Description
A stab wound to the face. These wounds can damage structures deep to the skin such as the sinus, bone, or brain. The object that caused the wound can carry bacteria or foreign material deep into the wound and cause infections. Puncture wounds from animal or human bites are especially prone to infections. Facial infections can be severe causing nerve damage and extension of the infection into the brain.
Symptoms
Pain, bleeding, numbness, weakness, redness, increased warmth of the skin, facial swelling.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. A CT scan may be done to rule out injuries to the sinus, skull, or brain.
Tests:
CT Scan
Specialists:
Internal Medicine, Pediatrics, Family Practice, Oral and Maxillofacial Surgery
Workup:
A history and physical exam will be performed. A CT scan may be done to rule out injuries to the sinus, skull, or brain.
Tests:
CT Scan
Specialists:
Internal Medicine, Pediatrics, Family Practice, Oral and Maxillofacial Surgery
Treatment
Treatment depends on the structures injured. The wound will be cleaned. Antibiotics may be started, especially if the puncture is from a human or animal bite. A tetanus shot may be needed if the last shot was more than 5 years for a dirty wound or more than 10 years for a clean wound. It is common for a plastic surgery specialist to supervise care of facial wounds.