CATA 262 Study Guide - Midterm Guide: Mandibular Fracture, Condyloid Process, Avulsion Fracture
3 Mar 2015
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Priorities with facial injuries: monitor level of consciousness, maintain airway, stabilize for possible spinal, possible associated concussion, prevent shock due to hemorrhage. Keys to managing facial trauma: patients will assume best position for airway, leaning forward or side lying to allow tongue and mandible to fall forward decreased secretions, mid-facial injuries, perform eye exam, keep suction available, airway devices. Mandible fracture: occur most often in collision sports, lower jaw bone, second most common facial bone fracture, attached to skull by muscles and tmj, tmj stability from bony structure, ligaments and muscles, prone to injury-few muscles, sharp contours. Increased salivation: step deformity (need x-ray?, malocclusion, awkward jaw movement, pain on mastication, very vascular (bleeding at the gums, ecchymosis floor of mouth, lower lip anesthesia. Treatment of mandible fracture: calm athlete, spit out blood and/or teeth, rinse mouth with water, do not drink, palpation, intra and extra oral. (step deform)
