Facial Injuries/Trauma Overview

Facial injuries can happen from multiple reasons. Most common and minor form of facial injury happen to kids due to fall in the home. Facial injuries in the adults can also result from fall at home, however road traffic accidents particularly two wheeler accidents are the main reason of moderate degree of facial injuries in adult population. High velocity accidents are the reason for complex facial injuries which include multiple facial bone fractures associated with other injuries. Factory accidents, assaults and animal bites also include for small yet definite number of facial injuries. Whatever may be the reason of facial injury, immediate consultation and treatment by a qualified plastic surgeon is the best thing to look for.

What are facial injuries or trauma?

Facial injuries can range from simple, single small laceration to multiple facial bones fracture with extensive compound soft tissue injuries of face. Multiple deep abrasions of face contaminated with road side dirt coupled with multiple lacerations are also not uncommon. Apart from these types of injuries, accidental burn with flame, hot water, water vapour or liquids like tea, coffee or dal also account for facial injuries. Industry accidents whenever happen to face, are of major grade.

Causes of Facial injuries

Causes of facial injury usually differ according to age groups. In toddlers and small children, fall and injury by sharp edge of the furniture or such incidents account for most of the facial injuries. School going children and adolescents sustain facial injury due to bicycle or sports accidents. While amongst adults, two wheeler accidents account for majority of facial injuries. Females many a times sustain facial injury by splash of hot water or water vapour in the kitchen. Four wheeler accidents cause the most serious and complicated facial injuries; which happen to all age groups. Elderly people having problems with maintaining the balance or multiple medical conditions, sometimes sustain significant facial injury due to trivial fall at home.

How is it diagnosed?

Diagnosis is the most easy aspect of facial injury due to obvious nature of this injury. However, for proper assessment of complicated injuries and diagnosis of fractures of facial bones, skill of an experienced plastic surgeon is indispensable. CT scan of facial bones with 3 D (dimensional) reconstruction is very helpful tool of plastic surgeon to understand the fracture patterns of facial bones and to formulate an operative plan to fix those fractures.

Facial injuries treatment

Treatment of facial injuries is preceded by detailed examination of the wound/s in operation theater under good illumination and with magnification. Small, uncomplicated wounds of adolescents and adults  are repaired under local anaesthesia. Facial injury of children who are cooperative can also be repaired under local anaesthesia. Otherwise majority of children require general anaesthesia for repair of their facial injuries. Major facial injuries, multiple lacerations with deep abrasions of face and facial bone fractures require general anaesthesia for treatment irrespective of age groups. Detailed exploration of the wounds, thorough debridement (removal of foreign bodies and dead tissue particles) and meticulous repair; all under magnification is the primary condition of repair for all facial injury treatment.

Complications

Our face receives the highest blood supply in the body. So the wounds of the face heal very quickly and with good outcome in most of patients. However, exceptionally contaminated facial injuries can get infected with pus discharge and delayed or poor healing of the wound. Any wound which heals with phenomenon of delayed healing or poor healing is known to cause bad scarring and pigmentation of the injured part as well as surrounding area. Such ugly scarring and pigmentation of facial injury wounds can lead to frustration for the affected individual. Apart from this, improper matching or suturing of aesthetically important landmarks like vermilion (lip line), canthus (angle) of the eyes, ala (nostril) or eyebrows and moustaches can lead to obvious unforgiving aesthetic deformity of the face. Missed fractures of jaw bones can lead to malocclusion (loss of proper contact between the teeth of both jaw with each other while chewing the food) and unfavourable change in the contour of face. Facial nerve injury is one of the most dreaded complication of facial injury which can lead to complete paralysis of the affected site (right or left) of the face causing loss of facial balance and expressions of face. 

Results

The results of facial injury treatment at Cutis Hospital are excellent in almost all cases. Any facial injury patient, who wants to have the best result of repair of his/her facial injury, must present to a plastic surgeon as early as possible (preferably within 6 – 12 hours) after the facial injury. Early presentation of the patient, thorough examination of the wound and patient by a qualified plastic surgeon, and repair following the plastic surgery principles account for our excellent results in all facial injury cases. Patients who present late who present after improper suturing or who developed infection after suturing of facial injury can also benefit from proper management according to plastic surgery principles. However, the ultimate outcome of these complicated facial injury patients is less than those patients who present immediately or early after facial injury.

Why is Cutis Hospital for facial trauma/injury?

Cutis Hospital is the best hospital for the treatment of facial injuries because all patients with facial injuries presenting to Cutis Hospital are examined in an emergency (irrespective of the day and time) by an experienced and qualified plastic surgeon himself. After examination, the patient and his/her relatives are counseled thoroughly by our plastic surgeon, and the patient’s facial injury is repaired under the optimum condition in a well-equipped operation theater following all principles of plastic surgery and safe anesthesia. 

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    Testimonials

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    I had an accident. I had a injury on my face. I am to much worried about my look but thanks to Dr. Chintan Patel. I got a best surgery on my face. Thank you so much To the best plastic surgeon Dr. Chintan Patel.

    Brijal 
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    I had an accident and had head injury. I was taken to trauma centre and took stitches at local hospital near accident location. Next day I visited Cutis and restitch was done. The results what I got is more than what I expected. Healing was also fast and now again I feel confident. Thanks a lot to Dr. Chintan Patel for giving me my skin back to normal. I really appreciate your work. Staff and service is really good. Even I can say cleanliness and hygiene 5/5. I can strongly recommend it to others.

    Mansi
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    Absolutely transformative journey with Dr. Chintan Patel and Dr. Pritam This great plastic surgeons and their phenomenal team crafted an experience beyond my wildest expectations. Impeccable attention, genuine care, and results that redefine beauty. Every step radiated expertise, turning my vision into a breathtaking reality. It's All thanks to both of them and their team that my face is back to normal after a terrible accident.

    Neel
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    It's a pleasure to be treated by this kind of doctor. My 5 years old son had injury near eyebrow,and we were worried for stitches and we went to chintan sir for the same. Sir handled him in such a great way and assured him for stitches for near painless stitches. At the end my son told with smile, I had no pain while stitching. That was best complement given by 5 years old kid. My son was so much happy and being a parents we were also. Kid was given a bravery award(though it's small thing , it gives strength and inspiration to child for future also), and it's all about gesture and attitude. The atmosphere of clinic is so healthy for patient. Worth to visit him for any plastic surgery.. Thank u so much sir for heartfelt treatment.

    Paulin

    Before and After Surgery

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    FACIAL ABRASIONS CASE 3
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    FACIAL ABRASIONS CASE 2
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    FACIAL ABRASIONS CASE 5

    FAQ's

    Plastic surgeon is trained extensively for facial injury management. Not only facial injury, plastic surgeon reconstructs the lost or damaged portions of face like lip, nose, eyelids and eyebrow. Apart from this, plastic surgeon has special ability to work with magnification for prolonged time and possess extraordinary surgical skills. Due to these reasons, the results of facial injury repaired by a plastic surgeon are unparalleled.

    Usually, facial injury wounds bleed a lot. Firm pressure with a clean cloth or handkerchief should be applied at least for 10 minutes to stop the bleeding. After the bleeding is stopped, any movement of injured part must be prevented to avoid the rebleeding.

    Obviously, visiting a plastic surgeon immediately after the injury is the best option. Patients who reside in remote areas can visit the plastic surgeon even after 24 hours of injury and can still have the similar good results.

    Absolutely, yes. In fact whenever patient or his/her relatives feel that the facial injury repair is not satisfactorily done, they should immediately consult a plastic surgeon. Plastic surgeon removes the sutures or staples, re opens the wound and by using magnification; thoroughly debrides  meticulosly repair the original wound. Results of such re do repair of facial injury wounds done by a plastic surgeon are nearly as good as primary repair. Provided, such re do or second repairs must be done within 24 to 48 hours of first repair.

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