Facial Soft Tissue Injuries Workup

Updated: Aug 22, 2018
  • Author: Kyle D Parish, MD; Chief Editor: Craig C Young, MD  more...
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Approach Considerations

With any significant facial and head trauma, providers must consider the possibility of an associated concussion. [21]




Imaging Studies

Facial injuries in which there is significant bony tenderness or obvious deformity warrant imaging to evaluate for fractures. Start with plain films of the face, including Water, Caldwell, and lateral views. Panoramic x-ray images may also be of benefit. These images may also be helpful in the evaluation of a possible foreign body presence. If the clinical suspicion is high or plain films are inconclusive, computed tomography (CT) scans can be useful. If necessary, 3-dimensional (3-D) reconstructions can be made for a more detailed analysis.