Cheekbone Fractures and their treatment | Tripod & Other Cheekbone Facial Fractures - Dr. Shreya

The cheekbone forms part of the eye socket, both protecting the eyeball and supporting it from below. It is also linked to the side of the nose and the upper jaw. The doctor who examined you has already established the number of fractures, where they have occurred and whether they need treatment to help them heal.

There can be a number of reasons why the fracture requires treatment; the most common is to overcome flattening of the side of the face or to give a better chance of return of feeling to the cheek, nose and upper lip.

The treatment that is about to take place involves a general anaesthetic, i.e. you will be asleep during the operation.

Some fractures of the cheekbone produce a break in the floor of the eye socket that needs attention. In such cases a cut on the inside / outside of the lower eyelid is necessary as described above. Occasionally the bones in the floor of the eye socket are shattered and do not support the eyeball properly even if they are put back in the right position. In these circumstances it may be necessary to “graft” the floor of your eye socket to support the eyeball. If this is known in advance the graft material that is going to be used will be discussed with you before you sign any consent form for your operation, but thin sheets of plastic, metal mesh, or bone grafts from other areas of your body may be used.

It is likely to be sore and regular pain relief medication will be arranged for you. The discomfort is usually worse for the first few days although it may take a couple of weeks to completely disappear. Cheekbone fractures usually heal without infection but it may be necessary to give you antibiotics, particularly if a “graft” has been used. Initially it may be necessary to give you antibiotics through a vein in your arm whilst you are in hospital. You will be sent home with pain relief medication and a course of antibiotics if necessary.

There is a variable amount of swelling and bruising in the skin around the eyelids. Occasionally the whites of the eyes may become bruised giving them a red appearance. All these changes are most noticeable the first day after the surgery and have very much reduced by the end of the second week. Swelling and bruising can be improved by using cold compresses.

The usual stay in hospital is for one night following the surgery. If there is uncertainty about the position of the bone the following day it may be checked with X-rays before you are allowed home. If the bone is not in a satisfactory position it may be necessary to re-operate.

Even if the position of the fractured bone has been held with plates and screws it still takes about six weeks for your cheekbone to heal completely. During this time you need to be careful to avoid an injury to this side of your face, since it may well push the cheekbone back out of position again. You should also avoid blowing your nose for two weeks following surgery because otherwise this can produce swelling in and around the eye.

Before you leave hospital an appointment will be arranged for you to be seen in the outpatient department to take out any stitches and for review. It is important to keep any stitches or dressings dry until they are removed. If you have any incisions inside your mouth it may be difficult to clean your teeth around stitches because it is sore. It is best to keep the area free from food debris by gently rinsing your mouth with a mouthwash of hot salt water (dissolve a flat teaspoon of kitchen salt in a cup of hot water) commencing on the day after surgery after meals.

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About Dr. Shreya Krishna : Dr. Shreya Krishna is one of the Best Oral and Maxillofacial Surgeon in Delhi, best plastic surgeon in Delhi and best oral surgeon in Delhi. She is expertise for jaw corrective surgery, facial surgery, orthognathic surgery. She is also best chin surgeon in Delhi. She is expert in jaw fracture treatment and orbit fracture treatment. She is the top Jawline Contouring Surgeon. Her core areas of expertise include Corrective Jaw repositioning Surgery using Computer-aided designing and planning, Scarless orbit fracture treatment, Cleft lip and Palate surgeries, Temporomandibular joint surgery, Facial Fracture management, and Oral cyst and tumour management. Dr. Shreya has latest technology for oral maxillofacial surgeries in Delhi.

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