Facial Injury : Fracture
The face is a complex structure comprised of both soft tissues and bone. A significant blunt force can not only cause soft tissue injury (contusion) but can also fracture underlying bones. A fracture is any disruption in the continuity of the bone cortex. This may be a hairline fracture, or more extensive destruction, with displacement, or depression of bone fragments. The management of facial fractures focuses on the maintenance of normal facial contour, shape, and function.The majority of facial fractures appear with gross deformity and swelling. There may be a "flattening" to a normal facial prominence that indicates a fracture at the site. In these cases, surgical repair is necessary. Any "puffiness" around the eyes or crepitation to the face indicates an underlying fracture. Sinus fractures will manifest a characteristic "sponginess" as one
touches the area over the cheek. Facial fractures occur more commonly in areas of bony prominences: cheek bones, around the eyes, and the nose.Evaluation will include physical examination to identify associated soft tissue injuries. X-rays will be taken to identify fractures. Most nondisplaced fractures of the face require no special management, with surgery being reserved
for those exhibiting deformity and bone displacement. CT-scanning of the face may reveal more subtle fractures that are not noticeable on the conventional x-ray.Facial fractures can be associated with serious head injury, neck injury and eye injuries. The Plastic Surgeon is the expert in the care of facial fractures. Cold
compresses to control swelling is recommended during the first 48 hours. Acetaminophen or an anti-inflammatory (ibuprofen) help reduce pain.
Hope this article will provide you informaiton about facial injury.
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