Category 16, Items 11, 12 and 13
11. A patient sustains a facial injury. The computed tomographic (CT) scans are shown. They are diagnostic of a(n)
orbital “blow-out” fracture
malar complex fracture
Le Fort II fracture
naso-orbital-ethmoid (NOE) fracture
frontal sinus fracture
12. Clinical findings associated with this injury include all of the following EXCEPT
subconjunctival hemorrhage
infraorbital nerve numbness
flattening of the cheek prominence
enophthalmos
lengthening of the face
13. Which of the following findings is an indication for surgical treatment of this injury?
Periorbital ecchymosis
Crepitus in the buccal vestibule
Unilateral epistaxis
Impaired extraocular muscle function
Paresthesias of the cheek and hip
For the 2 incomplete statements and 1 question above, select the answer that is best of the 5 given for each item. For the critique of Items 11, 12 and 13, see page 382.
Footnotes
(Reproduced by permission from SESAP No. 10 1999–2001 Syllabus Volume 2. For enrolment in the Surgical Education and Self-Assessment Program, please apply to the American College of Surgeons, 633 North St. Clair St., Chicago IL 60611, USA.)