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Chapter 56. Craniomaxillofacial Trauma

Since atrophic, edentulous mandibles are very small in height, when the body of such a mandible is fractured, it is best repaired using which of the following techniques?

A. Wire fixation to minimize damage to the small bone

B. Mini-plates to match the plates to the size of the bone

C. Mandibular reconstruction plates to replace the strength of the bone

D. Compression plates to maximize the force across the fracture and promote healing

When the orbit is fractured along with a zygomatic fracture, and there is clinical evidence of enophthalmos, which of the following represents the best approach to repair?

A. Stabilize the zygoma and then repair the orbital floor with an implant.

B. Stabilize the zygoma and don’t worry about the orbit; you can repair it later if the problem persists.

C. First attend to the defect in the orbital floor, and once this is repaired the zygoma can be fixed.

D. Don’t worry about the zygoma; repair the orbit and the zygoma can be repaired later if it presents a problem.

When managing subcondylar fractures of the mandible, which of the following is most correct?

A. These do not require attention, since the patient will get better on his/her own.

B. Open reduction and placement of a mandibular reconstruction plate is the best approach today.

C. Placing the patient in rigid MMF will reduce the fracture and result in the best outcome for most patients.

D. Transoral open reduction and placement of mini-plates is a reasonable approach to these fractures

Naso-orbital-ethmoid (NOE) fractures are best managed using which of the following approaches?

A. Closed reduction

B. Percutaneous transnasal wiring

C. Open reduction with transnasal wiring

D. Delayed repair to see if such a difficult surgery is actually necessary

When the anterior wall of the frontal sinus is fractured, which of the following is most likely to be true?

A. The patient will require a coronal incision if he/she wants to have the fracture reduced and plated in ...

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