Maxillofacial examination

The maxillofacial examination is to determine the location and nature of the lesion by examining the expression and consciousness, shape and color, and examination of the facial organs. Check the nasal sounds of patients with cleft palate; the root mass of the tongue may have "with olive voice." The vascular hemangioma can be audibly audible and obvious. The patients with temporomandibular joint disorders can auscultate in the joint area. According to the time and nature of the joint blast, the diagnosis and classification of the disease can be assisted. Basic Information Specialist classification: growth and development check classification: other inspection Applicable gender: whether men and women apply fasting: not fasting Tips: Do not go to check before applying makeup, relax when checking. Normal value According to the rich facial expression, the skin color, texture and elasticity of the maxillofacial skin change well, the pupil does not change, and the nose is smooth without secretions. Clinical significance Abnormal result According to facial expressions, the color, texture and elasticity of the maxillofacial skin can be used to understand the patient's state of consciousness, constitution and severity. Changes in the pupil are an important sign of brain injury. One of the early symptoms of a patient with maxillary sinus cancer may be a blocked nasal obstruction or a bloody secretion from the nasal cavity. Need to check the crowd: people with maxillofacial injuries. Precautions Taboo before inspection: Do not check before applying makeup. Requirements for inspection: Check your relaxation and follow the doctor's instructions. Inspection process Voice and auscultation Check the nasal sounds of patients with cleft palate; the root mass of the tongue may have "with olive voice." The vascular hemangioma can be audibly audible and obvious. The patients with temporomandibular joint disorders can auscultate in the joint area. According to the time and nature of the joint blast, the diagnosis and classification of the disease can be assisted. Maxillofacial examination 1. Expression and consciousness Observing facial expression changes, according to facial expressions, you can understand the patient's state of consciousness, physical condition and severity of illness. 2. Shape and color check Observe and compare the shape of the maxillofacial region, whether the left and right are symmetrical, whether the proportion is coordinated, whether there is protrusion or depression. The color, texture and elasticity of the maxillofacial skin are important for the diagnosis of certain diseases. 3. Facial examination 1 eye: observe changes in pupils, such as pupils and filial reactions to light 2 nasal: should pay attention to the presence or absence of cerebrospinal fluid rhinorrhea, with or without lateral nasal obstruction or nasal secretions. For patients with deformity, special attention should be paid to the defect (nose, nose or other) and the major of the defect. In addition to the above, attention should be paid to the patient's sense of smell. 3 ears: If the injured person in the maxillofacial region has bleeding or exudation of the external auditory canal, it should be noted whether there is a cerebrospinal fluid otorrhea due to a skull base fracture. A condylar fracture causes a rupture of the external auditory canal, and there may also be a hemorrhage of the external auditory canal. Patients with malformations should also pay attention to the location of the defect and the inflammation and tumors of the large part of the ear (such as the temporomandibular joint and parotid gland) should be checked for hearing and ear. Not suitable for the crowd Inappropriate crowd: None. Adverse reactions and risks Nothing.