Case Notes
History
Possible facial, mandibular, orbital, and/or skull fractures, due to craniofacial trauma.Exam
Prior Study
Dicom
Findings
Facial and Scalp Soft Tissues and Airway | Correct Answer | Your Answer |
---|---|---|
There is localized edema, hematoma or abscess within in the facial or scalp soft tissues, SMAS, infratemporal fossa, masticator space or oral cavity. |
Yes | NA |
There is evidence of gas or a foreign body at a possible fracture site, indicative of an open or penetrating injury. |
No | NA |
There is soft tissue swelling suggesting injury to the parotid or submandibular glands. |
No | NA |
The upper airway is significantly narrowed or obstructed. |
No | NA |
Intracranial | Correct Answer | Your Answer |
---|---|---|
There is subperiosteal, epidural or subdural hematoma and/or pneumocephalus along the boney walls of the anterior or middle cranial fossa or elsewhere. |
No | NA |
There is subarachnoid bleeding. |
No | NA |
There is evidence of parenchymal brain injury. |
No | NA |
Midface - Maxillary Region | Correct Answer | Your Answer |
---|---|---|
There is evidence of a fluid collection or hematoma along the nasal septum or in the nasal cavity. |
No | NA |
|
Yes | NA |
|
Yes | NA |
The medial, lateral and posterior maxillary walls are fractured. |
Yes | NA |
The infraorbital rims and orbital process of the zygoma and/or frontozygomatic suture are fractured. |
Yes | NA |
The alveolar ridge, premaxilla, and/or the palatine process of the maxillary bones on either side are fractured. |
Yes | NA |
|
Yes | NA |
The pterygoid processes of the sphenoid bone are fractured. |
Yes | NA |
Fronto-Naso-Ethmoidal Complex | Correct Answer | Your Answer |
---|---|---|
The mesial naso-orbito-ethmoid complex is fractured. Specifically, there is bony injury of the nasal bones or the frontal process of the maxilla and the medial walls of the orbit are abnormal. |
Yes | NA |
The intercanthal distance is increased. |
No | NA |
The nasolacrimal canal is fractured. |
No | NA |
There is injury of the ethmoid complex. Specifically, the ethmoid roof, olfactory fossa and the cribriform plate are fractured and/or significantly dehiscent. |
Yes | NA |
The frontal bone and frontal sinus inner and outer tables are fractured. |
Yes | NA |
Zygomatico-Orbital Region and Globes | Correct Answer | Your Answer |
---|---|---|
The the zygomatic arch, frontozygomatic suture or infraorbital rim are fractured. |
Yes | NA |
The lateral wall of the orbit is fractured. |
Yes | NA |
There is fracture of the greater or lesser wing of the sphenoid bone, optic strut and canal, or basisphenoid, in the region of the orbital apex. |
No | NA |
The circumferential extraconal and the intraconal orbital fat are edematous. |
Yes | NA |
There is evidence of a subperiosteal hematoma along the medial wall, roof or floor of the orbit. |
No | NA |
The orbital apex and the superior and inferior orbital fissures are abnormal. |
No | NA |
The extraocular muscles are swollen. |
Yes | NA |
Proptosis is present. |
No | NA |
|
No | NA |
|
No | NA |
There is evident general optic sheath swelling or swelling at the junction of the globe and sheath to suggest an optic sheath hematoma. |
Yes | NA |
There is evident subretinal, subchoroidal or intravitreous hemorrhage. |
No | NA |
There is entrapment of the muscles of mastication by fractures of the coronoid process and/or zygomatic arch. |
No | NA |
Central Skull Base | Correct Answer | Your Answer |
---|---|---|
There is fracture of the greater or lesser wing of the sphenoid bone or basisphenoid. |
No | NA |
Mandible and Temporomandibular Joints | Correct Answer | Your Answer |
---|---|---|
There is bony injury or displacement of the body, angle, ramus, parasymphyseal region, alveolar ridge, and condylar and coronoid process of the mandible. [In case of fracture, describe complexity and displacement]. |
No | NA |
There is entrapment of the muscles of mastication or other soft tissues by fractures of the coronoid process and/or zygomatic arch. |
No | NA |
The condylar head and fossa as well as the temporomandibular joint space are abnormal. |
No | NA |
There is condylar fracture either within or outside of the joint capsule, or with or without involvement of the articular surface of the condylar head. |
No | NA |
There is evidence of radiodense intra-articular osteochondral fragments. |
No | NA |
There is bony injury or displacement of the external auditory canal and/or other evidence of temporal bone injury. |
No | NA |
Dentition | Correct Answer | Your Answer |
---|---|---|
There are dental fractures and/or missing or displaced teeth. |
No | NA |
Cervical Spine | Correct Answer | Your Answer |
---|---|---|
The visualized portions of the cervical spine are abnormal. |
No | NA |