Face and Neck Injuries

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• Visible shifting of the trachea to one side, a late sign of tension pneumothorax or large neck mass.

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• A break in the lower jaw bone; can affect bite alignment and airway when bilateral.

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• Bruising over the mastoid process behind the ear, a late sign of basal skull fracture.

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• A full-thickness tear of the eyeball wall — a sight-threatening emergency requiring protective shielding, never pressure.

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• A classification of midface fractures — Le Fort I (transverse maxilla), II (pyramidal), III (craniofacial separation).

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