Facial Fractures

Nose
The nose is the most commonly broken bone on the face as it can be easily broken from any frontal impact such as a fist, car accident or a slip and fall. Many nasal fractures do not require correction. However, if the nose is crooked or breathing problems result from the injury, surgery may be required. If the injury is less than 2 to 3 weeks old a simple reduction with a small amount of anesthesia will provide good results. If a breathing problem develops following the nasal trauma then repair to the deviated septum may be required.

Cheek Bone (Zygoma)
The cheek bone is the second most common broken bone on the face. This usually arises from a direct blow to the cheek bone. If the cheek bone is broken but not displaced, then no surgery may be needed. However, if the cheek bone is depressed or displaced, then reduction and plating may be required. Cheek bone surgery is relatively uncomplicated if performed within the first several weeks following the injury.

Eye Area (Orbit)
Trauma to the eye area may result on an orbital fracture. This type of fracture can be missed during a routine physical examination or emergency room visit and may only be identified with a CAT scan. Repair of this fracture can be done with an incision to the inside of the eyelid which leaves no visible scar. Not all orbital fractures require surgery.

Midface (Lefort fracture)
A Mid Face fracture usually occurs from a severe impact to the middle portion of the face. This type of injury can cause malocclusion, the misalignment of teeth. Malocclusion can be surgically repaired using plates and screws. The jaw should also be wired to keep the proper teeth position aligned.

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