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Q: Which fracture has Mobility in midface and step deformity in frontozygomatic suture?
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Facial trauma?

DefinitionFacial trauma is any injury of the face and upper jaw bone (maxilla).Alternative NamesMaxillofacial injury; Midface trauma; Facial injury; LeFort injuriesCauses, incidence, and risk factorsBlunt or penetrating trauma can cause injury to the area of the face that includes the upper jaw (maxilla). Common causes of injury to the face include:Automobile accidentsPenetrating injuriesViolenceSymptomsChanges in sensation and feeling over the faceDeformed or uneven face or facial bonesDifficulty breathing through the nose due to swelling and bleedingDouble visionMissing teethSwelling around the eyes that may cause vision problemsSigns and testsThe doctor will perform a physical exam, which may show:Bleeding from the nose, eyes, or mouth, or nasal blockageBreaks 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 socketsThe following may suggest bone fractures:Abnormal sensations on the cheek and irregularities that can be feltAn upper jaw that moves when the head is stillA CT scan of the head may be done.TreatmentPatients who cannot function normally or who have significant deformity will need surgery.The goal of treatment is to:Control bleedingCreate a clear airwayFix broken bone segments with titanium plates and screwsLeave the fewest scars possibleRule out other injuriesTreat the fractureTreatment should be immediate, as long as the person is stable and there are no neck fractures or life-threatening injuries.Expectations (prognosis)Patients generally do very well with proper treatment. You will probably look different than you did before your injury. You may need to have more surgery 6 - 12 months later.ComplicationsGeneral complications include, but are not limited to:BleedingUneven face (asymmetry)InfectionBrain and nervous system (neurologic) complicationsNumbness or weaknessCalling your health care providerGo to the emergency room or call the local emergency number (such as 911) if you have a severe injury to your face.PreventionWear seat belts and use protective head gear when appropriate. Avoid violent confrontations with other people.


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