Trauma facial

An oral and maxillofacial specialist is thoroughly qualified to repair lesiones faciales. These professionals are well versed in emergency care, tratamiento agudo, y reconstrucción y rehabilitación a largo plazo – not just for physical reasons, but for emotional ones as well. Lesiones en la cara, por su propia naturaleza, impart a high degree of emotional as well as physical trauma to patients. La ciencia y la técnica del tratamiento de estas lesiones requiere un entrenamiento especial que implica un “manos en” experience and an understanding of how the treatment provided will influence the patient’s long-term function and appearance.

All of our surgeons meet and exceed these modern standards. They are trained, skilled, and uniquely qualified to manage and treat facial trauma. They are on staff at local hospitals and deliver emergency room coverage for facial injuries, which include the following conditions:

La naturaleza del Trauma maxilofacial

Hay una serie de posibles causas de trauma facial, such as motor vehicle accidents, caídas accidentales, lesiones deportivas, interpersonal violence, and work-related injuries. Types of facial injuries can range from injuries to teeth to extremely severe injuries to the skin and bones of the face. Típicamente, facial injuries are classified as either soft tissue injuries (piel y las encías), bone injuries (fractures), o injuries to special regions (como los ojos, nervios faciales, or the salivary glands).

Lesiones de tejidos blandos de la región maxilofacial

When soft tissue injuries, such as lacerations, occur on the face they are repaired by suturing. In addition to the obvious concern of providing a repair that yields the best cosmetic result possible, care is taken to inspect for and treat injuries to structures such as facial nerves, glándulas salivales, y los conductos salivales (o canales de salida).

Lesiones óseas de la región maxilofacial

Fractures to the bones in the face are treated in a similar manner to fractures in other parts of the body. La forma específica de tratamiento está determinada por diversos factores, que incluyen la localización de la fractura, la severidad de la fractura, y la edad y salud general del paciente. When an arm or leg is fractured a cast is often applied to stabilize the bone to allow for proper healing. Puesto que no se puede colocar un yeso en la cara, other means have been developed to stabilize fracturas faciales.

Una de estas opciones implica cableado las mordazas para ciertas fracturas de la mandíbula superior o inferior. Certain other types of fractures of the jaw are best treated and stabilized by the surgical placement of small plates and screws at the involved site. This technique of treatment can often allow for healing and eliminates the necessity of having the jaws wired together. Esta técnica se denomina “fijación rígida” de una fractura. The relatively recent development and use of rigid fixation has profoundly improved the recovery period for many patients, allowing them to return to normal function more quickly.

El tratamiento de las fracturas faciales se debe lograr de una manera completa y predecible. More importantly, el paciente ’ aspecto facial s debe ser mínimamente afectado. Siempre se hace un intento de acceso a los huesos faciales a través de las incisiones menos necesarias. Al mismo tiempo, las incisiones que se convierten en necesarias se diseñan para ser pequeñas y, siempre que sea posible, are placed so that the resultant scar is hidden.

Injuries to the Teeth & Surrounding Dental Structures

Isolated injuries to teeth are quite common and may require the expertise of various dental specialists. Oral surgeons usually are involved in treating fractures in the supporting bone, or in replanting teeth that have been displaced or knocked out. These types of injuries are treated by one of a number of forms of splinting (estabilización mediante cableado o vinculación dientes juntos). If a tooth is knocked out it should be placed in salt water or milk. The sooner the tooth is re-inserted into the dental socket the better chance it will survive. Therefore, el paciente debe ver a un cirujano oral o dentista tan pronto como sea posible. Never attempt to wipe the tooth off, since remnants of the ligament that hold the tooth in the jaw are attached and are vital to the success of replanting the tooth. Other dental specialists may be called upon, como los endodoncistas, que se pedirá para realizar tratamiento de conducto radicular, and/or restorative dentists, who may need to repair or rebuild fractured teeth. En caso de que los dientes lesionados no pueden ser guardados o reparados, implantes dentales are often now utilized as replacements for missing teeth.

The proper treatment of facial injuries is now the realm of specialists who are well versed in emergency care, tratamiento agudo, reconstrucción a largo plazo, y la rehabilitación del paciente.