title: The bimanual examination for assessing instability in naso-orbitoethmoidal injuries.
abstract: A new technique is presented for examining patients suspected of having fractures in the naso-orbitoethmoidal region. It consists of a bimanual examination with a Kelly clamp intranasally and the opposite index finger externally. It has proven reliable in over 500 patient screenings to date. This technique is recommended as an addition to, and not a replacement for, the standard physical examination and radiologic evaluation of the maxillofacial trauma patient.
authors.affiliation: Department of Plastic Surgery, Johns Hopkins Medical Institutions, Baltimore, Md.
authors.forename: J P
authors.initials: JP
authors.lastname: Paskert
authors.forename: P N
authors.initials: PN
authors.lastname: Manson
mesh_terms: D005004:Ethmoid Bone / Q000293:injuries*; D006801:Humans; D009295:Nasal Bone / Q000293:injuries*; D009917:Orbital Fractures / Q000175:diagnosis*; D010808:Physical Examination / Q000295:instrumentation / Q000379:methods*; D012887:Skull Fractures / Q000175:diagnosis*