Переломы скуловой кости, скуловой дуги. Переломы костей и повреждения хрящей носа. Клиника , диагностика , лечение
#476
*!A 68 years old man was rushed to the emergency room after the injury. The doctor diagnosed him with a fracture of the zygomatic bone with displacement of its in the maxillary sinus.
Which of the following tactics of doctor the MOST appropriate?
*radical surgery of maxillary sinusotomy
*osteotomy of the upper jaw
*spokes Kirchner through the zygomatic bone by the method Makienko
*+radical surgery of maxillary sinusotomy with the reduction of the bone fragments
*bimaxillary splinting
#477
*!A 22 years old was appealed to the clinic after 1.5 months after the injury, with complaints of violation of limitation of mouth opening, facial deformation. On examination: skin normal color. Facial deformation due to the flattening of the zygomatic region on the left, a symptom of "steps" along the lower edge of the eye socket, numbness of the skin infraorbital area and the wing of the nose to the left.
Which of the following therapies is MOST appropriate in this clinical case?
*contouring plastic of the cheek area
*the elimination of the deformation method of implantation
*the elimination of the deformation method of autotransplantation
*+refracture of the zygomatic bone and reposition it in the correct position
*reposition the zygomatic bone hook of Limberg in the correct position
#478
*!A 36 years old man was admitted to the emergency room 4 hours after the injury. The doctor diagnosed a fracture of the zygomatic bone with displacement of its in the maxillary sinus. Made reposition.
Which of these method is MOST appropriate to fix the zygomatic bone?
*exposed stitches
*Kolodny stitches
*plastic vodicem
*the ointment pellet
*+by iodine-phorme tampon
#479
*!A 32 years old man turned to the clinic with complaints of ceasing of the soft tissues in the zygomatic region to the right, aesthetic lack . From history: six months ago was injured, immediately seek medical assistance is not addressed. The doctor diagnosed the deformation of the zygomatic bone without functional disorders after long-standing fracture of the zygomatic bone
What surgery is MOST shown?
*reposition the zygomatic bone Elevator Karapetyan
*+contouring
*radical hamartoma with the reduction of the bone fragments
*osteotomy of the zygomatic bone
*reposition the zygomatic bone hook of Limberg
#480
*!A 35 years old man turned, after 3 hours after injury, with complaints of double vision, pain in left side of face, difficulty in mouth opening, bleeding from this half of the nose. Objectively: facial Asymmetry due to swelling of the soft tissues of the zygomatic and infraorbital regions of the left and numbness of tissues of infraorbital region on the left. Palpation is determined by the symptom of "steps" along the lower edge of the orbit and left side of the oral cavity in the region of the zygomatic - alveolar ridge.
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Which of the following choices of anesthesia during the surgical treatment is the MOST appropriate?
*conduction anesthesia;
*application anesthesia;
*+endotracheal narcosis ;
*infiltration anesthesia;
*inhalation mask anesthesia.
#481
*!A 34 years old man complained of limitation of mouth opening, discomfort, and deformation of the face. On examination: skin normal color. Facial deformation due to the flattening of the zygomatic region on the left, a symptom of "steps" along the lower edge of the eye socket, numbness of the skin infraorbital area and the wing of the nose to the left.
What method of surgical treatment of the following is MOST appropriate?
*+the method of Limberg;
*method of Federspil;
*method Malanchuk - Cimaco
*method Suslov - Krushinskogo
*the method of Bernadsky, the method of Pakovich
#482
*!A 42 years old man was admitted to the clinic with complaints of cosmetic defect and violation of breath. Diagnosis: Deformity of the nasal bridge (humpback and the crooked nose). During the operation demonstrates the use of:
*paramedial osteotomy
*replanting cartilage
*+paramedial and lateral osteotomy
*lateral osteotomy
*replanting silicone implant
#483
*!A 29 years old man was admitted to the clinic after the injury with complaints of mouth opening limitation numbness in the infraorbital area and the gingival area of the upper jaw on the left, the double vision. On examination: facial deformation due to the flattening of the zygomatic region on the left, a symptom of "steps" along the lower edge of the orbit.
Which of the following is the MOST likely cause of the diplopia?
*trauma to the eyeball
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*inflammatory response
*trauma to the optic nerve
*+the offset of the eyeball
*intraorbitally hematoma
#484
*!A 38 years old man admitted to the clinic after 6 hours after the injury. Complaints of limitation of mouth opening, diplopia. On examination: facial deformation due to the flattening of the zygomatic region on the left, a symptom of "steps" along the lower edge of the eye socket, numbness of the skin infraorbital area and the wing of the nose to the left.
Which of the following diagnostic methods is the MOST informative for the detection of fracture of the walls of the orbit?
*the radiograph in direct projection
*the radiograph in lateral projection
*radiograph in rear projection
*+x-ray in axial projection
*orthopantomogram
#485
*!A 47 years old man was taken to the hospital with a severe nose bleeding, which started after he received a blow on the nose with a hard object. Consciousness is not lost. Nausea, vomiting was not. On examination, the nasal bridge is straight, defined an infiltration of the soft tissues, sharp pain on palpation of the back of the nose. In the nasal passages tampons soaked with blood, but despite this, the bleeding continues and the blood flows down the back of the throat on the left. On the radiograph is determined by the fracture of the nasal bones without displacement of fragments.
What method of treatment of these the MOST appropriate?
*+holding the rear nose tamponade
*reposition the nasal bones with the help of the Elevator Volkova
*osteotomy and osteosynthesis of bones of the nose
*dressing on the bridge of the nose
*introduction of cotton swabs with ointment
#486
*!A young man of 17 years, entered the clinic after receiving a sports injury. From the history of consciousness is not lost, nausea and vomiting was observed. The results of the survey exhibited the diagnosis of "Closed fracture of bones of nose with displacement".
Which treatment listed is shown the MOST?
*conservative treatment at the neuropathologist
*plaster bandage on the nose
*+reposition the nasal bones
*osteotomy of the frontal process of the maxilla
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*turundy ointment into the nasal passages
#487
*!A 36 years old woman was admitted to the emergency Department with complaints of limitation of mouth opening, discomfort, and deformation of the face. From history – is injured 4 hours ago. On examination: skin normal color. Facial deformation due to the flattening of the zygomatic region to the right, a symptom of "steps" along the lower edge of the eye socket, numbness of the skin infraorbital area and the wing of the nose to the right.
What method of treatment of the following is MOST appropriate?
*method of Federspil
*+the method of Limberg
*method Malanchuk - Cimaco
*method Suslov - Krushinskogo
*the method of Bernadsky
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