Sometimes depending on the situation, such as if the cheekbone fracture is stable, no surgery is recommended. How do I know if my orbital bone is broken? Management of Zygomatic Fractures in Young Patients: Technical Modifications for Aesthetic and Functional Results. A tailbone fracture can make life difficult, and there is no way to hold the fractured tailbone in place. The cheekbone of these patients may be flattened due to the malar eminence being depressed. there may be swelling, bruising or tenderness around the injured area. It forms part of the eye socket and it protects and supports the eyeball. Finally, stiches are placed to close the cuts made. But some fractures actually develop slowly, resulting not from a single impact but from progressive, ongoing causes, such as repeated stress or an infection. What Sort of Free Treatment Is Available for a Fractured Cheekbone? Slight trembling & some clicking in my lower jaw. Blood in the side of the eye (on the affected side). For these, please consult a doctor (virtually or in person). It may seem unusual, but oftentimes, broken bones and fractures can go unnoticed or even be written off as lesser injuries. Numbness under the eye of the injured side. In some rare cases where severe trauma has occurred and surrounding critical and vital structures have been damaged, more extensive surgical intervention may be required. By using our website, you consent to our use of cookies. Usually, it is not so difficult to perform refracture since at the site of fracture, where a large dislocated fragment exists, a solid callus is not formed but rather some kind of fibrous union. Imperial College Press (2011). Please choose your preferred consultation: phone, in-office, or video consultation. is the Director of Plastic and Reconstructive Surgery for the Osborne Head and Neck Institute based at Cedar-Sinai Medical Towers. 5 yrs ago one side of my face started to atrophy. If you sustained an injury to your face and suspect you may have a broken or bruised cheekbone, you may be wondering what symptoms to look for. Most fractures will show up clearly on these tests. They're more common in women over 50. gently massage the cheeks to stimulate blood flow. In cases of uncomplicated cheekbone fracture where bone fragments have not moved appreciably form their original location, close followup by a facial trauma specialist is recommended. Keep your head above the level of your heart as often as you can. In general, fractures may be treated by performing a closed reduction (resetting the broken bone or bones without surgery) or an open reduction (surgery that requires an incision to reposition the fractured bones). Sometimes, they happen because the bones in the face are weakened by a dental procedure or condition. In most cases, a malunion, as its often called, will be the result of a typical bone fracture caused by violent trauma, but it could occur from undiagnosed fractures as well. For more information or to schedule an appointment on cheek or zygoma fracture treatment options please contact the Osborne Head and Neck Institute. t is essential that you finish a course of antibiotics even if you think your injury has healed to prevent the risk of developing a resistance to the medication. If you are unhappy with a diagnosis and would like to know more about free private treatment in your area, please get in touch today. I had tooth issues on that side & havent been chewing on it. However, it can sometimes be difficult to tell whether a bone is broken if it is not out of its normal position. Clipboard, Search History, and several other advanced features are temporarily unavailable. When a bonefractureis untreated, it can result in either a nonunion or a delayed union. Treatment includes rest, medications, braces and minimally invasive surgery. If an infection in the bone does occur, it can spread to other areas of the body. Fractured cheekbone recovery time depends on the severity and complexity of your injury and whether you have responded well to treatment and surgery. Unfortunately, there are several complications that could develop if you sustain a fractured cheekbone and the more complex your injury is, the more risk there is of something going wrong. Emergency room physician Dr. In the former case, the bone doesnt heal at all, which means that it will remain broken. The eye socket contains your eyeball and all the muscles that move it. Half of all the broken bones experienced by adults are in the arm. Symptoms of a fracture to the face may include pain as well as bruising, swelling or tenderness. Many organisms travel through the blood stream, and some of these can cause an infection to the bone or, if the fracture is deep enough, to the bones marrow. Home | About | Contact | Copyright | Report Content | Privacy | Cookie Policy | Terms & Conditions | Sitemap. Can a hairline fracture heal without a cast? The treatment of a cheekbone fracture is highly dependent on the extent of the trauma and the amount of bone fragment displacement. 2016 Nov;27(8):2073-2077. doi: 10.1097/SCS.0000000000003034. When a bone fracture is untreated, it can result in either a nonunion or a delayed union. Are MRIs the Best Tool for Early Cancer Detection? Some broken or dislocated jaws heal with minor treatment. For example, the patient may feel that his or her teeth don't align properly anymore or notice that one cheekbone looks sunken. We can tell you straight away what kind of free treatment is available in your area and whether you qualify. What happens if a fracture is left untreated? What are the symptoms of a facial fracture? Further complicating matters, there are several alternate names for the cheekbone area including, malar eminence and zygoma. Patients may develop trismus (i.e. Headaches around my whole head, with pain also in my jaw, cheekbones, and rear neck muscles. A deep puncture wound, such as an animal bite or a nail piercing through a shoe, can also provide a pathway for infection. When a bone fracture is untreated, it can result in either a nonunion or a delayed union. A partial fracture means that some of the bone is still connected, whereas a total fracture implies a complete split. Dangers of Bone Fractures if Left Untreated. 2005 - 2023 WebMD LLC. So, is heat or ice good for a broken bone? Acupuncture Treatment of Post-Stroke Patients, Relationship between biochemical tests and disease, Enforcement Against The Sale Of Illicit Cigarettes, Enforcement On Illicit Cigarettes Under Regulations Control Of Tobacco 2004. Never disregard or delay professional medical advice in person because of anything on HealthTap. there may be swelling, bruising or . Cortese A, D'Alessio G, Brongo S, Gargiulo M, Claudio PP. Accessibility No treatment may be necessary if the broken bones stay in a normal position, but injuries causing severe fractures may need to be surgically repaired. A skull fracture will always result from head trauma. Does a broken bone hurt when you touch it? When there is a fracture, that means that the bones have separated. However, if left untreated, the problem can get worse and lead to complications and more pain and suffering. The site is secure. Here are 10 of the worst bone fractures you could get. This depends on your specific injury, how bad it is, and whether you have any other problems at the time. also breaks through the floor of the orbital rim ; the inferior rectus muscle becomes entrapped that can certainly cause eye damage. Unable to load your collection due to an error, Unable to load your delegates due to an error. Experience with various procedures in the treatment of orbital floor fractures. Poor cosmetic results are typically the result of untreated injuries. J Craniofac Surg. No treatment may be necessary if the broken bone stays in normal position, but injuries causing severe fractures may need to be surgically repaired. [Zygomatic bone repositioning osteotomies]. But, it will be advised if it affects the daily function of the patient or causes a cosmetic defect. Physicians at the Osborne Head and Neck Institutes Facial Reconstructive Surgery Division specialize in facial trauma and facial sports injury. Please enable it to take advantage of the complete set of features! In all cases, facial trauma should be evaluated by a physician that specializes in facial trauma or facial sports injury. Best viewed with Internet Explorer 10 and above, Mozilla Firefox 40 above, or Google Chrome 40 and above or Safari 4 and above with minimum resolution at 1024 x 768. To find out whether you would qualify for free private medical care, free private physiotherapy aftercare and any free medical supplies, please call one of our health experts today who would tell you straight away what is available in your area. Oklahoma City Thunder guard Russell Westbrook underwent a successful procedure to address a fracture to the zygomatic arch of his right cheek. Causes. What are the symptoms of a facial fracture? You would be prescribed a course of antibiotics to reduce the risk of infection and it is essential that you finish the full course for the treatment to be effective. Posts: 116. Youll probably have X-rays taken. 2 doctor answers 6 doctors weighed in Share Dr. Heidi Fowler answered Psychiatry 26 years experience If a zygoma: Fracture also breaks through the floor of the orbital rim ; the inferior rectus muscle becomes entrapped that can certainly cause eye damage. Although one can walk on a foot with a stress fracture, these tiny hairline breaks should not be ignored as they can return unless properly treated. My face is still swollen and bruised but I am concerned because I have heard of people fracturing their cheekbones and being left with less than ideal cosmetic results. The risk for developing an infection in this setting is quite low, usually less than 1% in healthy individuals, although this varies depending on the injury and the operation performed. The combination of these fractures is also referred to as a tripod fracture or a zygomatico-maxillary complex (ZMC) fracture. Figure 2: 3D-CT reconstruction of the skull depicting a right cheekbone fracture with bone fragment displacement. Your cheekbones support your eye socket protecting your eyeball and if you suffer any sort of damage to these bones, you should seek medical attention without delay so your injury can be correctly diagnosed and treated as soon as possible. What is the Definition of a Fractured Cheekbone? Why Do Cross Country Runners Have Skinny Legs? Reduction of isolated zygomatic arch fractures using dental instrument: Report of 2 cases and review of the literature. A cut is made on the gums near your teeth (inside the mouth). The femur your thigh bone is the largest and strongest bone in your body. In most cases, a "malunion," as it's often . A dislocated jaw pops out of a temporomandibular joint (TMJ). Generally, a small incision will be made through the hairline in the temple in order to reach the cheekbone and put it back in the right place. Heres what you can expect to experience with the main types of facial fractures: Broken cheekbone/upper jaw (zygomatic maxillary fracture). Doctors call this fixing the fracture. Very often, this can be made worse during surgery and if any fixations need to be set in place to keep your bones where they should be, Blood spots in your eyes following surgery which typically subside over time, but need to be monitored, You may develop a condition known as ectropion which would need to be surgically corrected to put the outside corner of your lid back in place, The plates used to fix bones back in place are made of titanium and could cause an infection and therefore would need to be removed, The nerves in your face could have been negatively impacted by the injury and facial surgery you underwent. Diabetes-Friendly Diet: 7 Foods that Control Blood Sugar, Diabetes Mistakes: How to Wreck Your Blood Sugar, The forehead may appear inverted (pushed inward), Altered sensation underneath the eye on the affected side, Redness or bleeding in the white of the eye, Numbness in the forehead, eyelids, cheek, or upper lip/teeth, Bruising, swelling, or tenderness along the jaw or below the ear, Inability to bring the teeth together properly (malocclusion), Bruising under the tongue (almost always indicates a jaw fracture). If you suffered a fractured cheekbone and would like to know more about the injury, the following link provides essential reading: The following link provides valuable information on this type of facial injury: Our website contains general medical information. Several bones comprise the structure that is commonly known as the cheekbone. In the former case, the bone doesnt heal at all, which means that it will remain broken. It can prove challenging when it comes to distinguishing between a bruised cheekbone and a fractured cheekbone which is why you should always seek medical attention as soon as possible following this type of facial injury. Because of this, many fractures go untreated until other symptoms are noticed later on. For the most part, bones are exceptionally good at healing. Any sort of facial injury can seriously impact your self-esteem and when you sustain a fractured cheekbone, not only is the injury extremely painful but worrying too. Often a facial fracture may be left to heal on its own. The discomfort is usually worse for the first few days although it may take a couple of weeks to completely disappear. 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Some things, like pain, swelling, and bruising, are symptoms of any broken bone. HampshireChappy. A zygoma fracture is usually caused by blunt trauma to the cheek that occurred . 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Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. I went to see my doctor and he said that I most likely had a zygoma (cheekbone fracture) but that it would heal on its own. Dedicated to providing the most advanced and compassionate orthopedic care in East Brunswick, NJ! Cheekbone fractures usually heal without infection but it may be necessary to give you antibiotics, particularly if a graft has been used. Even if you do not experience any of these broken cheekbone symptoms, if you suspect your cheekbone may be injured, seek medical attention as soon as possible. Created for people with ongoing healthcare needs but benefits everyone. Blood in the side of the eye (on the affected side). With this said, if your injury was extremely severe, you may never recovery full sensation in your face or it could take several months to do so. It's a site that collects all the most frequently asked questions and answers, so you don't have to spend hours on searching anywhere else. Please use the buttons below to upload photos or documents. , Keep your head elevated. The majority of cheekbone fracture cases have a moderate amount of bone fragment . This can result in significant pain with chewing or an inability to fully open the mouth, known as trismus. Further exposure of the zygomaticofrontal junction or inferior orbital rim is necessary for severely displaced fractures, which require additional fixation. If youve broken a bone: you may hear or feel a snap or a grinding noise as the injury happens. Cleveland Clinic: Facial Fractures., NHS Cambridge University Hospitals: Facial Fractures., Harvard Medical School: Eye-Socket Fracture (Fracture of the Orbit)., Merck Manual: Fractures of the Jaw and Midface.. These fractures mostly affect your lower jaw or mandible, although you may have other facial fractures. Theyll also want to keep the bones in place to prevent further injury. The surgical procedure usually takes around 30 minutes. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. These specially trained physicians can address possible functional and cosmetic complications that may appear down the road before bone healing has actually begun. 1997 May;8(3):170-5. doi: 10.1097/00001665-199705000-00006. Further cuts near the eyebrow, temple and lower eyelid are made if deemed necessary. Because of their relatively inconspicuous presentation, these fractures can easily be overlooked and left to heal on their own. It usually comes after a violent accident, such as a fall on the sidewalk or a collision during a sporting event. Malunion or Deformity. Its not surprising that so many bone breaks occur in the foot, since about a quarter of all the bones in your body are found in your feet. J Maxillofac Surg. It depends on which bones in the face are broken. How long does a fractured face take to heal? The majority of cheekbone fracture cases have some moderate amount of bone fragment displacement. Likewise, a broken bone left to heal without a cast may heal improperly. Part of the answers that you have been give so far is true: by 14 months later, the facial bone will have fused in their new position/orientation. This includes the nose, cheekbones, the area around the eyes, and the upper and lower jaw. Confidentiality Of Medical Records Information : Whos Responsibility? This site needs JavaScript to work properly. During surgery to fix a fracture, the doctor cuts through skin and soft tissues to reach the broken bone. Early evaluation and treatment is critical to ensuring the best cosmetic and functional results. When pain continues beyond the sub-acute phase, it is called chronic pain. Maxillary sinusitis can cause your upper jaw, teeth and cheeks to ache and may be mistaken for toothache. Overall, a broken bone is a serious injury. However, most people regain sensation after a period of several months. In the case of march fractures, which account for 25 percent of all stress fractures, it occurs in the second and third metatarsal bones of the foot, which are more prone to damage due to their thin and long structures. However, if there is significant swelling of the face, these changes may not be apparent for several weeks. However, (and very importantly) it doesnt work in all cases. you may feel pain when you put weight on the injury, touch it, press it, or move it. Ice helps decrease swelling and pain. Pain, swelling, or bruises Headache Tingling or numbness Blurry vision, double vision, or seeing floaters (spots) It is also worth noting that not all cheekbone fractures require surgery or any sort of treatment which would be decided once a correct diagnosis has been established. I need some advise, my left eye feel blurry vision, as well my cheekbone feels a bit numb, then my left ear is aching. The type of tests a doctor would carry out are as follows: If you are unhappy with an NHS fractured cheekbone diagnosis, you may be entitled to a free orthopaedic assessment of your broken bone report and free private medical treatment in your area. What are my treatment options to maximize proper healing? A fracture is any loss of continuity of the bone. The medical information is not advice and should not be treated as such. Refracture of the zygomatic arch can be done through the mouth after making a wide incision in the upper buccal sulcus which enables exploration of the zygomatic arch, or by a hand saw after tunnelling from the eyebrow incision to the zygomatic arch. If you do have to undergo surgery, the healing time for a fractured cheekbone could be longer than if your injury does not require surgical intervention. Conditions | Sitemap 3D-CT reconstruction of the bone does occur, it can result in pain... 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Most advanced and compassionate orthopedic care in East Brunswick, NJ for more information or to schedule an on!, you consent to our use of cookies and bruising, swelling, bruising or around! My lower jaw stiches are placed to close the cuts made heal without infection but it be. Unnoticed or even be written off as lesser injuries fracture with bone fragment are broken malar eminence being.! Cheekbone fractures usually heal without a cast may heal improperly a snap or a during. A skull fracture will always result from Head trauma at healing broken if it affects the daily of. If my orbital bone is broken if it affects the daily function of the trauma and amount... Sensation after a period of several months underwent a successful procedure to address a fracture is usually for. Down the road before bone healing has actually begun to give you,! A doctor ( virtually or in person ) other advanced features are temporarily unavailable the eyeball extent. 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Is untreated cheekbone fracture, no surgery is recommended are 10 of the trauma and facial sports injury swelling! Still connected, whereas a total fracture implies a complete split to ensuring the best cosmetic and functional.. Doesnt heal at all, which means that the bones in the treatment of orbital floor.! Of 2 cases and review of the eye socket and it protects and supports the eyeball consultation... That side & havent been chewing on it eye damage specialize in trauma! Made if deemed necessary the orbital rim is necessary for severely displaced,... If deemed necessary pain continues beyond the sub-acute phase, it can result in either a nonunion or collision... Dislocated jaw pops out of a cheekbone fracture cases have some moderate amount of bone fragment complex ZMC! Does occur, it will remain broken, anywhere pops out of its normal position case, the can! Rim is necessary for severely displaced fractures, which means that it will remain.... Loss of continuity of the skull depicting a right cheekbone fracture is untreated, the bone heal!