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Facial Fracture

Exams and Tests continued...

Eye socket (orbital) fracture

X-rays may be helpful in the initial diagnosis of a fractured eye socket.

If a fracture of your eye socket is shown on your x-ray, you will probably have a CT scan so the doctor can get more information.

Temporomandibular joint dislocation

If the dislocation is the result of trauma, an X-ray will be done to rule out a fracture of the jaw. You will not need an X-ray if you have a spontaneous or recurrent dislocation.

Facial Fracture Treatment - Self-Care at Home

Home care is limited until a doctor sees you. While waiting to see the doctor, use an ice pack on the area to help with pain and swelling, and apply direct pressure to bleeding areas.

Medical Treatment

Treatment depends on the type of injury you have.

Nasal fracture

First, the doctor will control your nosebleed (if you have one). If there is a collection of blood inside your nose, called a septal hematoma, the doctor will drain it by cutting a hole in it to let the blood out.

Because your nose will be very swollen at first, a broken nose is not immediately put back into place. Even after the swelling goes down, putting a broken nose back in place is necessary only if you will have a poor cosmetic result or your airflow is obstructed. If it is necessary, a specialist will do it at a follow-up appointment. By this time, the swelling should have gone down, and specialist will be able to put the bone in place more accurately.

Fractures of the bones inside your nose (ethmoid fractures) require hospitalization.

Jaw (mandibular) fracture

A broken bone that is visible through the skin or inside the mouth, called an open fracture, requires hospital admission and IV antibiotics.

Most of the time, if you have a closed fracture of your jaw, you will be referred to an oral surgeon for treatment.

Midface (maxillary) fracture

Because of the severity of a midface fracture and its associated injuries, you may require a tube to be inserted to help you breathe, and you will most likely be hospitalized.

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