Facial Trauma

The Facts About Facial Trauma

As a maxillofacial surgery practice, we perform the proper treatment of facial injuries. We are well versed in emergency care, acute treatment and long-term reconstruction and rehabilitation, not just for physical reasons but also for emotional reasons. Oral and maxillofacial surgeons are trained, skilled and uniquely qualified to manage and treat facial trauma. Injuries to the face, by their very nature, impart a high degree of emotional and physical trauma. The science and art of treating these injuries requires special training involving a hands-on experience and an understanding of how the treatment provided will influence the patient’s long term function and appearance.

Hecht OMS Patient Information

Dr. Hecht meets and exceeds these modern standards. He is trained, skilled and uniquely qualified to manage and treat facial trauma. He is on staff at local hospitals and provides emergency room coverage for facial injuries, which include the following conditions:

  • Facial lacerations
  • Intra oral lacerations
  • Avulsed (knocked out) teeth
  • Fractured facial bones (cheek, nose or eye socket)
  • Fractured jaws (upper and lower jaw)
The Nature of Maxillofacial Trauma

There are various possible causes of facial trauma, such as motor vehicle accidents, accidental falls, sports injuries, interpersonal violence and work-related injuries. Types of facial injuries can range from injuries of teeth to extremely severe injuries of the skin and bones of the face. Typically, facial injuries are classified as either soft tissue injuries (skin and gums), bone injuries (fractures) or injuries to special regions (such as the eyes, facial nerves or the salivary glands).

Soft Tissue Injuries of the Maxillofacial Region
Bone Injuries of the Maxillofacial Region

Fractures of the bones of the face are treated in a manner similar to the 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 an arm or a leg 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, other means have been developed to stabilize facial fractures.

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 at the involved site. This technique of treatment can often allow for healing and obviates the necessity of having the jaws wired together. This technique is called “rigid fixation” of a fracture. The relatively recent development and use of rigid fixation has profoundly improved the recovery period for many patients allowing a return to normal function more quickly.

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. We always attempt to access the facial bones through the fewest incisions necessary. At the same time, the incisions that become necessary are designed to be small and, whenever possible, placed so that the resultant scar is hidden.

Injuries to the Teeth and Surrounding Dental Structures
Hecht OMS Logo

127 Walnut Bottom Rd. Shippensburg, PA 17257

(717) 530-1120