Term
| Describe management principles of anterior/posterior table frontal sinus fractures |
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Definition
1) Anterior wall fracture repair generally depends on cosmetic deformity
2) Posterior wall fractures have risk of dural tair and/or intracranial injury
- If non-displaced and isnus aerated on CT, no exploration required
- IF displacement of density in sinus, cannot rule out CSF leak and surgery required |
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Term
| Describe appropriate management of orbital floor fractures |
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Definition
| Typically do not need repair unless >1/3 of floor, entrapment, enopathalmos or oculocardiac reflex. |
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Term
| Describe appropriate management of medial orbital wall fractures |
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Definition
| Medial wall approached via transcutaneous approach or transnasally with endoscopies (vs. Transcunj for orbital floor) |
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Term
| What are the approaches to repair of Zygomatic arch fractures? |
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Definition
Percutaneous approach
1) Gilles: incision within temporal hair line, taken to temporalis fascia and elevated between fascia and muscle to access arch medially
2) Keen: Intraoral approach via gingivobuccal sulcus advanced under zygoma to medial arch posteriorly |
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