Mandible fracture: Difference between revisions

Revision as of 23:25, 2 April 2011

Bite test most sensitive (or tongue blade breaking)
- Have pt bite on tongue blade and twist it
  - If mandibular Fx present then pt should reflexively open mouth
    - Sn 95%, Sp 65%
Check Stenson's duct for bleeding
If suspicious:
- Flat films (adult)> panorex if neg
CT with recontruct (children)
Sublingual hematoma is suggestive of an occult jaw fracture.

@@ Line 1: / Line 1: @@
 ==Diagnosis==
+*Bite test most sensitive (or tongue blade breaking)
+**Have pt bite on tongue blade and twist it
+***If mandibular Fx present then pt should reflexively open mouth
+****Sn 95%, Sp 65%
+*Check Stenson's duct for bleeding
+*If suspicious:
+**Flat films (adult)> panorex if neg
+*CT with recontruct (children)
+*Sublingual hematoma is suggestive of an occult jaw fracture.
--bite most sensitive (or tongue blade braking)
--check Stenson's duct for bleeding
--if suspicious:
-flat films (adult) --> panorex if neg
-CT with recontruct (children)
-Sublingual hematoma is suggestive of an occult jaw fracture.
-Tongue blade test-havept bite down on tongue blade and twist it, if a mandibular Fx is present then the pt should reflexively openmouth...95% sensitive and 65% specific.
 ==See Also==
@@ Line 26: / Line 15: @@
 Trauma: Maxilofacial
 [[Category:Trauma]]