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Integ Case 4

A man was brought to the emergency room after a motorcycle accident where he was not wearing a helmet. Upon examination, lacerations and deformities were noted on his face. Diagnostic imaging showed fractures requiring surgical repair. The appropriate treatment was determined to be surgical intervention to address the fractures and deformities from the trauma.

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Jayniel Erys Molleno
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25 views

Integ Case 4

A man was brought to the emergency room after a motorcycle accident where he was not wearing a helmet. Upon examination, lacerations and deformities were noted on his face. Diagnostic imaging showed fractures requiring surgical repair. The appropriate treatment was determined to be surgical intervention to address the fractures and deformities from the trauma.

Uploaded by

Jayniel Erys Molleno
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Department of ENT-HNS

Integration Session

Name: ___________________________ Faculty:_________________________

Topic: Maxillofacial Trauma and Facial Plastic and Reconstructive Surgery

A 22 year old Man was rushed to the emergency room due to injury in the glabellar area. He was driving
a motorcycle without a helmet and under the influence of alcohol when he hit a jeepney and fell head
first on to the pavement. The patient claims to have had epistaxis and doubling of vision on upward
gaze, he however denies any loss of consciousness or headache. Upon inspection you noted a laceration
on the forehead and the philtrum. There is also gross deformity in the nasal dorsum and the glabella.
Upon palpation you noted crepitation in the area. The patient also noted widening of his intercanthal
distance.

1. Upon seeing the patient, what will be your initial management for the patient at the ER?
2. What additional information would you like to illicit from the patient?
3. What pertinent physical examination findings will you look for in this trauma patient?
4. What diagnostic tests will you request?
5. Given this imaging study, Provide your primary impression.
6. What is the appropriate treatment for this patient?

A 2 year old male consulted at the ENT-HNS OPD due to cleft lip. He was born full-term to a then 25-
year-old G1P0 via normal, spontaneous delivery without complications aside from noted cleft lip. His
mother had bilateral cleft lip.
1. What other history and physical examination findings are important to elicit in patients with
cleft?
2. What additional diagnostic tests will you request to determine if the patient is fit to undergo
surgery?
3. What appropriate intervention should be done for the patient prior to surgery?
4. Elaborate appropriate management required for our patient to be done post operatively as he
grows to adulthood.

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