Trauma, especially road traffic accidents may result in facial liceration and fractures of the facial bones which results in facial deformity which may or may not be appreciable immediately because of facial Oedema.
It’s really important to evaluate early once the patient is stable, once ignored may result in permanent deformity due to faulty reunion of facial bones.
ORIF (Open Reduction Internal Fixation)
ORIF is usually done under general anaesthesia asd it gives the best result as it provides rigid fixation and early recovery.
Closed Reduction
Closed reduction may performed in the case of isolated nasal bone fracture.
ORIF recovery can last 3 to 12 weeks. You may require pain medication and rest sometimes patients may suffer with facial Oedema which is self limiting
With Adequate attention proper and timely intervention this Deformity could be corrected to a satisfactory level.
Care should be started since birth – in form of feeding advice which helps the child to achieve nutritional and developmental milestones.
Lip deformity operated taken at the age of 3 months along with primary nasal deformity corrections.
Cleft Palate should be operated at the age of 9 months to 1 year to prevent the nasal voice.
Nasal Bone grafting, definitive rhinoplasty, and jaw adjustments are other procedures that may be required at an appropriate age. So patients are advised to visit their doctor till early childhood.
Sometimes ear deformities occur since birth (Congenital) and the severely ranges from a prominent ear to anotia.
It is possible to achieve satisfactory results with the help of reconstructive Surgery.
Haemangiomas
At an early age up to 2yrs, it responds to medical management but may require surgical excision once increasing in size and causing obstruction of natural orifices, get infected and bleeding
Vascular Malformations
These vascular lesions are often become appeared following trauma, isolated lesions may require injection sclerotheral or image-guided emporization.
Surgical excision requires for more extensive lesions, this should be done with adequate preparation.
