Craniofacial & Maxillofacial (incl. Trauma)

In suspected midface fracture, which finding most strongly suggests a Le Fort pattern rather than isolated nasal or zygoma injury?

What radiographic feature is required for any Le Fort fracture diagnosis?

A blowout fracture with limited upgaze, pain, bradycardia/nausea in a child (“white-eye” fracture) indicates:

Indication for early orbital floor repair in adults includes:

In ZMC (tripod) fractures, restoration of facial width primarily depends on:

Best initial management for suspected CSF rhinorrhea after frontal sinus/posterior table injury:

Naso-orbito-ethmoid (NOE) fractures risk which key structure?

Management of septal hematoma after nasal trauma:

In mandible fractures, the single most important guide to correct reduction is:

Open mandible fractures (intraoral communication) require:

Which condylar fracture finding most favors open reduction internal fixation (ORIF) in adults?

First-line emergency treatment for orbital compartment syndrome with vision loss:

Frontal sinus fracture with displaced anterior table only, no nasofrontal duct injury, no posterior table involvement:

Which horizontal facial buttress is key to midface projection?

Optimal sequencing in panfacial fracture repair generally is:

A through-and-through cheek laceration with salivary drainage raises concern for:

Facial nerve transection in a sharp preauricular laceration identified intraoperatively:

Best imaging modality for acute midface/mandible trauma:

Pediatric mandibular condyle fracture without major displacement/occlusion change:

Orbital floor fracture with >50% floor defect and enophthalmos >2 mm at 2 weeks:

A patient with nasal bone fracture and deviated septum with airway obstruction at 5 days:

Panfacial trauma with missing maxillary incisors and malocclusion: next best step to re-create occlusion?

Most reliable sign of medial canthal tendon disruption in NOE fracture:

Laceration crossing the vermilion border: key technical point is to:

Early sign of CSF leak from nose after craniofacial trauma:

Frontal sinus posterior table fracture with dural tear and persistent CSF leak:

Which muscle entrapment most commonly limits vertical gaze in isolated floor fractures?

When repairing the orbital floor, a key principle to avoid late enophthalmos is:

A patient with mandibular symphysis fracture develops tongue fall-back and snoring:

Typical fixation for atrophic edentulous mandibular body fracture is:

Avulsed permanent tooth from facial trauma arrives within 30 minutes—best action:

A clean facial dog-bite laceration in the cheek of a child within 6 hours:

Blunt laryngotracheal injury signs after facial trauma include:

Which nerve deficit is expected with infraorbital rim fracture?

The Gillies temporal approach is used for:

In panfacial fractures, why avoid rigid MMF for prolonged periods initially?

Most common site of mandible fracture:

Postoperative malar asymmetry after ZMC repair is most often due to:

A patient with epistaxis after midface trauma has septal deviation and obstruction; before packing, first ensure:

Postoperative diplopia after orbital floor repair with intact forced ductions most likely due to:

Which clinical feature best distinguishes Le Fort III from Le Fort II fractures?

In midface trauma, why is nasotracheal intubation relatively contraindicated with suspected anterior skull base fracture?

Management of an isolated, nondisplaced orbital roof fracture without neurologic deficit or ocular findings is typically:

Which CT sign supports a true orbital floor blowout fracture requiring close evaluation?

Primary goal when placing an orbital floor implant is to:

For transconjunctival lower eyelid access to the orbital floor, a major advantage over subciliary incision is:

The most reliable method to diagnose a CSF leak from the nose is:

In NOE fractures, appropriate fixation of the medial canthal tendon requires:

Regarding ZMC fractures, which sequence best restores malar projection?

In frontal sinus fractures with nasofrontal duct injury but intact posterior table, the preferred management is:

A patient with suspected globe rupture after periorbital trauma should first receive:

Which finding in orbital compartment syndrome indicates urgent canthotomy/cantholysis?

Which nerve is at risk in an infraorbital rim fracture?

In panfacial fracture repair, establishing mandibular position is critical because:

Optimal fixation for a favorable mandibular angle fracture (dentate patient) typically is:

Which mandibular fracture pattern most often requires load-bearing fixation?

Recommended antibiotic coverage for an open mandible fracture includes:

Teeth in the line of a mandibular fracture should:

Pediatric facial fractures differ because:

A medial eyelid laceration with tearing suggests canalicular injury. Best management?

For ear lacerations with exposed cartilage, key principle is:

After dog-bite facial laceration within 12 hours, appropriate management includes:

In mandibular condylar base fractures in adults, ORIF is favored when:

A patient has paresthesia of the lower lip/chin after mandibular body fracture. Affected nerve?

Optimal timing for definitive repair of most midface fractures (edema permitting) is:

In panfacial trauma with suspected CSF leak and midface mobility, the safest airway is often:

Which sign suggests entrapment in a “white-eye” blowout fracture in a child?

Best initial step for a through-and-through lip laceration:

The most common site of mandibular fracture overall is:

In displaced zygomatic arch fractures causing trismus, the classical reduction method is:

Alveolar process fracture with mobile tooth segment management includes:

Ellis Class III dental injury indicates:

Which implant material is commonly used to reconstruct large orbital floor defects?

Key step to avoid lower lid malposition after subciliary incision is:

In frontal sinus posterior table fractures without CSF leak and minimal displacement, initial management can be:

A mandibular symphysis fracture treated with two miniplates follows which biomechanical principle?

Infected mandibular fracture with exposed hardware early post-op: best next step?

Which finding after midface fracture repair most suggests inadequate orbital volume restoration?

When using intermaxillary fixation (MMF) screws, a key advantage over arch bars is:

A patient with nasal fracture presents at 3 weeks with fixed deformity and obstruction. Best plan?

Which classic clinical sign is most associated with a Le Fort I (“floating palate”) fracture?

A hallmark clinical feature suggesting a Le Fort II (pyramidal) fracture is:

Restoration of midface width in zygomaticomaxillary complex (ZMC) fractures most depends on:

Which instruction should be given to a patient with an acute orbital floor fracture to prevent complications?

For isolated medial orbital wall fractures with symptomatic enophthalmos/entrapment, a common operative route is:

The forced-duction test differentiates:

Best description of a “blow-in” orbital fracture is:

In pediatric orbital “white-eye” fractures, the oculocardiac reflex manifests as:

Which statement is true regarding favorable vs unfavorable mandibular angle fractures?

Optimal fixation for an oblique parasymphysis/body mandibular fracture amenable to compression is:

A complication of prolonged rigid MMF in polytrauma patients is most concerning for:

Best initial management of a canalicular laceration at the medial eyelid within 24 hours:

Temporal bone fracture patterns: longitudinal fractures are most associated with:

Indication for early facial nerve decompression after temporal bone trauma is:

In frontal sinus trauma, the long-term risk of untreated nasofrontal duct injury is:

A through-and-through nasal ala defect reconstruction must address:

The first suture placed when repairing a lip laceration crossing the vermilion is:

Which storage medium is preferred for an avulsed permanent tooth when immediate replantation is not possible?

Management of extrusive luxation (partially displaced) permanent tooth:

After bilateral mandibular condyle fractures, the typical occlusal finding is:

In a severely atrophic edentulous mandibular body fracture, the fixation principle is:

For an infraorbital rim fracture, the typical sensory deficit involves:

A patient with suspected CSF rhinorrhea should be advised to:

Best initial step in suspected orbital apex syndrome after trauma (vision loss, ophthalmoplegia, V1 numbness):

Which incision offers exposure of the ZMC buttress intraorally?

A nondisplaced orbital roof fracture in a child with no neurologic/ocular deficits should be:

After open reduction of a mandibular symphysis fracture, early postoperative priority is:

The main goal of three-point fixation in ZMC fractures is to:

Indication for open treatment of mandibular condylar head/base fracture in adults includes:

When repairing an eyelid margin laceration, critical step includes:

In frontal sinus posterior table fracture with significant displacement but no CSF leak, management often is:

A patient with a depressed zygomatic arch causing coronoid impingement presents primarily with:

For a through-and-through cheek laceration, correct closure order is:

The Gillies temporal approach reduces:

An avulsed permanent tooth best long-term outcome is achieved by:

After open mandible fracture repair, signs of early infection include:

The most common site of Le Fort III fracture separation is at the:

Condylar fractures in children are generally treated with:

Which nerve is most at risk during a preauricular approach for TMJ/condyle surgery?

Persistent diplopia after orbital floor repair with negative forced ductions is most consistent with: