Facial fracture symptoms?

summary

In clinical practice, all fractures involving two or more parts including midface fractures, which result in changes of three-dimensional facial stent, can be considered as total fractures. It is difficult to operate because of the wide range of destruction and the loss of anatomic landmarks. The anatomical structure of the midface is complex, with irregular bone morphology, many joints, many sinus cavities, and thin bone wall. It is easy to be injured by external force, and complex multiple fractures often occur after injury. Facial fracture symptoms? Let's talk about it

Facial fracture symptoms?

Severe facial deformity: due to the severity of the injury, involving multiple areas in the middle of the face, severe facial deformity can occur. The typical manifestation is that the face is widened, the protrusion is reduced, and the middle part of the face is depressed, forming the so-called "discoid face" deformity.

Dysfunction: severe occlusal disorder. The fracture and widening of the maxillary and mandibular arch were often seen. It is often accompanied by gingival tear, tooth fracture and tooth dislocation, which makes the restoration of occlusion very difficult. There may also be dysfunction of nose, eyes and other organs.

Craniocerebral injury: often combined with obvious manifestations of craniocerebral injury. Such as coma, intracranial hematoma, brain contusion and laceration, cerebrospinal fluid rhinorrhea, etc. After the vital signs are stable, in addition to careful examination to determine the maxillofacial injury, we should also pay attention to the general injury,

matters needing attention

Antibiotics should be used for 3-5 days after operation. Penicillins and cephalosporins can be selected as antibiotics. After operation, we should also observe whether there is effusion in the operation area and whether there are signs of infection in the wound; We should also check whether there is cerebrospinal fluid leakage and visual acuity; If the occlusal relationship is not good after operation, elastic traction should be used for 1-2 weeks; If the mouth opening is limited after operation, it is suggested to carry out mouth opening training as soon as possible to improve the mouth opening degree; Postoperative CT examination confirmed the fracture reduction. Follow the doctor's advice to review after operation, so as to deal with the complications and arrange the later treatment.