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Facial Fracture (cont.)

Facial Fracture Diagnosis

Nasal fracture

  • Even if a person has an injury to the nose, it is rare that X-rays will be needed to guide the treatment. A nasal fracture is usually diagnosed by physical exam. The initial care for a nasal injury does not change even if the patient has a fracture.
  • If a fracture of the bones high up inside the nose (ethmoid bones) is suspected, the doctor may order a CT scan.

Jaw (mandibular) fracture: If the patient has a possible jaw fracture, the doctor may order an X-ray. Sometimes a special dental X-ray machine may be used to help in the diagnosis. Not all hospitals have this equipment.

Midface (maxillary) fracture

  • Because they are most often caused in car accidents, fractures of the midface are often associated with other significant, potentially life-threatening injuries. So diagnosing a facial fracture is often not the most important part of the patient's early treatment.
  • After the patient is stabilized, a CT scan of the face is the most useful to check for a midface fracture.

Cheekbone (zygomatic) fracture

  • If the patient is evaluated immediately, the doctor can usually diagnose these by physical exam. This becomes more difficult with time because of swelling.
  • Special X-ray views of the zygomatic bone are often helpful. If the patient has a severe fracture involving other bones of the face, the doctor may also order a CT scan to get more information.

Eye socket (orbital) fracture

  • X-rays may be helpful in the initial diagnosis.
  • If a fracture of the eye socket is shown on your X-ray, the patient will probably have a CT scan to get more information.

Temporomandibular joint dislocation

  • If the dislocation is the result of trauma, an X-ray will be done to rule out a fracture of the jaw.
  • The patient will not need an X-ray if you have a spontaneous or recurrent dislocation.
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Fracture, Face »

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