Facial fractures

Facial fractures are commonly caused by blunt or penetrating trauma sustained during motor vehicle accidents, assaults, and falls. The facial bones are thin and relatively fragile making them susceptible to injury.

Males are affected more commonly than females and facial fractures are most common in the third decade 4

The "facial buttress" concept elucidates the structurally meaningful skeletal struts that play a role in facial form and function and helps identify the regions that are likely to require surgical reconstruction.

The nasal bones are the most commonly fractured single bone, followed by the mandible and the bony orbit. Fractures involving more than one bone most commonly affect the orbital floor and zygomaticomaxilla 4

Plain x-rays are relatively insensitive to facial fractures. 

Multidetector CT is the modality most often used for imaging evaluation in facial fractures because of:

  • rapid examination with easier patient positioning 
  • providing high image resolution which allows accurate detection of subtle facial fractures and also clearly delineates soft-tissue features
Fractures
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Article information

rID: 31189
Synonyms or Alternate Spellings:
  • Fracture of the face
  • Facial fractures types
  • Types of facial fractures
  • Facial bone fractures

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Cases and figures

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    Case 1: naso-orbitoethmoid (NOE) complex fracture
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    Case 2: zygomaticomaxillary complex fracture
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    Case 3: Le Fort fracture (type II)
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    Case 4: nasal bone fractures
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    Case 5: complex
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    Case 6: mandibular fractures
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    Case 7: multiple
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    Case 8: with maxillary air-fluid level on the left
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