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Facial Injuries
Overview
At one time or another, everyone has had a minor facial injury that caused pain, swelling, or bruising. Home treatment is usually all that's needed for mild bumps or bruises.
Causes of facial injuries
Facial injuries most often occur during:
- Sports or recreational activities, like ice hockey, basketball, rugby, soccer, or martial arts.
- Work-related tasks or projects around the home.
- Car crashes.
- Falls.
- Fights.
In children, most facial injuries occur during sports or play or are caused by falls. Minor facial injuries in young children tend to be less severe than similar facial injuries that occur in older children or adults. Young children are less likely to break a facial bone. That's because they have fat pads that cushion their faces, and their bones are more flexible. But young children are more likely to be bitten in the face by an animal.
Head injuries may occur at the same time as a facial injury. So be sure to check for symptoms of a head injury.
Types of injuries
Facial injuries may be caused by a direct blow, a penetrating injury, or a fall. Pain may be sudden and severe. Bruising and swelling may start soon after the injury. Acute injuries include:
- A cut or puncture to your face or inside your mouth. This often occurs with even a minor injury. But a cut or puncture is likely to occur when a jaw or facial bone is broken. The bone may come through the skin or poke into the mouth.
- Bruises from a tear or rupture of small blood vessels under the skin.
- Broken bones, such as a fractured cheekbone.
- A dislocated jaw. This may occur when the lower jawbone (mandible) is pulled apart from one or both of the joints connecting it to the base of the skull at the temporomandibular (TM) joints. This can cause problems even if the jaw pops back into place.
Treatment
Treatment for a facial injury may include first aid and medicine. In some cases, surgery is needed. Treatment depends on:
- The location and type of injury, and how bad it is.
- How long ago the injury occurred.
- Your age, health condition, and other activities, such as work, sports, or hobbies.
When you've had a facial injury, it's important to look for signs of other injuries, such as a spinal injury, an eye injury, or an injury to the mouth, such as a cut lip or injured tooth.
Check Your Symptoms
The medical assessment of symptoms is based on the body parts you have.
- If you are transgender or nonbinary, choose the sex that matches the body parts (such as ovaries, testes, prostate, breasts, penis, or vagina) you now have in the area where you are having symptoms.
- If your symptoms aren’t related to those organs, you can choose the gender you identify with.
- If you have some organs of both sexes, you may need to go through this triage tool twice (once as "male" and once as "female"). This will make sure that the tool asks the right questions for you.
Many things can affect how your body responds to a symptom and what kind of care you may need. These include:
- Your age. Babies and older adults tend to get sicker quicker.
- Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart disease, you may need to pay closer attention to certain symptoms and seek care sooner.
- Medicines you take. Certain medicines, such as blood thinners (anticoagulants), medicines that suppress the immune system like steroids or chemotherapy, herbal remedies, or supplements can cause symptoms or make them worse.
- Recent health events, such as surgery or injury. These kinds of events can cause symptoms afterwards or make them more serious.
- Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug use, sexual history, and travel.
Try Home Treatment
You have answered all the questions. Based on your answers, you may be able to take care of this problem at home.
- Try home treatment to relieve the symptoms.
- Call your doctor if symptoms get worse or you have any concerns (for example, if symptoms are not getting better as you would expect). You may need care sooner.
Shock is a life-threatening condition that may quickly occur after a sudden illness or injury.
Adults and older children often have several symptoms of shock. These include:
- Passing out (losing consciousness).
- Feeling very dizzy or lightheaded, like you may pass out.
- Feeling very weak or having trouble standing.
- Not feeling alert or able to think clearly. You may be confused, restless, fearful, or unable to respond to questions.
Shock is a life-threatening condition that may occur quickly after a sudden illness or injury.
Babies and young children often have several symptoms of shock. These include:
- Passing out (losing consciousness).
- Being very sleepy or hard to wake up.
- Not responding when being touched or talked to.
- Breathing much faster than usual.
- Acting confused. The child may not know where he or she is.
Pain in adults and older children
- Severe pain (8 to 10): The pain is so bad that you can't stand it for more than a few hours, can't sleep, and can't do anything else except focus on the pain.
- Moderate pain (5 to 7): The pain is bad enough to disrupt your normal activities and your sleep, but you can tolerate it for hours or days. Moderate can also mean pain that comes and goes even if it's severe when it's there.
- Mild pain (1 to 4): You notice the pain, but it is not bad enough to disrupt your sleep or activities.
Pain in children under 3 years
It can be hard to tell how much pain a baby or toddler is in.
- Severe pain (8 to 10): The pain is so bad that the baby cannot sleep, cannot get comfortable, and cries constantly no matter what you do. The baby may kick, make fists, or grimace.
- Moderate pain (5 to 7): The baby is very fussy, clings to you a lot, and may have trouble sleeping but responds when you try to comfort him or her.
- Mild pain (1 to 4): The baby is a little fussy and clings to you a little but responds when you try to comfort him or her.
Usually found in dirt and soil, tetanus bacteria typically enter the body through a wound. Wounds may include a bite, a cut, a puncture, a burn, a scrape, insect bites, or any injury that may cause broken skin.
You may need a tetanus shot depending on how dirty the wound is and how long it has been since your last shot.
- For a dirty wound that has things like dirt, saliva, or feces in it, you may need a shot if:
- You haven't had a tetanus shot in the past 5 years.
- You don't know when your last shot was.
- For a clean wound, you may need a shot if:
- You have not had a tetanus shot in the past 10 years.
- You don't know when your last shot was.
Symptoms of infection may include:
- Increased pain, swelling, warmth, or redness in or around the area.
- Red streaks leading from the area.
- Pus draining from the area.
- A fever.
Symptoms of a spinal cord injury in an adult or older child may include:
- Severe neck or back pain.
- Not being able to move a part of the body. (This is not the same as being unable to move because of pain or because of a direct injury to that area.)
- Weakness, tingling, or numbness in the arms or legs.
- New loss of bowel or bladder control.
With severe bleeding, any of these may be true:
- Blood is pumping from the wound.
- The bleeding does not stop or slow down with pressure.
- Blood is quickly soaking through bandage after bandage.
With moderate bleeding, any of these may be true:
- The bleeding slows or stops with pressure but starts again if you remove the pressure.
- The blood may soak through a few bandages, but it is not fast or out of control.
With mild bleeding, any of these may be true:
- The bleeding stops on its own or with pressure.
- The bleeding stops or slows to an ooze or trickle after 15 minutes of pressure. It may ooze or trickle for up to 45 minutes.
Some types of facial wounds are more likely to leave a scar than others. These include:
- Jagged wounds on the face.
- Cuts on the eyelids.
- Cuts to the lips, especially if they cut through the edge of the lip.
Stitches or other treatment may help prevent scarring. It's best to get treated within 8 hours of the injury.
Symptoms of a skull fracture may include:
- Clear or bloody fluid draining from the ears or nose.
- Bruising under the eyes or behind the ears.
- Drooping of the face.
- A dent anywhere on the head.
The symptoms of a skull fracture may appear at the time of the injury or hours or days later.
Symptoms of difficulty breathing can range from mild to severe. For example:
- You may feel a little out of breath but still be able to talk (mild difficulty breathing), or you may be so out of breath that you cannot talk at all (severe difficulty breathing).
- It may be getting hard to breathe with activity (mild difficulty breathing), or you may have to work very hard to breathe even when you’re at rest (severe difficulty breathing).
Severe trouble breathing means:
- You cannot talk at all.
- You have to work very hard to breathe.
- You feel like you can't get enough air.
- You do not feel alert or cannot think clearly.
Moderate trouble breathing means:
- It's hard to talk in full sentences.
- It's hard to breathe with activity.
Mild trouble breathing means:
- You feel a little out of breath but can still talk.
- It's becoming hard to breathe with activity.
Severe trouble breathing means:
- The child cannot eat or talk because he or she is breathing so hard.
- The child's nostrils are flaring and the belly is moving in and out with every breath.
- The child seems to be tiring out.
- The child seems very sleepy or confused.
Moderate trouble breathing means:
- The child is breathing a lot faster than usual.
- The child has to take breaks from eating or talking to breathe.
- The nostrils flare or the belly moves in and out at times when the child breathes.
Mild trouble breathing means:
- The child is breathing a little faster than usual.
- The child seems a little out of breath but can still eat or talk.
Certain health conditions and medicines weaken the immune system's ability to fight off infection and illness. Some examples in adults are:
- Diseases such as diabetes, cancer, heart disease, and HIV/AIDS.
- Long-term alcohol and drug problems.
- Steroid medicines, which may be used to treat a variety of conditions.
- Chemotherapy and radiation therapy for cancer.
- Other medicines used to treat autoimmune disease.
- Medicines taken after organ transplant.
- Not having a spleen.
Seek Care Now
Based on your answers, you may need care right away. The problem is likely to get worse without medical care.
- Call your doctor now to discuss the symptoms and arrange for care.
- If you cannot reach your doctor or you don't have one, seek care in the next hour.
- You do not need to call an ambulance unless:
- You cannot travel safely either by driving yourself or by having someone else drive you.
- You are in an area where heavy traffic or other problems may slow you down.
Call 911 Now
Based on your answers, you need emergency care.
Call 911 or other emergency services now.
Sometimes people don't want to call 911. They may think that their symptoms aren't serious or that they can just get someone else to drive them. Or they might be concerned about the cost. But based on your answers, the safest and quickest way for you to get the care you need is to call 911 for medical transport to the hospital.
Seek Care Today
Based on your answers, you may need care soon. The problem probably will not get better without medical care.
- Call your doctor today to discuss the symptoms and arrange for care.
- If you cannot reach your doctor or you don't have one, seek care today.
- If it is evening, watch the symptoms and seek care in the morning.
- If the symptoms get worse, seek care sooner.
Call 911 Now
Based on your answers, you need emergency care.
Call 911 or other emergency services now.
Do not move the person unless there is an immediate threat to the person's life, such as a fire. If you have to move the person, keep the head and neck supported and in a straight line at all times. If the person has had a diving accident and is still in the water, float the person face up in the water.
Sometimes people don't want to call 911. They may think that their symptoms aren't serious or that they can just get someone else to drive them. Or they might be concerned about the cost. But based on your answers, the safest and quickest way for you to get the care you need is to call 911 for medical transport to the hospital.
Call 911 Now
Based on your answers, you need emergency care.
Call 911 or other emergency services now.
Put direct, steady pressure on the wound until help arrives. Keep the area raised if you can.
Sometimes people don't want to call 911. They may think that their symptoms aren't serious or that they can just get someone else to drive them. Or they might be concerned about the cost. But based on your answers, the safest and quickest way for you to get the care you need is to call 911 for medical transport to the hospital.
Make an Appointment
Based on your answers, the problem may not improve without medical care.
- Make an appointment to see your doctor in the next 1 to 2 weeks.
- If appropriate, try home treatment while you are waiting for the appointment.
- If symptoms get worse or you have any concerns, call your doctor. You may need care sooner.
Self-Care
First aid for a possible broken facial bone
Use first aid for a possible broken bone.
- Stop the bleeding. Facial injuries can bleed a lot, even if they are minor injuries.
- Stop any bleeding from the nose, mouth, or face to see what the injury is.
- Help an injured child stop crying. Crying increases blood flow to the face and can make a nosebleed or facial bleeding worse. If the child is crying, speak in a quiet, relaxed manner to soothe them.
- Give first aid for a suspected broken bone.
- Do not move misshapen facial bones. Moving the bones may make an injury worse, increase bleeding, or cause more problems.
- Apply an ice or cold pack right away.
- Seek medical care.
Caring for a minor facial injury
Home treatment may help treat problems and prevent complications after a minor injury to your face. Try the following tips to help care for a facial injury.
- Use ice.
- Put ice or a cold pack on your face for 10 to 20 minutes at a time. Try to do this every 1 to 2 hours for the next 3 days (when you are awake).
- Keep your head elevated.
- Do this even while you sleep. This will help reduce swelling.
- Apply heat.
- After 2 or 3 days, you can try applying heat to the area that hurts. Types of heat therapy include microwavable packs and disposable heating patches.
- Apply heat for 10 to 20 minutes at a time.
- You might also try switching between cold and heat.
- Don't take aspirin or other NSAIDs.
- For the first 24 hours after your injury, don't take aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs). Aspirin prolongs the clotting time of blood. It may cause more nose or facial bleeding.
- Eat wisely.
- Eat soft foods and cold foods and drinks to reduce jaw and mouth pain.
- Avoid hot foods or drinks. These may increase swelling around the mouth.
- Don't smoke.
Smoking slows healing because it decreases blood supply and delays tissue repair.
Signs of possible abuse
Most injuries are not caused by abuse. But bruises are often the first sign of possible abuse. Suspect physical abuse of a child or vulnerable adult when:
- Any injury cannot be explained or does not match the explanation.
- Repeated injuries occur.
- Explanations change for how the injury happened.
You may be able to prevent further injuries by reporting abuse. Seek help if:
- You suspect child abuse or elder abuse. Call your local child or adult protective agency, police, or a health professional, such as a doctor, nurse, or counselor.
- You or someone you know is experiencing intimate partner violence (IPV).
- You have trouble controlling your anger with a child or other person in your care.
When to call for help during self-care
Call a doctor if any of the following occur during self-care at home:
- New or worse changes in vision, such as double vision or blurring.
- New or worse pain or swelling.
- New or worse numbness or tingling.
- New or worse signs of infection, such as redness, warmth, pus, or a fever.
- A decrease in feeling or sensation.
- Symptoms occur more often or are more severe.
Learn more
Over-the-counter medicines
- Acetaminophen
- Aspirin for Pain, Fever, and Inflammation
- Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)
- Quick Tips: Safely Giving Over-the-Counter Medicines to Children
More self-care
Preparing For Your Appointment
You can help your doctor diagnose and treat your condition by being prepared for your appointment.
Related Information
Credits
Current as of: July 17, 2023
Author:
Healthwise Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.
Current as of: July 17, 2023
Author: Healthwise Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.
