Face trauma

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Face trauma

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7 Posts

Ivonne
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01/25/08 - 04:16 PM

A 37 yo M presents after a MVA c/o severe pain in the left side of his face, with soft tissue swelling over the eye, cheek and jaw. He has decreased sensation over the lower left face as well. Rest of the exam is unremarkable and normal vital signs. Which of the following injuries did the patient more probably suffer?

a.-Anterior maxillary wall fracture

b.-Mandibular dislocation

c.-Mandibular ramus fracture

d.-Orbital blow-out fracture

e.-Zigomaticomaxillary complex fracture

Explain your answer pz

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neurom
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01/25/08 - 11:51 PM

I go with C. Hypesthesia of the lower face---> sensory fibers of trigeminal nerve pass through mandible---> V3 nerve root injury.

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RX 135
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01/26/08 - 10:36 AM

e...hoe fifth nerve involved no idea

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Korotkoff
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01/27/08 - 10:05 AM

I think this has got something to do with the course of facial nerve. I don't rememer the anatomy well but it sounds E.

neurom
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01/27/08 - 10:18 AM

Korotkoff wrote:
I think this has got something to do with the course of facial nerve. I don't rememer the anatomy well but it sounds E.

facial nerve----> motor innervation, not sensory...

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Ivonne
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01/28/08 - 04:55 PM

The correct answer is C very well explained by neurom.

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Ujk
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02/07/08 - 05:12 PM

C

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