BACK TOTOP Browse A-ZSearchBrowse A-ZABCDEFGHIJKLMNOPQRSTUVWXYZ0-9 E-mail FormEmail ResultsName:Email address:Recipients Name:Recipients address:Message: Print-FriendlyBookmarksbookmarks-menuFacial traumaMaxillofacial injury; Midface trauma; Facial injury; LeFort injuriesFacial trauma is an injury of the face. It may include the facial bones such as the upper jaw bone (maxilla). Causes Facial injuries can affect the upper jaw, lower jaw, cheek, nose, eye socket, or forehead. They may be caused by blunt force or be the result of a wound. Common causes of injury to the face include:Car and motorcycle crashes Wounds Sports injuries Violence Symptoms Symptoms may include:Changes in feeling over the face Deformed or uneven face or facial bones Difficulty breathing through the nose due to swelling and bleeding Double vision Missing teeth Swelling or bruising around the eyes that may cause vision problems Exams and Tests The health care provider will perform a physical exam, which may show:Bleeding from the nose, eyes, or mouth Nasal blockage Breaks in the skin (lacerations) Bruising around the eyes or widening of the distance between the eyes, which may mean injury to the bones between the eye sockets Changes in vision or the movement of the eyes Improperly aligned upper and lower teethThe following may suggest bone fractures:Abnormal feelings on the cheek Irregularities of the face that can be felt by touching Movement of the upper jaw when the head is stillA CT scan of the head and bones of the face may be done.CT scan of the headA head computed tomography (CT) scan uses many x-rays to create pictures of the head, including the skull, brain, eye sockets, and sinuses.Read Article Now Book Mark Article Treatment Surgery is done if the injury prevents normal functioning or causes a major deformity.The goal of treatment is to:Control bleeding Create a clear airway Treat the fracture and fix broken bone segments Prevent scars, if possible Prevent long-term double vision or sunken eyes or cheek bones Rule out other injuriesTreatment should be done as soon as possible if the person is stable and does not have a neck fracture. Outlook (Prognosis) Most people do very well with proper treatment. More surgery may be needed in 6 to 12 months to correct changes in appearance. Possible Complications Complications may include:Bleeding Uneven face Infection Brain and nervous system problems Numbness or weakness Loss of vision or double vision When to Contact a Medical Professional Go to the emergency room or call the local emergency number (such as 911) if you have a severe injury to your face. Prevention Wear seat belts while driving.Use protective head gear when doing work or activities that could injure the face.Open ReferencesReferencesKellman RM. Maxillofacial trauma. In: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Head and Neck Surgery. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 20.Mayersak RJ. Facial trauma. In: Walls RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018:chap 35.Neligan PC, Buck DW, Facial injuries. In: Neligan PC, Buck DW, eds. Core Procedures in Plastic Surgery. 2nd ed. Philadelphia, PA: Elsevier; 2020:chap 9.AllVideoImagesTogRelated Information Review Date: 7/30/2021 Reviewed By: Anna C. Edens Hurst, MD, MS, Associate Professor in Medical Genetics, The University of Alabama at Birmingham, Birmingham, AL. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- © 1997- All rights reserved. A.D.A.M. content is best viewed in IE9 or above, Firefox and Google Chrome browser.Content is best viewed in IE9 or above, Firefox and Google Chrome browser.