Our team of professionals are well versed in emergency care, acute treatment, and long-term reconstruction and rehabilitation, not just for physical reasons, but for emotional ones as well. Injuries to the face, gives a high degree of emotional and physical trauma to patients. The science and art of treating such injuries requires special training involving hands on experience and an understanding of how the treatment provided will influence the patient’s long-term function and appearance.
» Facial lacerations
» Avulsed (knocked out) teeth
» Intraoral lacerations
» Fractured jaws (upper and lower jaw)
» Fractured facial bones (cheek, nose, or eye socket)
There are a number of possible causes of facial trauma, such as sports injuries, motor vehicle accidents, accidental falls, road accidents, interpersonal violence, and work-related injuries. Types of facial injuries can range from injuries to teeth to extremely severe injuries to the skin and bones of the face. Typically, facial injuries are classified as soft tissue injuries (skin and gums), bone injuries (fractures), or injuries to special regions (such as the eyes, facial nerves, or the salivary glands).
When soft tissue injuries, such as lacerations, occur on the face they are repaired by suturing. In addition to the obvious concern of providing a repair that yields the best cosmetic result possible, care is taken to inspect for and treat injuries to structures such as facial nerves, salivary glands, and salivary ducts.
Facial fractures could be of many types from small to severe. Fractures to the bones in the face are treated in a similar manner to fractures in other parts of the body. The specific form of treatment is determined by various factors, which include the location of the fracture, the severity of the fracture, and the age and general health of the patient. When any other part is fractured a cast is often applied to stabilize the bone to allow for proper healing. Since a cast cannot be placed on the face, so there are other ways to stabilise the same.
There are many options and one of these options involves wiring the jaws together for certain fractures of the upper and/or lower jaw. Certain other types of fractures of the jaw are best treated and stabilized by the surgical placement of small plates and screws in affected part. This technique of treatment can often allow for healing and eliminates the necessity of having the jaws wired together. This technique is called rigid fixation of a fractured part.
The treatment of facial fractures should be accomplished in a thorough and predictable manner. More importantly, the patient’s facial appearance should be minimally affected and we are very much concerned for this. To proceed with the surgery it is important to make some incisions to access the affected bones and other parts.
Injuries to teeth are quite common and may require the expertise of various dental specialists. Oral & Maxillofacial surgeons usually are involved in treating fractures in the supporting bone, or in replanting teeth that have been displaced or knocked out. These types of injuries are treated by one of a number of forms of splinting (stabilizing by wiring). If a tooth is knocked out it should be placed in salt water or milk. The sooner the tooth is re-inserted into the dental socket the better chance it will survive. Therefore, the patient should see a dentist or oral surgeon as soon as possible. One should never attempt to wipe the tooth off, since remnants of the ligament that hold the tooth in the jaw are attached and are vital to the success of replanting the tooth. Other dental specialists may be called upon, such as endodontists, who may be asked to perform root canal therapy, and/or restorative dentists, who may need to repair or rebuild fractured teeth. In case, if the injured teeth are not saved, dental implants are often used as replacements for missing teeth.