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Chapter 56. Craniomaxillofacial Trauma
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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?
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A. Wire fixation to minimize damage to the small bone
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B. Mini-plates to match the plates to the size of the bone
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C. Mandibular reconstruction plates to replace the strength of the bone
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D. Compression plates to maximize the force across the fracture and promote healing
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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?
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A. Stabilize the zygoma and then repair the orbital floor with an implant.
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B. Stabilize the zygoma and don’t worry about the orbit; you can repair it later if the problem persists.
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C. First attend to the defect in the orbital floor, and once this is repaired the zygoma can be fixed.
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D. Don’t worry about the zygoma; repair the orbit and the zygoma can be repaired later if it presents a problem.
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When managing subcondylar fractures of the mandible, which of the following is most correct?
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A. These do not require attention, since the patient will get better on his/her own.
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B. Open reduction and placement of a mandibular reconstruction plate is the best approach today.
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C. Placing the patient in rigid MMF will reduce the fracture and result in the best outcome for most patients.
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D. Transoral open reduction and placement of mini-plates is a reasonable approach to these fractures
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Naso-orbital-ethmoid (NOE) fractures are best managed using which of the following approaches?
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B. Percutaneous transnasal wiring
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C. Open reduction with transnasal wiring
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D. Delayed repair to see if such a difficult surgery is actually necessary
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When the anterior wall of the frontal sinus is fractured, which of the following is most likely to be true?
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A. The patient will require a coronal incision if he/she wants to have the fracture reduced and plated in ...