Trauma

Exam & Assessment Same as nasal bone fracture Pain Bleeding Swelling Laceration Crepitation/bony step Mobility of the segment Deviation of dorsal hump/septum Septal hematoma Epiphoria Telecanthus Bowstring Test Lid is pulled laterally while the tendon area is palpated to detect movement of fracture segments. Bimanuel Palpation Place an instrument in the nose and push laterally […]

Exam & Assessment Same as nasal bone fracture Pain Bleeding Swelling Laceration Crepitation/bony step Mobility of the segment Deviation of dorsal hump/septum Septal hematoma Epiphoria Telecanthus Bowstring Test Lid is pulled laterally while the tendon area is palpated to detect movement of fracture segments. Bimanuel Palpation Place an instrument in the nose and push laterally

Epistaxis Anterior nasal bleed – 90% of the nasal bleed comes from Kiesselbach’s plexus Greater palatine Anterior ethmoid Sphenopalatine Superior labial Posterior nasal bleed Woodruff’s plexus Comprised of 5 bones Maxilla Frontal bone Nasal bone Vomer Ethmoid Anatomy of the Nose Inferior edge of nasal bone is continuous with the upper lateral cartilage Lateral border of

Facial Nerve (CN VII) Branches of Facial Nerve Temporal Zygomatic Buccinator Marginal Mandibular Cervical Anatomy of Temporal Region Layers of Temporoparietal Region Skin Subcutaneous tissue Temporoparietal fascia Superficial layer of temporalis fascia Temporalis Deep layer of temporalis fascia The temporoparietal fascia is frequently called the superficial temporal fascia or the suprazygomatic SMAS and is an

Signs and Symptoms of Mandible Fracture Pain and tenderness at the fracture site Changes in occlusion Ecchymosis of the floor of the mouth or skin Crepitation on manual palpation Soft tissue bleeding Sensory disturbances (numbness of the lower lip) Changes or deviation of the mandible on opening Soft tissue swelling Trismus Flexion or segmental mobility

Layers of the SCALP The skin and subcutaneous tissue of the scalp are surgically inseparable. In addition, no easy plane of cleavage exists between the subcutaneous fat and the musculoaponeurotic layer. The aponeurosis is the true galea and has two portions, an extensive intermediate aponeurosis between the frontalis and occipitalis muscles and a lateral extension into