Physical Examination

ž   Inspection of the face for asymmetry. ž   Inspect open wounds for foreign bodies. ž   Palpate the entire face. ¡      Supraorbital and Infraorbital rim ¡      Zygomatic-frontal suture ¡      Zygomatic arches                  Physical Examination ž   Inspect the nose for asymmetry, telecanthus, widening of the nasal bridge. ž   Inspect nasal septum for septal hematoma, CSF or blood. ž   Palpate nose for crepitus, deformity and subcutaneous air. ž   Palpate the zygoma along its arch and its articulations with the maxilla, frontal and temporal bone. ž   Check visual acuity. ž   Check pupils for roundness and reactivity. ž   Examine the eyelids for lacerations. ž   Test extra ocular muscles. ž   Palpate around the entire orbits..      Definitive Treatment ž   Reduction ž   Fixation ž   Immobolization