Facial trauma treatment in Sohna Road, Gurugram requires a surgeon who understands the facial skeleton as precisely as a watchmaker understands gears — because every millimetre of displacement in a fractured cheekbone, jaw, or eye socket translates directly into functional problems and visible asymmetry that the patient lives with permanently if not corrected properly the first time. At Healing Gloves Clinic & Aesthetics near Central Park Flower Valley, Dr. Manisha Yadav is a qualified Oral & Maxillofacial Surgeon with over 14 years of experience managing the full spectrum of facial injuries — from road accident fractures and sports injuries to assault-related trauma and falls.
What we treat: Facial fractures (jaw, cheekbone, eye socket, nasal bones), soft tissue lacerations, dental trauma (knocked-out or fractured teeth), dentoalveolar injuries. Common causes: Road accidents, falls, sports injuries, assault, workplace accidents. Specialist: Dr. Manisha Yadav, Oral & Maxillofacial Surgeon (14+ years). Approach: Emergency stabilisation followed by definitive surgical repair using titanium miniplates and screws. Key principle: Early treatment within 7–14 days produces the best outcomes. Scars: Intraoral incisions preferred — no visible facial scars in most jaw fracture cases.
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Not every cut or bruise on the face requires a surgeon. But facial injuries that involve the bones underneath, displace teeth, affect jaw movement, or threaten the eye socket need a specialist who deals specifically with the facial skeleton — an oral and maxillofacial surgeon.
Here is a practical guide to understanding when the injury you or a family member has sustained crosses the line from "go to a general emergency room" to "you need a maxillofacial surgeon involved."
If any of these signs are present after a road accident, fall, sports collision, or assault, contact Dr. Manisha Yadav at Healing Gloves Clinic immediately. Early assessment — ideally within the first 24–48 hours — allows for the most effective treatment planning.
The facial skeleton is a complex three-dimensional structure with interconnected bones that protect the brain, eyes, airway, and teeth. Different impact forces — from different directions and at different speeds — produce different fracture patterns. Dr. Manisha Yadav manages all of the following at our Sohna Road clinic.
The mandible is the most commonly fractured facial bone because it protrudes and absorbs direct impacts. Fractures can occur at the chin (symphysis), the body of the jaw, the angle near the wisdom teeth, or the condyle (the joint end that connects to the skull). Symptoms include pain on chewing, bite misalignment, numbness in the lower lip, and visible deviation when opening the mouth. Treatment involves open reduction and internal fixation (ORIF) with titanium plates through intraoral incisions — no external scars.
The cheekbone forms the prominence of the mid-face and the floor of the eye socket. A fractured zygoma causes flattening of the cheek, restricted mouth opening (because the zygomatic arch presses on the jaw muscle), numbness over the cheek, and potentially eye-related symptoms if the orbital floor is involved. Surgical repair repositions the bone through small incisions and fixes it with miniplates.
A direct blow to the eye can fracture the thin bone forming the floor of the eye socket. This is called a blowout fracture. The eye may appear sunken (enophthalmos), and if the eye muscle herniates into the fracture, double vision results. Orbital floor fractures with muscle entrapment — particularly in children — are surgical urgencies. Repair involves freeing the trapped tissue and placing a thin titanium mesh or resorbable plate to reconstruct the orbital floor.
The nose is the most commonly fractured facial structure overall. Not all nasal fractures require surgery — if the bones are not displaced, conservative management with observation is appropriate. Displaced nasal fractures causing visible deviation or airway obstruction are reduced (repositioned) under local or general anaesthesia, ideally within 7–10 days before the bones begin healing in the wrong position.
High-energy impacts — typically from road traffic accidents — can cause fractures that separate portions of the upper jaw and midface from the skull base. These are classified as Le Fort I, II, or III depending on the level of separation. These are serious injuries that affect bite, facial height, and sometimes airway. Surgical repair involves repositioning and plating the fractured segments, often coordinated with other specialties if the injuries are extensive.
Injuries to the teeth and the bone immediately surrounding them — knocked-out teeth (avulsion), fractured teeth, displaced teeth, or fractured alveolar bone. Time is critical for avulsed teeth — reimplantation within 30–60 minutes gives the best chance of saving the tooth. Dr. Yadav manages the full range of dental trauma including splinting, reimplantation, and alveolar bone repair.
Lacerations, abrasions, and degloving injuries to facial skin and underlying tissue. Facial soft tissue repair requires meticulous technique because the face heals visibly — poorly sutured wounds result in obvious scarring. Dr. Yadav performs layered closure with fine sutures, aligning tissue planes precisely to minimise scarring and preserve facial nerve function.
Facial trauma treatment follows a structured sequence. Understanding this process helps patients and families know what to expect at each stage.
The first priority is always airway, breathing, and bleeding control. Facial injuries — particularly mandibular and midface fractures — can compromise the airway. Once the patient is stable, Dr. Yadav performs a systematic clinical examination: checking bite alignment, jaw movement, facial symmetry, nerve sensation, eye movement, and nasal airway patency. Any dental injuries are catalogued and loose teeth are temporarily stabilised.
CT scans with 3D reconstruction provide the clearest picture of fracture patterns, displacement, and involvement of surrounding structures. For isolated mandibular fractures, an OPG (panoramic dental X-ray) may be sufficient. The imaging determines the surgical plan — which fractures need open reduction, the sequence of repair, and the hardware required.
Surgery is ideally performed within 7–14 days of injury, once initial swelling has reduced enough to allow accurate bone repositioning. Under general anaesthesia, Dr. Yadav reduces each fracture — moving displaced bone fragments back to their anatomical position — and fixes them with titanium miniplates and screws. The approach prioritises intraoral incisions wherever possible. Dental injuries are addressed in the same operative session when feasible.
Jaw fracture patients follow a soft diet for 4–6 weeks while bones heal. Guiding elastics (rubber bands) may be placed to train the bite into its correct position. Follow-up imaging at 4–6 weeks confirms healing. Physiotherapy may be needed if jaw opening is restricted. Most patients return to work within 1–2 weeks for desk jobs, longer for physically demanding work.
Facial bones begin healing within days of a fracture. If they heal in the wrong position — because treatment was delayed or the fracture was missed — the resulting problems are significantly harder to fix than the original injury.
The message is straightforward: if you suspect a facial fracture, get assessed within 24–48 hours. Treatment within the first 7–14 days gives the best possible outcome with the simplest possible surgery.
Understanding the common mechanisms helps in prevention — and helps you recognise when an injury might be more serious than it looks.
The single most common cause of facial fractures in Gurugram and across Delhi-NCR. Two-wheeler riders without helmets or with open-face helmets are particularly vulnerable to mandibular, midface, and dentoalveolar injuries. Car occupants sustain facial injuries from dashboard or steering wheel impact, especially without seatbelts. Patients from Sohna Road, Badshahpur, and the Southern Peripheral Road corridor — areas with heavy traffic and high-speed stretches — present frequently with road accident facial trauma.
The second most common cause, particularly in two populations: elderly patients and children. Elderly falls often produce zygomatic and mandibular fractures from direct facial impact. Children commonly sustain dentoalveolar trauma (tooth and surrounding bone injuries) from playground falls, cycling accidents, and sports. Construction site falls from height produce high-energy facial fractures that may involve multiple bones.
Contact sports — cricket (ball impact), football, kabaddi, boxing, martial arts — produce a range of facial injuries from simple nasal fractures to complex mandibular and midface fractures. Sports-related dental avulsion (teeth knocked out) is particularly time-sensitive — the tooth must be reimplanted within 60 minutes for the best survival chance.
Punch injuries typically fracture the mandibular angle or condyle. Multiple blows can produce complex fracture patterns involving multiple facial bones. These cases often present late due to initial reluctance to seek medical care, which unfortunately reduces treatment options.
Facial trauma treatment cost is difficult to estimate without examining the specific injury because the range is extremely wide — from a straightforward soft tissue repair to a multi-site fracture fixation requiring several hours in the operating theatre.
Because every injury is different, Dr. Yadav provides an accurate cost breakdown only after clinical examination and imaging. This ensures you know exactly what is needed before committing financially. In emergency situations, stabilisation and assessment are prioritised — cost discussions happen once the clinical picture is clear.
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Knowing what to do in the first minutes after a facial injury can make a meaningful difference in treatment outcomes.
Apply firm, steady pressure with a clean cloth. Do not keep lifting the cloth to check — maintain pressure for at least 10 minutes. Facial wounds bleed heavily because the face has a rich blood supply, but this same blood supply also means facial wounds heal well once properly treated.
Find the tooth. Hold it by the crown (white part), never by the root. If it is dirty, rinse gently with milk or saline — do not scrub it. Store it in cold milk, saline, or the patient's own saliva. Do not store it in water. Get to a maxillofacial surgeon within 60 minutes — every minute counts for reimplantation success.
Do not attempt to push displaced bones back. Apply ice wrapped in cloth to reduce swelling — never apply ice directly to skin. If the jaw appears displaced, support it gently with a cloth bandage under the chin and over the head. Do not force the mouth closed. Go to the nearest emergency department or contact Dr. Yadav directly at +91-9310827648.
If there is double vision, a sunken appearance to the eye, or inability to look upward after facial impact, this may indicate an orbital floor fracture. Do not press on the eye. Seek urgent specialist assessment — orbital floor fractures with muscle entrapment are time-sensitive, particularly in children.
What should I do immediately after a facial injury?
Control any bleeding with clean cloth and gentle pressure. Do not attempt to push displaced bones or teeth back into position. If teeth have been knocked out, store them in milk or saline — not water — and bring them with you. Apply ice wrapped in cloth to reduce swelling. Go to an emergency department or contact a maxillofacial surgeon immediately. Time matters — the sooner fractures and soft tissue injuries are treated, the better the outcome. You can reach Healing Gloves Clinic at +91-9310827648 for urgent maxillofacial consultation.
Which doctor treats facial fractures — an orthopaedic surgeon or someone else?
Facial fractures are treated by oral and maxillofacial surgeons, not orthopaedic surgeons. Orthopaedic surgeons specialise in limb and spine bones. The facial skeleton — including the jaw, cheekbones, eye sockets, and nasal bones — falls under maxillofacial surgery. Dr. Manisha Yadav is a qualified Oral & Maxillofacial Surgeon with over 14 years of experience managing facial trauma cases, from simple nasal fractures to complex midface and mandibular injuries.
How are facial fractures diagnosed?
Diagnosis involves clinical examination followed by imaging. Dr. Yadav assesses facial symmetry, bite alignment, eye movement, nerve sensation, and jaw function. CBCT or CT scans provide detailed three-dimensional views of the fracture pattern, displacement, and surrounding structures. Plain X-rays like OPG (orthopantomogram) are used for mandibular fractures. The imaging determines whether surgery is needed or conservative management is sufficient.
Do all facial fractures require surgery?
No. Some fractures — particularly non-displaced or minimally displaced nasal fractures, isolated zygomatic arch fractures without functional impairment, and stable mandibular fractures — can be managed conservatively with observation, soft diet, and close follow-up. Surgery is recommended when fractures are displaced, causing functional problems (bite misalignment, restricted jaw movement, double vision), or when the bone fragments will not heal correctly without fixation.
What does facial fracture surgery involve?
The surgeon reduces (repositions) the displaced bone fragments to their correct anatomical position and fixes them with titanium miniplates and screws. For jaw fractures, incisions are made inside the mouth whenever possible to avoid visible scars. For cheekbone and eye socket fractures, small incisions are placed in natural skin creases or inside the lower eyelid. The titanium hardware is permanent and biocompatible — it does not set off metal detectors or require removal.
How long does recovery from facial fracture surgery take?
Swelling peaks at 48–72 hours and progressively reduces over 2–4 weeks. Jaw fractures require a soft diet for 4–6 weeks. Most patients return to desk work within 1–2 weeks. Contact sports and strenuous physical activity are restricted for 6–8 weeks. Numbness in certain facial areas may persist for weeks to months as nerves recover. Full bone healing takes 6–8 weeks, confirmed through follow-up imaging.
Can facial trauma cause permanent damage if not treated quickly?
Yes. Delayed treatment of facial fractures can result in malunion (bones healing in the wrong position), malocclusion (bite permanently thrown off), chronic jaw pain, facial asymmetry, restricted jaw opening, enophthalmos (sunken eye from untreated orbital floor fracture), and persistent numbness. Some of these complications require secondary corrective surgery that is more complex than the original repair would have been. Early treatment within the first 7–14 days generally produces the best outcomes.
What is the cost of facial trauma treatment in Gurugram?
Cost varies widely based on the type and severity of the injury. Simple soft tissue laceration repair is significantly less than open reduction and internal fixation of multiple facial fractures. Factors include the number of fracture sites, whether plates and screws are needed, hospital and anaesthesia charges, and any associated dental injuries requiring treatment. Dr. Yadav provides a detailed cost estimate after clinical and radiographic assessment at our Sohna Road clinic.
Does health insurance cover facial trauma treatment?
Many health insurance policies cover facial trauma treatment when it results from an accident or injury, as it is classified as medically necessary rather than cosmetic. Coverage varies by policy — some cover hospitalisation and surgery but not the titanium hardware separately. We recommend checking with your insurance provider before the procedure. Our clinic can provide the necessary documentation and procedure codes for your insurance claim.
Contact Dr. Manisha Yadav at Healing Gloves Clinic, Sohna Road, Gurugram for urgent facial trauma consultation.