A sudden blunt or a high impact injury that injures the facial structure is known as facial trauma. Facial trauma can cause multiple injuries in one instance and simultaneously injure not only the soft tissues and muscles but also various facial bones including jaw, cheeks, forehead etc. High intensity facial trauma may cause severe disfigurement along with loss of multiple facial functions. Facial trauma can even cause deaths as the fragments of facial bones and facial tissues can choke the airway. Therefore, after a facial trauma, treatment should be done to ensure that the wind pipe of the patient is clear. Facial trauma is also known as maxillofacial trauma because the trauma affects the maxillofacial structure.
Causes of facial trauma:-
- Most common reason for facial trauma is high intensity automobile crashes.
- Facial trauma is also observed in cases of domestic violence.
- Injuries due to falls.
- Facial injuries caused during rough sporting activities.
Before the treatment and to decide what kind of facial surgery is required, the doctor will make an assessment of the following points:-
- The reason of facial trauma.
- Any obstruction in the movement of the eyes.
- Visible foreign particles stuck on the face due to the trauma.
- Numbness on various facial structures.
- Movement of facial muscles and the jaw.
Signs and symptoms of facial trauma:-
- The most common symptoms of facial trauma are bleeding, swelling of the muscles and tenderness on the face.
- Facial trauma, with very few exceptions, is accompanied with facial or maxillofacial fractures.
- Fractures of the nose may be indicated by change in the shape and bleeding.
- Position of teeth may get changed due to facial trauma.
- After the maxillofacial trauma the patient may not be able to move his mouth or the jaw.
In most cases, the high intensity impact that causes facial trauma causes injuries to other body parts also. The treatment of trauma to other body parts is done separately. The treatment and surgery for facial trauma depends on the type of fractures and trauma sustained by the patient. If during trauma, the patient accidently swallows blood or foreign objects, immediately surgery should be performed to clear the air passage.
Treatment and surgery of facial trauma in India:-
In isolation facial or maxillofacial trauma may not be fatal. But facial trauma can cause severe pain, problems in breathing, problems in speech and disfigurement of the facial structure. In most cases, if the trauma has not cause displacement of bones, no surgery may be needed. But if the facial bones have moved from their place due to the trauma impact, surgery has to be performed as mainstay of the treatment. Because of the facial trauma, bones may trap the muscles in the cracks; this should be treated by surgery as soon as possible.
Generally in India, treatment for maxillofacial injuries begins by ensuring that the patient is able to breathe and any debris is eliminated. The bleeding due to trauma is stopped and then if required the surgery is performed. In India, the number of road accidents is increasing annually. Most of these high speed accidents cause major maxillofacial trauma to the victims. Accidents are not only prevalent in metro cities like Mumbai but non metros as well. The treatment and the surgery that is performed by doctors in India do not only aim at fixing the injuries due to facial trauma but also fixing the maxillofacial bones to restore the aesthetics.
Dr. Shome is the best facial plastic surgeon who has performed surgery for maxillofacial injuries in various hospitals in India. Dr. Shome is a specialist in surgery for maxillofacial trauma and treatment and has his clinics in Mumbai. He has co- founded The Esthetic Clinics in Mumbai, India where not only non- surgical procedures are performed but surgery for maxillofacial trauma is also done. The treatment plan that is made by Dr. Shome at his Mumbai clinics emphasizes on overall treatment of the victim of the maxillofacial trauma. According to him, in India, a more holistic approach is needed towards the treatment and surgery for maxillofacial trauma. After the maxillofacial trauma is repaired by surgery, the treatment should continue to ensure that the patient is completely healed. Some of the best hospitals in India now have dedicated maxillofacial trauma departments where maxillofacial surgeons repair trauma injuries in the best way possible. Dr. Shome who himself is one the top surgeons of India is the top expert in dealing with maxillofacial surgery. Dr. Shome performs not only functional maxillofacial surgery in Mumbai but also the reconstructive surgery that should be done afterwards. Both reconstructive and maxillofacial surgery are his forte. He is a consultant to some of the top hospitals in Mumbai like the Apollo spectra where he supervises surgery for trauma and reconstruction. Mumbai and other metros often witness cases of road rage which are one the top few reasons of maxillofacial injuries calling out for surgery. Without surgery in such cases in India treatment is not complete. Still not many hospitals in India have a maxillofacial department and the best option for surgery in such a case would be to go to the best hospital which is equipped with the top treatment facilities.
Dr. Shome is regularly called out for maxillofacial surgery at the best hospitals in Mumbai and the rest of India. In, Mumbai, maxillofacial surgery is a growing specialty and more surgeons are taking up complete maxillofacial surgery as their super- specialty. Not only hospitals in Mumbai, but all over India, hospitals are in dire need of maxillofacial surgery specialists. After the surgery is performed in India, a patient should get reconstructive surgery if advised. In Mumbai, if you require maxillofacial surgery, consult Dr. Shome and his clinics. He is the best in Mumbai and he trains surgeons regularly in Mumbai and rest of India. He is based in Mumbai and gets patients for the best treatment from all over India in Mumbai.