Stephen J. Schueler, M.D.

Overview Symptoms Evaluation Treatment questions for doctor specialist Home Care neuro checks pain in adults pain in children warning signs Underlying Cause Anatomy

Fractured Face Home Care

Home care for a facial fracture may include:

Home care for nosebleed:
  • Pinch the nose firmly for 15 minutes without letting go. Make sure you are pinching the nose below the nasal bone.
  • Sit upright: do not lie down.
  • Breathe through your mouth.
  • Drink cold water to clear blood from your throat.
  • Seek medical care if the bleeding does not stop.
  • Do not remove blood clots from your nose once the bleeding has stopped.
  • Do not blow your nose for at least 2 days.
  • Do not take aspirin for one week after the nosebleed.
  • Avoid hot liquids.
  • Stop smoking.
  • Avoid exposure to secondary smoke.

Fractured Face Neuro Checks

Neurologic checks should be performed once an hour, for the first 24 hours in someone with a facial fracture.

Seek care immediately for:

Fractured Face Pain in Adults

Medications commonly used to control pain and inflammation in adults with a facial fracture include:

  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Adult dosing is 2 regular strength (325 mg) every 4 hours or 2 extra-strength (500 mg) every 6 hours.
  • Maximum dose is 4,000 mg per day.
  • Avoid this drug if you have alcoholism, liver disease or an allergy to the drug. See the package instructions.
  • Common brand names include Tylenol, Panadol, and many others.





NSAID Precautions

Fractured Face Pain in Children

Common medications used at home for pain in children with a facial fracture include:

Aspirin and most of the other nonsteroidal anti-inflammatory drugs (NSAIDS) are not used in children except under a doctor's care.

  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Dosing is 10-15 mg per kilogram (5-7 mg per pound) of body weight every 4-6 hours, up to the adult dose.
  • Do not exceed the maximum daily dose.
  • Acetaminophen products come in various strengths. Always follow the package instructions.
  • Avoid this drug in children with liver disease or an allergy to acetaminophen.
  • Common acetaminophen products include Tylenol, Panadol and many others.



Fractured Face Warning Signs

Continue to Fractured Face Underlying Cause

Last Updated: Feb 23, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Fractured Face References
  1. Donat TL, Endress C, Mathog RH. Facial fracture classification according to skeletal support mechanisms. Arch Otolaryngol Head Neck Surg. 1998 Dec;124(12):1306-14. [9865751]
  2. Rhee SC, Kim YK, Cha JH, Kang SR, Park HS. Septal fracture in simple nasal bone fracture. Plast Reconstr Surg. 2004 Jan;113(1):45-52. [14707621]
  3. Rohrich RJ, Adams WP Jr. Nasal fracture management: minimizing secondary nasal deformities. Plast Reconstr Surg. 2000 Aug;106(2):266-73. [10946923]
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