TAILORING YOUR PERFECT SMILE

What is Facial Trauma?

You might know incidents like assault and road accidents often lead to facial trauma. 76.4 million fractures of different types were reported in 2019 alone. Out of that, 10.7 million cases were facial fractures; however, they remain neglected by the majority.

An injury to the face not only causes pain but could also result in a disfigured appearance and loss of function. Such cases are often presented to dentists and maxillofacial surgeons for successful restorative surgery.

If you or someone you know was a victim of facial injury, you are at the right place. This blog will cover what is facial trauma, its different types, and its treatment.

What is Facial Trauma

What is Facial Trauma?

Any damage to the bone or soft tissue of the face is known as facial trauma. Alternatively, it is also termed maxillofacial trauma or LeFort traumatic. Causes of the trauma could be:

  • Road accidents
  • Domestic violence
  • Assault and violence (including gunshots)
  • Animal attacks
  • Thermal burning
  • Exposure to harmful chemicals
  • Sports injuries 

The face is a very sensitive area. It contains a number of bones, many vessels, and nerves that originate directly from the brain. Therefore, trauma to any of the nerves and vessels can lead to loss of function. Broken bones could lead to facial disfigurement as well.

Types of Facial Trauma

Different injuries on the face affect different parts. Some only cause bruises and scratches, some result in broken bones. While others can cause distorted appearances and even facial nerve impairment. Around 33.8% of all facial fractures are caused by road crash accidents. These are the types of injuries related to the face:

Facial Soft Tissue Trauma

Soft tissue trauma to the face includes:

  • Salivary gland damage. More than 100 salivary glands are found in the face, which facilitate eating and keeping the mouth moisturized.
  • Facial nerve damage that leads to either loss of function or sensation of skin. Patients in such conditions might not be able to smile, blink, frown, bite, swallow, chew, or move their eyes for focus.
  • Eye-related injuries (in case the optic nerve is damaged).
  • Facial burns resulting from chemical exposure or heat/cold scenarios.
  • Infection, scar, or bleeding due to laceration of skin and/or scalp.
  • Inability to talk, eat, swallow, and chew due to laceration of tongue.

Facial Fractures and Injuries

Severe facial trauma and fractures can cause unprecedented conditions such as impaired nerves, loss of facial functions, distortion of the facial structure, and so on. It can also lead to the leakage of CSF (cerebrospinal fluid) surrounding the brain.

Broken Teeth

Succedaneous (permanent) teeth will need restorative dental surgery if they are broken or cracked.

Broken Eye Socket (Fracture of Orbital Bone)

Eye socket fracture includes:

  • Orbital floor fracture/blowout fracture: Breakage of the bone at the bottom of the eye socket, leaving a hole. This is due to the direct impact on the eye socket.
  • Orbital rim fracture: Fracture of the thick outer edges of the eye socket.

Broken Eye Socket (Fracture of Orbital Bone)

Eye socket fracture includes:

  • Orbital floor fracture/blowout fracture: Breakage of the bone at the bottom of the eye socket, leaving a hole. This is due to the direct impact on the eye socket.
  • Orbital rim fracture: Fracture of the thick outer edges of the eye socket.

Midface bone injury (Upper - Maxillary Fracture)

Midface bone facial trauma includes:

  • LeFort I (bone fracture transversely below the nose (alveolar ridge) and above the teeth.
  • LeFort II (affecting one or both face sides, originating from a crack/broken bone at the lower edge of the eye socket, extending towards the cheekbone (zygomatic arch) and the upper jaw (maxilla).
  • LeFort III (results from a downward hit to the head like a severe fall, horizontal fracture across the back of eye sockets)

Broken Jaw

A traumatic dental injury could either be a TMJ (temporomandibular joint) fracture or a jaw broken as well. It can hinder the patient’s ability to speak, chew, swallow, and eat.

Nasal Fracture

The bones of the nose can break, causing breathing issues.

Symptoms and Complications Due to Facial Fractures

Many complications arise with facial fractures:

  • Frequent nosebleed
  • Infection
  • Disoriented facial structure
  • Difficulty breathing
  • Neurological issues
  • Missing teeth
  • Loss of vision or double vision
  • Scars
  • CSF leakage

Tests and Diagnosis of Facial Fractures

Healthcare professionals in the field of dentistry are specially trained to diagnose facial fractures. Your healthcare professional will examine you by:

  • Asking you about any life-threatening injuries, and if you have, they will treat it right away.
  • Ask about how your facial fracture occurred and how you feel, your symptoms, etc.
  • Examine your eyes for proper functioning.
  • Examine your nasal pathways and airways to identify any obstruction.
  • Check for any nervous system damage, bleeding from the head region, and any issue with the spinal cord.
  • Examine your facial structure to notice any damage or asymmetry.
  • Carefully palpate your facial bones to check the extent of damage.

After physical inspection, an imaging test is done to pinpoint facial fractures and distinguish them from other issues like dislocation. The imaging test most widely used for the diagnosis of facial trauma is the Computed Tomography (CT) scan.

Treatment of Facial Injuries

Facial fractures and soft tissue trauma need special and immediate treatment. In general, the main goals of treatment of facial injuries are:

  • To reconstruct, repair, and restore facial functions like blinking, swallowing, chewing, speaking, etc.
  • To optimize appearance, restoration of the facial features is needed in case of facial derangement.

Repairing Soft Tissue Trauma

Soft tissue facial injuries consist of torn or crushed facial skin, nerves, glands, and muscles of the face. In order to treat these injuries, microvascular reconstructive surgery is conducted. Nerve connections and blood supply are rewired, and any torn or cut areas are repaired.

Repairing Facial Bones

The surgical treatment of broken facial bones involves:

  • Using titanium hardware to repair midface or eye socket bones.
  • A broken jaw is wired to facilitate natural healing. In this case, the patient follows a liquid diet since they can’t chew or swallow.
  • Skin and bone drafting.
  • Closed Reduction (restoration process of broken bones manually instead of surgically)
  • Open reduction (restoration of broken bones through surgical operation)
What is Facial Trauma Symptoms, Causes, & Treatments

Conclusion

Facial trauma can be a life-altering experience. Aside from immense pain and other physical issues, the patients suffer from emotional trauma as well. However, when the restorative practices go as planned, it relieves one from both physical and emotional pain.

If you or your loved one are in search of the best dentists in Paramus, you’re at the right place. Our expert facial trauma specialist in Paramus and their team work together to perform excellent restorative procedures. Book an appointment now to choose the best option. We’ll help you attain your perfect smile again to ease your worries once and for all!