Facial fractures can arise from accidental falls, sport injuries, motor vehicle accidents, or assaults. Most facial fractures require repair due to their aesthetic and/or functional effects. Nose fractures are by far the commonest form of facial fractures. Other facial bones such as the forehead, cheekbones, orbital bones, or the jawbones may also be fractured or dislocated from trauma. Severe facial injuries require emergency evaluation to assess the extent of injuries, and to rule out concomitant injuries to the eye, brain, or the neck. Primary surgical management of facial fractures is often delayed by seven to ten days to allow reduction of the initial swelling in soft tissues.
Radiographic (CT scan) examination of the face allows precise evaluation of bony injuries, and is commonly performed during an initial ER visit. Dr. Khosh treats both primary facial fractures and secondary deformities from old facial injuries. Nasal fractures are the only type of facial fracture that can be repaired in an office setting under local anesthesia. Other types of facial fractures require repair and fixation in the operating room. Dr. Khosh works closely with other specialists such as ophthalmologists, dentists, oral surgeons, or neurosurgeons to ensure comprehensive care for individuals with more severe facial fractures.
Dr. Khosh utilizes the most modern surgical techniques and specialized instrumentation to repair facial fractures via hidden incisions inside the mouth, eyelid, or hairline thereby eliminating any visible scars. Secondary facial reconstruction for old fractures can restore forehead or cheekbone depressions, sunken eyeball position, or a displaced jawbone with malocclusion. Bone grafts or inert implants are occasionally used in more serious fractures.