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Surgery > General Surgery > Trauma
Question 1
A 32-year-old man is brought to the emergency department following a high-speed motorcycle collision. He is alert and oriented (GCS 15) but reports severe facial pain and an inability to close his teeth together properly. Vital signs are HR 110 beats/min, BP 130/85 mmHg, and RR 20/min. Physical examination reveals diffuse facial edema, bilateral periorbital ecchymosis ('raccoon eyes'), and a flattened, concave facial profile ('dish-face' deformity). Palpation demonstrates mobility of the entire midfacial skeleton, including the nose, maxilla, and zygomatic arches, independent of the cranium. CT imaging reveals fracture lines extending through the nasofrontal suture, orbital floors, and frontozygomatic sutures. Which of the following is the most likely diagnosis?
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