Facial Fracture Midface 1
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This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
CME Advisory Committee Disclosure:
Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CA0077-Facial Fracture Midface 1
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CA0077-Facial Fracture Midface 1
Case ReportHistory
Exam
Prior Study
Findings
Facial and Scalp Soft Tissues and Airway
There is no significant soft tissue swelling.
Intracranial
There is no evidence of intracranial injury.
Central Skull Base
There is no fracture of the greater or lesser wing of the sphenoid bone or basisphenoid.
Midface - Maxillary Region
There is no evidence of a fluid collection or hematoma along the nasal septum or in the nasal cavity. The nasal septum is likely fractured.
There is a comminuted, slightly displaced and slightly depressed fracture of the nasal bones.
The lateral walls of the maxillary sinuses are fractured bilaterally and the left maxillary alveolar ridge is possibly fractured. The hard palate is not fractured.
The pterygoid processes of the sphenoid bone are fractured bilaterally.
Fronto-Naso-Ethmoidal Complex
The naso-orbito-ethmoid complex is not fractured except for the previously described fractures of the nasal bones. Fractures of the maxilla extend to involve the lower aspect of frontal process of the maxilla. The medial walls of the orbit are normal. The intercanthal distance is not increased.
There is fracture of the nasolacrimal canals bilaterally; that fracture is displaced on the left.
There is no injury of the ethmoid complex. Specifically, the olfactory fossa and the cribriform plate are not significantly dehiscent.
The frontal bone and frontal sinus inner and outer table are not fractured.
Zygomatico-Orbital Region and Globes
There is no fracture of the zygomatic arch, frontozygomatic suture or infraorbital rim, remainder of the orbit or globe.
Mandible and Temporomandibular Joints
There is no bony injury or dislocation of the temporomandibular joint.
Dentition
There is no evidence of dental fractures and/or missing or displaced teeth. The appearance of the alignment of the upper and lower jaws are consistent with abnormal occlusion but that is better judged clinically.
Cervical Spine
The visualized portions of the cervical spine are normal.
