Craniomaxillofacial Trauma

Chapter 18 of Volume 2, Head, Neck & Craniofacial. Revision notes and examiner-style viva questions with model answers for the FRCS (Plast).

20 viva questions in this chapter

1. This man was assaulted outside a pub two hours ago. Take me through your assessment.
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2. He is bleeding heavily from the nose and mouth and his blood pressure is falling. What do you do?
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3. What are you looking for on examination, and in what order?
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4. How would you image him?
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5. The nurse says he has severe eye pain and cannot see out of the left eye. What is happening and what do you do?
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6. This photograph shows periorbital ecchymosis and a subconjunctival haemorrhage. Describe it and tell me what you would do.
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7. How many points would you fix, and why?
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8. Which approach would you use to the infraorbital rim?
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9. Tell me about the isolated zygomatic arch fracture.
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10. This is an orbital floor fracture. When do you operate?
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11. This patient has a flattened nasal root and his eyes look wide apart. What is going on?
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12. This man was in a high-speed road traffic collision. The CT shows displaced fractures of both the anterior and posterior tables of the frontal sinus. Talk me through it.
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13. This patient has a base of skull fracture and a complete facial palsy. How do you manage him?
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14. This intraoperative photograph shows a parasymphyseal fracture fixed with two monocortical plates. Describe it and justify the fixation.
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15. Angle fracture. One plate or two?
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16. Condylar fracture. Open or closed?
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17. An 80-year-old woman falls and fractures her edentulous mandible. It is very thin.
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18. Talk me through the Le Fort classification and how you would sequence a panfacial repair.
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19. He has a deep laceration across the left cheek. What are you worried about?
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20. This man has a gunshot wound to the face. Where do you start?
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