Facial Fracture and Trauma

Facial Fracture and Trauma

Through their advanced training, Dr. Jonathan Cabin and Dr. Babak Azizzadeh have mastered advanced microsurgical techniques and have gained extensive surgical expertise in microvascular free flap reconstruction. Their expertise in facial trauma and fracture reconstructive surgery make them highly sought after by patients all over the country. When other facial surgeons say nothing can be done to repair the damage from facial trauma, Dr. Cabin and Dr. Azizzadeh are usually able to help.

What is facial trauma?

Facial trauma includes any physical trauma to the face, including fractures of the facial bones such as nasal fractures and fractures of the jaw, soft tissue injuries such as burns, laceration and bruises, and eye injuries.

The following areas are commonly injured following facial trauma:

  • Zygoma – Cheek bone
  • Maxilla – Upper jaw
  • Mandible – Lower jaw
  • Nasoethmoid orbital skeleton – Central midface, union of bones from the nose, orbitis, maxilla and cranium
  • Orbit – Eye socket
  • Soft tissue – Skin, subcutaneous tissue or underlying muscle

What are facial trauma treatment options?

Azizzadeh and Larian in surgeryFollowing an accident or other trauma to the face, the first step is always to treat any life threatening injuries and stabilize the patient. Severe injury to the midface and lower face commonly results in airway blockage caused by bleeding or loose bone fragments. These issues should be dealt with before continuing treatment of facial injuries.

After initial treatment, once the patient is out of immediate danger, craniofacial reconstruction may be necessary to restore full function and correct both functional and cosmetic damage.

Craniofacial Reconstruction

Craniofacial reconstruction is the procedure Dr. Cabin and Dr. Azizzadeh use to repair or reshape the skull, face and jaw after a traumatic accident. Individual cranial reconstruction procedures will vary considerably from one person to the next, depending on the type and severity of the injuries.

The first step in mapping out a plan for reconstruction surgery is to diagnose and visualize the injuries. To do this, Dr. Cabin and Dr. Azizzadeh will use tools such as X-rays and digital tomography to create a detailed ‘map’ of the facial structure. This will allow them to assess the damage, and to determine the best way to go about reconstruction.

Using this information, our expert team of surgeons will develop a plan to repair and reconstruct facial damage. Depending on the specific case, this plan may include one of more of the following elements:

  • Rhinoplasty, to repair the function and appearance of the nose
  • Bone grafts and prosthetics, to heal and repair fractured bone
  • Skin and tissue transplants

Facial reconstructive surgery can be extensive, and many patients need several surgeries. While Dr. Cabin and Dr. Azizzadeh are able to help patients repair their facial damage and return to a more normal appearance, the facial appearance may still be different than prior to the traumatic event. However, the results will almost certainly be improved and additional surgeries can be performed to get closer to the desired facial appearance.

After craniofacial reconstruction, patients can expect to swell for up to three months while the face heels. Dr. Cabin and Dr. Azizzadeh urge patients to follow their postoperative orders to speed the recovery.

If you’ve been involved in an accident and have suffered facial trauma or facial fractures in the Los Angeles or Beverly Hills, California area, contact facial plastic surgeons Dr. Cabin and Dr. Azizzadeh to schedule an initial consultation – 310.461.0303.