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Houston Cranio Facial

Facial Trauma Reconstruction

Facial trauma, such as jaw fractures, orbital or eye-socket fractures, nasal fractures, cheek bone fractures, forehead fractures, and even skull fractures, require early evaluation and treatment. Typically, these types of fractures and injuries require an X-ray or CAT scan of the face. If the fractures are displaced, they usually require reduction and fixation using metal plates and screws. Sometimes lacerations can occur, requiring a repair with possible nerve or arterial repair. The type of facial fractures repaired by our extensively trained plastic and craniofacial surgeon include nasal fractures, orbital fractures, zygoma fractures, maxillary fractures, mandibular fractures, and frontal sinus fractures.

We utilize the most advanced techniques and craniofacial technology to provide optimal treatment. If you would like additional information about facial reconstruction, or if you would like to schedule a consultation, please contact us today.

When is facial trauma reconstruction necessary?

Occasionally fractures and other facial injuries do not get repaired at the initial time of injury, requiring delayed reconstruction. This can lead to nonunion or malunion of the bone fractures, meaning that the bones were healing in the incorrect position or they did not heal at all. When this occurs, it becomes very difficult to reduce the bone to the normal anatomical position during surgery. To aid in the surgical treatment, special 3-D CAT scans can be obtained to develop virtual surgical modeling. This involves creating a 3-D printed plastic skull model, which can be manipulated prior to surgery to determine the correct anatomical position of the bones as well as determining where to make cuts in the bones (also known as osteotomies). A second 3-D printed plastic skull model can show the desired surgical outcome even before surgery is performed. This advanced technology allows us to create special metal plates, which are designed to hold the bones in the proper position and to allow for healing after the surgery. This new revolutionary technique reduces the amount of time spent in the operating room and the accuracy of the results dramatically improves. This can lead to fewer number of reoperations in the future.

I broke my cheekbone in a baseball accident and Dr. Payne was one of the few dr I could find that was skilled to fix it. His staff helped my wife understand what was covered by insurance and what was not. They were able to get me in quickly and repair the broken bones without any scars on the outside of my face. Beyond impressed with Dr. Payne and his team. To make it even better, I found some books in his lobby showing pictures from trips where he helped to repair facial deformities in underprivileged children. So cool to see someone use their gifts and talents to serve others. HIGHLY RECOMMEND him.


F45 Greatwood Chad

May 03, 2017


What are the risks?

That being said, facial trauma reconstruction is not without risks. The risks involved include injury to teeth, nerves, blood vessels, salivary glands, the eye, and any other vital structures. Other risks include: infection, bleeding, poor healing of the bone (nonunion) or the wound as well as malposition of the bone (malunion), and poorly fitting teeth (malocclusion). To correct these problems, surgery may be necessary. Selecting a board certified surgeon who specializes in cranio-maxillofacial surgery can help reduce the risk involved with facial trauma reconstruction. Dr. Payne has an eye towards reconstructing the skin, soft tissue or fat, bone alignment along with functional repair of the facial trauma deformity to achieve the best aesthetic outcome possible. The main goal is to restore your facial function and appearance to as normal as possible.

Your care, comfort, and results are our highest priorities. To learn more about facial trauma reconstruction and your treatment options, please contact our practice with any questions or to schedule a consultation.