Inspection

Begin the examination by viewing the patient from the front. Facial elongation occurs with high-grade LeFort fractures. Then view the face from above looking down (bird's-eye view) and from below up (worm's-eye view). These perspectives reveal subtle asymmetries. Because posttraumatic Bell palsy occurs with fractures of the temporal bone, test the muscles of facial expression. Ask patients to smile, frown, whistle, raise their brows, and close their eyes tightly. Look for ecchymosis around the eyes (raccoon eyes) and over the mastoid area (Battle sign) for associated basilar skull fracture. These findings usually develop over several hours and are often absent on admission, despite serious facial trauma.

Was this article helpful?

0 0
How To Cure Yeast Infection

How To Cure Yeast Infection

Now if this is what you want, you’ve made a great decision to get and read this book. “How To Cure Yeast Infection” is a practical book that will open your eyes to the facts about yeast infection and educate you on how you can calmly test (diagnose) and treat yeast infection at home.

Get My Free Ebook


Post a comment