Facial Trauma Surgery
For decades Oral & Maxillofacial Surgeons have been leaders for providing proper treatment of facial injuries. These injuries require the facial trauma surgeon to be well versed in emergency care, acute treatment, and long-term reconstruction and rehabilitation – not just for physical reasons but emotional as well.
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, as well as physical trauma to patients. The science and art of treating these injuries require 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.
Dr. Bonniwell meets and exceeds these modern standards. He has extensive experience and is trained, skilled, and uniquely qualified to manage and treat facial trauma. He is on staff at Cayuga Medical Center and provides emergency room coverage for maxillofacial injuries, which include the following conditions:
- Facial lacerations
- Intraoral 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 a number of 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).
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Soft Tissue Injuries Of The Maxillofacial Region
When soft tissue injuries such as lacerations occur on the face, they are repaired by suturing. In addition to the obvious concern of providing a repair that yields the best cosmetic result possible, care is taken to inspect for and treat injuries to structures such as facial nerves, salivary glands, and salivary ducts (or outflow channels). Dr. Bonniwell is well-trained in facial cosmetic procedures and is proficient at diagnosing and treating all types of facial lacerations.
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, the age, and the 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 have profoundly improved the recovery period for many patients, allowing them to return to normal function more quickly.
The treatment of facial fractures should be accomplished in a thorough, efficient, and predictable manner. More importantly, the patient’s facial appearance should be minimally affected. An attempt at accessing the facial bones through the most cosmetic and fewest incisions necessary is always made.
At the same time, the incisions that become necessary, are designed to be small and, whenever possible, are placed so that the resultant scar is hidden. Dr. Bonniwell can often gain access to facial fractures via intraoral (through the mouth) incisions resulting in even better cosmetic results.
Injuries To The Teeth & Surrounding Dental Structures
Isolated injuries to teeth are quite common and may require the expertise of various dental specialists. Oral surgeons usually are involved in treating fractures in the supporting bone or in replanting teeth that have been displaced or knocked out.
These types of injuries are treated by one of a number of forms of splinting (stabilizing by wiring or bonding teeth together). If a tooth is knocked out, it should be immediately placed in salt water or milk. The sooner the tooth is re-inserted into the dental socket, the better chance it will survive. Therefore, the patient should see a dentist or oral surgeon as soon as possible.
Never attempt to wipe the tooth off, since remnants of the ligament that hold the tooth in the jaw are attached and are vital to the success of replanting the tooth. Other dental specialists may be called upon such as endodontists, who may be asked to perform root canal therapy, restorative dentists who may need to repair or rebuild fractured teeth, and/or orthodontists to help straighten the teeth.
In the event that injured teeth cannot be saved or repaired, dental implants are often now utilized as predictable replacements for missing teeth.
The proper treatment of maxillofacial injuries often falls into the realm of your Oral & Maxillofacial Surgeon who is well versed in emergency care, acute treatment, ldental occlusion, long-term reconstruction, and rehabilitation of the patient. Dr. Bonniwell is experienced and well trained to manage such injuries.