Facial fractures are breaks in one or more of the bones of the face. These may involve the nose, cheekbones, eye sockets, upper jaw, or lower jaw. Such injuries often occur due to road traffic accidents, sports injuries, falls, or workplace trauma. Because the face is closely linked to breathing, vision, and chewing, timely assessment by trained specialists is important.
Recognising Symptoms of a Facial Fracture-
Common signs include:
1. Swelling, bruising, and tenderness
2. Changes in facial shape or symmetry
3. Difficulty opening the mouth or chewing
4. Double vision or limited eye movement
5. Bleeding from the nose or mouth
6. Numbness around the face
Some fractures may not be obvious, so a proper evaluation after significant facial trauma is important.
How Facial Fractures Are Diagnosed
Evaluation includes:
1. A detailed clinical examination
2. CT scan imaging, which is the most accurate way to assess facial fractures
Accurate diagnosis helps guide appropriate treatment.
Treatment Options
Treatment depends on the type of fracture:
1. Non-operative care for minor fractures that are stable and well-aligned
2. Surgical repair when bones have shifted, vision is affected, or facial symmetry is altered.
The aim is to restore both appearance and function with minimal scarring.
Importance of Early Care–
Early specialist care helps prevent long-term issues such as:
1. Facial deformity
2. Breathing or sinus problems
3. Vision disturbances
4. Jaw misalignment
Prompt treatment improves comfort, healing, and overall outcomes.
Conclusion
Facial fractures can be distressing, but most patients recover fully with timely and expert care. Our Plastic and Reconstructive Surgery Department is committed to providing precise, compassionate, and comprehensive treatment. By combining advanced surgical techniques with a focus on restoring both function and appearance, we help patients return to their daily lives with confidence. Seeking prompt specialist care is the most important step toward safe and successful recovery.
Frequently Asked Questions (FAQs)
1. What should I do immediately after a facial injury?
If you experience significant pain, swelling, bleeding or changes in vision or facial shape, seek medical attention as soon as possible. Applying acold pack gently can help reduce swelling, but professional evaluation is essential.
2. Do all facial fractures require surgery?
No. Some fractures that are stable and well-aligned heal without surgery.
3. Will there be visible scars?
Most incisions are placed inside the mouth or in natural creases to keep scars minimal.
4. How long is the recovery period?
Most patients improve within 2–3 weeks, with complete healing in 6–8 weeks.
5. Can facial fractures affect vision or chewing?
Yes, depending on the bones involved. Early treatment helps prevent long-term problems.
6. What materials are used during surgical repair?
Surgeons typically use titanium plates and screws to hold the bones in their correct position. These materials are safe, lightweight, and usually remain in place permanently without causing problems.
7. When can I resume normal activities?
Light activities can start early, but contact sports should be avoided for 6– 8 weeks.
8. Do facial fractures heal completely?
With appropriate treatment and follow-up, most facial fractures heal well and patients regain full function and appearance.
Dr. Nitu Joy
MBBS, M.S ( General Surgery ), MCh ( Plastic and Reconstructive surgery)
Consultant – Plastic and Reconstructive Surgeon
