Facial Accident Care – Mandibular Fracture

Mandibular fracture-cover

Facial Trauma: Mandibular Fracture

Facial fractures are fractured or injured bones anywhere on the face that includes the cheekbones, nose, jaw, and the area around the eyes. Commonly due to the trauma on the face because of accidents by motor vehicles, sports, falls, or fights, etc. Very dramatically due to weakening of bones in the face by dental treatments or conditions

Symptoms of a Facial Fracture?

Symptoms of fractures depend on which bones in the face are injured. Pain, bruising, and swelling are common symptoms of an injured or broken bone.

mandibular-fracture-drawing mandibular-fracture-line-drawing

Mandibular fracture is a fracture through the jaw bone, after an accident, a hit from anywhere or fall onto the chin, or dramatically due to a tumor in the bone. Most appearing cases are male youngsters between the age group of 20-30 and in most cases, the fracture is not single but compounded.  Severe pain, restricted or abnormal mobility of the mouth, damages to teeth and gums, malocclusion, laceration of the skin are common complaints associated with mandibular fractures.

Non-union of Mandible fracture case @ Jerush dental and facial corrective surgery

Mandibular-fracture-Treatment

Here we had treated a young patient named Muthurajan, aged 27 from Nagercoil. He had fallen from a public transport bus while he was stepping down in a hurry, just before the bus stopped. Though outwardly found simple but noticeable injuries on his face, he felt severe pain and unable to move his jaws. He was totally broken and rushed to our center with his friend, a co-traveler. Our maxillofacial surgeon checked him, found lower mandibular fractures with a medium severity, and suggested a treatment plan, ‘Open reduction and internal fixation (ORIF)’ using mini plates, to be done under general anesthesia. He was admitted to the hospital for a week and the treatment went successful. Mr. Muthurajan was given a medical prescription and advised with tips to protect the development of jaw bone bonding.

 

Orbital fracture

orbit-fracture-cover The swollen eye leash and darkened surroundings.

Around six months back a young man Praveen, aged 25 stepped into our reception with mild pain in his left eye. There was blood in the clear part of his eye and the lower eye leash was slightly swollen. Around his eye, blackish bruising was seen.  He felt uneasy to wait and urged our staff to take him to the doctor. Quickly he was brought before our maxillofacial surgeon. After a talk and a few minutes of check-up, it was found that he was accidentally hit by someone in a violent crowd, though fortunately, no fracture occurred to the rim of his eye.

What Is an Orbital Fracture?

Every eye of us is guarded safely by surrounded bones called orbit or eye socket. When a fracture occurred to this orbit due to an accident or punch by a person or any forced hit from anything (blunt force of injury), is an orbital fracture

What are the orbital fracture types?

If the orbit rim is broken it is called ‘Orbital rim fracture’. Most of the orbital fracture can have other facial injuries.  ‘Blowout fracture’ is a fracture in the floor or inner wall of the orbit, causing damages to the supporting tissues and other structures around the eye due to a hit from anything. When the eye socket floor is pushed downward, due to trauma or blow and caused muscle and nerve damage is called ‘Orbital floor fracture’.

Diagnose and Treatment

Usually, an x-ray and CT scan imaging will reveal the clear depth of the fracture. The normal movement of the eye and the normal vision are also checked.

If the orbital fracture is severe, the patient may suffer double vision, and a need for oculoplastic arises. In some cases, the surgeon may postpone the surgery for a week time to see if any natural healing is noticed in-between to avoid surgery. If the orbital fracture is small, in most cases surgeons may let it heal itself over time after applying an ice pack over the swelling, and medication to continue for a period will be advised.

In our case, since patient Praveen’s orbital fracture is found not severe, some emergency care and medication advice were given. The prescription included antibiotics and decongestant. He attained complete normalcy after ten days.

Jerush Dental and Facial Corrective Centre is one of the leading face hospitals in South India with state of the art facilities. We have a team of eminent surgeons to take care of patients with any sort of dental ailments, facial deformities, and people opting for aesthetic dental treatments and facial aesthetic surgeries. Located at Thuckalay, near Nagercoil and Mathandam, Tamilnadu, from 2002 onwards, ‘Jerush’ is on the go with a simple solid vision! – Providing the best possible health care to everyone approaching our service.