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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12 Nasal Fracture or Contusion
12 Neck Injury General Considerations
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12 Pelvic Bone Fracture
12 Puncture Wounds
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12 Scorpion Bites
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12 Shoulder Injury Clavicle Fracture
12 Shoulder Injury Strains and Sprains
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12 Abdominal Injury Ruptured Spleen
12 Foot Injury Toe Fracture and Sprain
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12 Drowning and Near Drowning

INJURIES

Abdominal Injury
Abdominal Injury: Contusion
Abrasion
Amputations
Animal Bites
Ankle Fracture
Ankle Injury
Ankle Injury: Contusion
Ankle Sprain
Back Injury
Back Injury : Sacrococcygeal Injury
Back Strain
Burns
Carbon Monoxide Poisoning
Chemical Burns
Chest Injuries
Chest Injury: Aortic Rupture
Chest Injury: Hemothorax
Chest Injury: Myocardial Contusion
Chest Injury : Pneumothorax
Chest Injury: Pulmonary Contusion
Chronic Back Pain
Clavicle Fracture
Compression Fractures
Contusions
Decompression Sickness
Disc Disease
Gunshot Wounds
Hand Injury: Fingertip Amputations
Head Injury
Liver Injury
Marine Stings
Muscle Strains
Rib Fracture
Ruptured Spleen
Shoulder Injury: A-C Separation
Spider Bites
Spinal Cord Injury
Sternum Fracture
Testicular Injury
Wrist Injury
hi Scuba Related Injuries
i Hand Injury Finger Amputaion
de Lecerations
de Cold Injury and Hypothermia
dd Dental Injury
xs Facial Injury
sdf Neck Injury
e Shoulder Injury Dislocation
e Ear Injury
ed Elbow Injury
de Elbow Injury Fracture
dfe Elbow Injury Nursemaids
ee Electrical Injury
de Eye Injury
ed Facial Injury General Considerations
fr Facial Injury Contusion
ed Hand Injury Finger Sprains
ded Fingernail and Toenail Injuries
dd Hand Injury Fractures
23 Head Injury Skull Fracture and Concussion
44 Chest Injury Myocardial Contusion
fde Heat Illness
ed Hest Injury Hemothorax
y Back Injury Disc Disease
;l High Altitude Illness


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