Facial fractures can affect the airway and the ability to breath
You will most likely be taken to a hospital. A doctor will ask about your symptoms and how your injury occurred. A physical exam will be done. A neurological exam will evaluate your nervous system. Tests may include the following:
Glasgow coma scale—neurological exam that tests different parts of the nervous system including:
—type of x-ray that uses a computer to make pictures of any fractures or any other injuries to the head
Examination of ears and nose for fluid—cerebrospinal fluid leaks from ears or nose when there is a brain injury
Treatment will depend on the location and extent of the injury. Call 911 if you have a head injury.
The first steps will be focused on stabilizing your injury. It may include:
Attaching a backboard to stabilize the spine (neck especially, as it is often injured along with the face or skull)
Oxygen, a breathing tube for a blocked airway
Admission to the hospital for monitoring
Treatment options include the following:
Surgery for this type of injury will depend on the type of injury. It may include drilling burr holes in the skull to release pressure or fixing the broken bones surgically.
If the jaw is broken it may need to be wired.
If there is a collection of blood in the brain, called a hematoma, it may need to be removed. Surgery may take place right away or later once swelling has subsided.
Medicine may be given to reduce pressure inside the head or brain swelling
An antibiotic may be given to prevent infection if there is an opening in the scalp
Medication that prevents seizures is sometimes given
Pain medicine and sedatives also may be given
People with these fractures usually need to stay in the hospital. Serious injuries may need to be watched in an intensive care unit. Some people with facial or skull fractures need to have help breathing. A tube is inserted and mechanical ventilation is used to protect and assist breathing.
To help reduce your chance of fracturing your skull or face, take the following steps:
Please be aware that this information is provided to supplement the care
provided by your physician. It is neither intended nor implied to be a
substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER
IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the
advice of your physician or other qualified health provider prior to
starting any new treatment or with any questions you may have regarding a