Diferencia entre revisiones de «Frontal sinus fracture»
(Created page with "*Requires high-energy **Must rule-out TBI, additional fx, and cervical spine injury *Assess sinus involvement: **Crepitus **Laceration over fracture site is typical *Imaging **He...") |
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| Línea 15: | Línea 15: | ||
**Depresed fx? | **Depresed fx? | ||
***Admit for IV abx and operative repair | ***Admit for IV abx and operative repair | ||
==See Also== | |||
*[[Maxillofacial Trauma]] | |||
Revisión del 16:51 11 jun 2012
- Requires high-energy
- Must rule-out TBI, additional fx, and cervical spine injury
- Assess sinus involvement:
- Crepitus
- Laceration over fracture site is typical
- Imaging
- Head CT indicated if suspect fracture
- Assess anterior and posterior tables
- Through and through fx require sx to prevent pneumocephalus, CSF leak, infection
- Assess anterior and posterior tables
- Head CT indicated if suspect fracture
- Management
- Sinus involvement?
- If yes then give 1st gen cephalosporin or amoxicillin clavulanate
- Isolated anterior table fx?
- D/C w/ facial surgeon f/u
- Depresed fx?
- Admit for IV abx and operative repair
- Sinus involvement?