The majority of complications were infection and inflammation The radiology of facial fractures. A facial fracture may be left to heal on its own if your broken bone stays in its normal position. Mandible lower jaw —The mandible holds the lower teeth in place and moves when you are talking or chewing. It may involve the medial and lateral walls of the maxillary sinuses and invariably involves the pterygoid processes of the sphenoid. Thus, this fracture is also referred to as craniofacial disassociation. Clinical signs suggestive of a Le Fort I fracture include facial edema, ecchymosis, abrasions, lacerations, active epistaxis, palpable crepitus, mobile maxilla, and step deformities.
Analysis of facial bone fractures: An 11-year study of 2,094 patients
Unlike upper jaw fractures, however, lower jaw injuries are more likely to heal incorrectly because the bone is much thicker than the upper jaw and prone to problems such as infection. A doctor may prescribe pain-relieving drugs as well as oral steroids to ease swelling. Table 8 Associated soft tissue injuries. Nasal Fractures Nasal bone fractures are the most common facial bone injury. When describing these injuries, one should probably give a separate diagnosis to each half of the face.
Facial Fractures: Symptoms, Diagnosis, Treatment
Health Tools Feeling unwell? The development of acute post-traumatic stress disorder after orofacial injury: Note that extraocular muscle entrapment can cause an oculo-cardiac reflex leading to collapse. Atlas of emergency medicine. When describing these injuries, one should probably give a separate diagnosis to each half of the face. Seek medical help right away if you have any of the following:
What criteria should be used to establish the need for operative reduction? There are important medicolegal and psychological aspects of the treatment of maxillofacial injuries, particularly as violence is a common cause. During the surgical repair, the teeth are wired together to re-establish the correct relationship between the upper and lower teeth and then the bones are repaired with plates and screws. Other possible complications include dacryocystitis and epiphora, septal deviation, hematoma, synechiae, and various ocular injuries. Do not eat or drink anything, including water, after midnight prior to surgery. Treatment aims to repair the face's natural bony architecture and to leave as little apparent trace of the injury as possible. In his series of 24 patients with maxillary osteotomies at the time of initial midface fracture repair, only 1 patient failed to regain pretrauma occlusion.