Facial injuries most commonly occur
during sports or recreational activities, motor vehicle
accidents, fights, and accidental falls. Facial injuries can
include a wide range of injuries, from facial cuts and
lacerations to more serious problems, like broken teeth and
fractured facial bones. Fractures can involve the lower jaw,
upper jaw, palate, cheekbones, and eye-sockets. These
injuries can affect sight, and the ability to breathe, speak
and swallow. The principles of treatment for facial fractures
are the same as for a broken arm or leg. The parts of the
bone must be lined up (reduced) and held in position long
enough to permit them time to heal. When fractures are
extensive, multiple incisions to expose the bones and a
combination of wiring or plating techniques may be needed.
Many individuals who sustain facial fractures have other
medical problems such as infection. Deep facial lacerations
can result in nerve and muscle damage. Facial lacerations
often result in scarring and these scars may require plastic
surgery to improve their appearance.
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