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ENT Nose and PNS 648273e3

A patient presents with enophthalmos after a trauma to face by blunt object. Diagnosis is:

A
Fracture maxilla
B
Fracture zygoma
C
Fracture nasal bone
D
Fracture ethmoid
High-Yield Explanation
(b) Fracture zygoma(Ref. Scott Brown, 8th ed., Vol 1; 1196)Enophthalmos can be present in fracture zygoma or blow out fracture of orbit.Fracture maxilla, i.e. Le Fort fracture are caused by high velocity injuries.Fracture nasal bone class 3, i.e. including ethmoid are also caused by high velocity injuries and will cause predominantly nasal manifestations which are not mentioned.

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