Reduction (setting a fracture) and immobilization are the two
basic principles followed by the plastic surgeon to treat face
bone fractures. The final results of the treatment must provide
the patient the best results in terms recovery and aesthetic
function.
As
a result of major accidents, soft tissue sprains are common.
Nevertheless, it is not rare to see a patient with a background of
a severe face impact and several tiny comminute fractures in the
facial bones, without further soft tissues disruption except for
some superficial abrasions.
The best time to set face fractures is at the initial operation.
This means that the plastic surgeon must take the patient to the
operating room immediately after coming in the ER. A cautious
surgeon knows that only lifesaving measures require immediate
surgical intervention in the operating room.
Setting fractures of face bones may be carried out several days
after the injury. In general, spinal cord, intracranial,
intrathoraxic, intraabdominal injuries and open limb fractures
area treated first.
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