Zygomatic arch fracture
Revision as of 21:24, 26 July 2016 by Neil.m.young (talk | contribs) (Text replacement - "==Diagnosis==" to "==Evaluation==")
Background
- 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
Evaluation
- Exam
- Flattening of malar eminence
- Eye findings
- Eye may appear to tilt (pulling of lateral canthus)
- 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
Maxillofacial Trauma
- Ears
- Nose
- Oral
- Other face
- Zygomatic arch fracture
- Zygomaticomaxillary (tripod) fracture
- Related
Management
- Facial CT
Disposition
Discharge