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A blow to the eye: Ocular and orbital trauma - Mayo Clinic
Facial trauma , also called maxillofacial trauma , is any physical trauma to the face. Facial trauma can involve soft tissue injuries such as burns , lacerations and bruises , or fractures of the facial bones such as nasal fractures and fractures of the jaw, as well as trauma such as eye injuries. Symptoms are specific to the type of injury; for example, fractures may involve pain, swelling, loss of function, or changes in the shape of facial structures. Facial injuries have the potential to cause disfigurement and loss of function; for example, blindness or difficulty moving the jaw can result. Although it is seldom life-threatening, facial trauma can also be deadly, because it can cause severe bleeding or interference with the airway ; thus a primary concern in treatment is ensuring that the airway is open and not threatened so that the patient can breathe. Depending on the type of facial injury, treatment may include bandaging and suturing of open wounds , administration of ice, antibiotics and pain killers , moving bones back into place, and surgery.
Periorbital cellulitis is an infective process occurring in the eyelid tissues superficial to anterior to or above the orbital septum. It is usually due to superficial tissue injury e. Orbital cellulitis is an infective process affecting the muscles and fat within the orbit, posterior or deep to the orbital septum, not involving the globe. It is usually due to underlying bacterial sinusitis. Periorbital cellulitis is of concern in children because it may be secondary to occult underlying bacterial sinusitis or, rarely, due to bacteremic spread from a primary infection e.
A careful assessment of the orbit injury may include examination of the facial bones, eyelids, and surrounding soft tissue; inspection of the globe; and visual acuity. Surgery is delayed in most adult cases to allow oedema and haemorrhage to resolve. In small, non-blow-out fractures, conservative treatment may be considered.