus		**Tripod fracture = fracture of zygomatic arch, lateral and inferior orbital rims, and lateral wall of maxillary sinus

	==~~Evaluation~~==		==Clinical Features==
	*Exam		*Flattening of malar eminence
	**Flattening of malar eminence		*Ipsilateral eye may appear to tilt due to pulling of lateral canthus
	**Eye findings		*Trismus (due to masseter spasm or impingement of temporalis muscle or coronoid process)
	***Eye may appear to tilt (pulling of lateral canthus)		**Palpate posterior surface of arch for tenderness/loss of space compared to other side
	***Subconjunctival hemorrhage
	**Trismus (masseter spasm or impingement of temporalis muscle or coronoid process)
	***Palpate posterior surface of arch for tenderness/loss of space compared to other side

	==Differential Diagnosis==		==Differential Diagnosis==
	{{Maxillofacial trauma DDX}}		{{Maxillofacial trauma DDX}}

			==Evaluation==
			*CT Sinus/Face

	==Management==		==Management==
	*~~Facial CT~~		*Analgesia
			*If concomitant sinus fracture, prophylactic antibiotics are indicated

	==Disposition==		==Disposition==
	Discharge		*Discharge
			*Outpatient plastic surgery follow-up in 1 week

	==See Also==		==See Also==
	[[Maxillofacial Trauma]]		*[[Maxillofacial Trauma]]

	==References==		==References==
	<references/>		<references/>


	[[Category:ENT]]		[[Category:ENT]]
	[[Category:Orthopedics]]		[[Category:Orthopedics]]
	[[Category:Trauma]]		[[Category:Trauma]]

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-26T21:24:16Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 21:24, 26 July 2016
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	**Tripod fracture = fracture of zygomatic arch, lat and inf orbital rims, lat wall of maxillary sinus		**Tripod fracture = fracture of zygomatic arch, lat and inf orbital rims, lat wall of maxillary sinus

	==~~Diagnosis~~==		==Evaluation==
	*Exam		*Exam
	**Flattening of malar eminence		**Flattening of malar eminence