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limit swelling and refer to Physician ? Zygomatic Fractures ? With direct impact to the zygomatic bone the cheek will appear flat or depressed ? Swelling and ecchymosis about the eye may interfere with vision ? Rx Refer to doctor ASAP ? Mandibular fractures are the third most mon fracture associated with sports participation behind the nasal and zygotic fractures. ? Seldom occur as isolated fractures but usually as double fractures or fracture dislocation. ? In all fractures it is important to maintain an open airway, dress wounds , immobilize as best as possible and refer to physician. 279 Nasal Injuries ? Epistaxis nose bleed in most cases bleeding will stop spontaneously by applying mild pressure at the nasal bone, ice may be used to stop persistent bleeding , Nasal plugs may be used if bleeding continues for more than five minutes refer to physician. Oral and Dental Injuries ? To prevent dental injuries mouthgaurds should be used at all times ? Lacerations of the mouth ? RX Apply direct pressure cleanse the area with a saline solution ? Lacerations that extend pletely through the lip or large tongue lacerat