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February 2005 Radiology Answers This patient is a 27 year old male who presents to the emergency department with the chief complaint of right side facial pain after being assaulted. The following Cat Scan was done. Questions: 1. Describe what you see? Soft tissue swelling in the region of the right zygomatic region Slightly displaced right zygomatic arch fracture Nasal septum slightly deviated to the right Diagnosis: Right Zygomatic Arch Fracture with minimal displacement. 2. What signs and symptoms would this patient present with? Palpable defect over the zygomatic arch Depressed check with tenderness Pain with jaw movement Limited mandibular movement
3. How would you manage this patient? Consult Maxillofacial surgery Ice and analgesics Possible elevation when cosmetic correction is desired or if entrapment of the mandible persists.
Trivia: Which artist was a guest vocalist on the Dire Straits’ hit ‘Money For Nothing’? |