Doctor insights on:
Medicine For Craniofacial Injuries
Trauma, head, face: Traumatic facial injuries and to the skull are occasioned by severe level of impact. Besides the obvious deformities, the not so obvious brain concussion can be difficult to assess. Neuroradiologic evaluation early and in follow up can look for physical problems, but assessment of more intangible problems is the speciality of neurologist and rehabilitation medicine. ...Read more
Prevention is best:): Helmets have been shown to prevent the severity of many face and head injuries. ...Read more
Craniofacial: Craniofacial is a term that describes the structures of the cranium (skull), facial bones, and includes the associated soft tissues. Injuries may include but are not limited to fractures (broken bones), lacerations, etc. ...Read more
Skilled plastics doc: Craniofacial injuries often require careful coordinated coordination between specialty surgeons. Depending on the age of the patient, the extent of the injuries to bone, muscle and nerves, carefully timed and executed treatment can restore function and preserve an acceptable cosmetic outcome. This means seeing a ent, maxillofacial surgeon and plastics trained ophthalmologist. ...Read more
So sad. Just learned my child has craniofacial injuries. I have always tried to shelter and protect my kids. What now?
Get trained advice: Take your child to a fellowship trained plastics surgeon-one who has experience in pediatric reconstructive surgery. Often this may require an otolaryngologist (ears, nose & throat), and ophthalmologist (eye) with plastics surgery fellowship training and a maxillofacial (dual trained dentists/doctors) working together to restore function and cosmetic appearance. ...Read more
Not a disease: A craniofacial injury implies an injury to the face and skull. This is typically seen after motor vehicle accidents and trauma to the head from falls. Multiple facial bones may be broken and require repair. These injuries often require treatment by several specialists, including plastic surgeons, craniofacial surgeons, trauma surgeons and ophthalmologists. ...Read more
Experience: Every surgery has it's risks. The experience of the surgeon, overall health of the patient, and nature of the surgery are all factors to consider. The head and face are unique in that there are many crucial structures like nerves, blood vessels, and muscles in a small space. Talk to your surgeon about your concerns and he/she should be able to help you. ...Read more
Specialized provider: A craniofacial team is a group of healthcare providers with expertise in evaluation and management of skull ("cranio") and face ("facial") deformities. These usually include: audiology, craniofacial/plastic surgery, dentistry, ear/nose/throat surgery, neurology, neurosurgery, nursing, ophthalmology, oral/maxillofacial surgery, orthodontics, psychology, speech therapy and a patient coordinator. ...Read more
More effective care: No single healthcare provider has all of the expertise necessary for evaluation and managment of complex craniofacial disorders. Team care is more effective and more efficient than fragmented provider care for most patients with celft lip/palate and other cranifacial deformities. ...Read more
Analyse risk/benefit: The analysis of risk/benefit would likely be against this request. Just because it is possible does not mean it should or would be considered. ...Read more
Depends on age: The skull is composed with an elaborate collection of growth centers that essentially push away from each other as the skull volume increases with age. By the age of 9 most of the suture lines of the skull start to fuse & there is little added increase. Since the adolescence growth spurt occurs in the mid to late teens, there will be a point where u grow taller but your head is done. ...Read more
How can I find the best craniofacial esthetic surgeon for an esthetic correction of an old plagiocephaly?
Plagiocephaly: Dealing with an "old" and I assume done as a baby correction of a plagiocephaly requires a multidisciplinary team that includes at the very least a craniofacial neurosurgeon and plastic surgery and also a maxillofacial surgery. You will need to find a center that has a good deal of experience as these are complex cases and need a very thorough workup and evaluation. ...Read more
A few things: Beta blockers or pills which slowed down your heart are sometimes used. A medicine called Clonidine is next. Behavioral therapy to decrease your anxiety is another option. Surgery is the final option when nothing else works. A dermatologist who specializes immunologic problems can be found at most major medical centers. ...Read more
Ask neonatal team: Many newborns with cleft lip or palate would be evaluated first by neonatologists if available. They or the nicu staff can not only give a referral to a surgical team but also provide valuable information on caring for the baby when it goes home. Also read dr. Marsh's answer. ...Read more
Hi; I am looking for a surgeon able to perform a craniofacial surgery. I do not have medical issues, it is about only an esthetic issue -plagiocephaly?
Plagiocephaly: I would look for a craniofacial center in your area that deals with craniofacial surgeries - you will likely need a neurosurgeon and a plastic surgeon and perhaps Maxillofacial to address the various surgical issues. ...Read more
Is there any plastic surgery or craniofacial type of surgery that can be done to reduce the size of someone's head?
Head size: The head bones fuse and then grow as you age. But a surgery to reduce the head doesn't sound like a good idea. As you age your body may grow into your head size. Talk to your doctor about your feelings about your head size and you may benefit from talking about it. Maybe seeing a plastic surgeon to talk about what you don't like will help you accept your body. ...Read more
Hello Sir, I am suffering from craniofacial paresthesia as diagnosed by Neuro surgeon in india, Kindly guide for solution.
Paresthesia: Not sure what "craniofacial parathesias" refer to can you provide more details? ...Read more
Can a craniofacial surgeon perform this procedure on an adult male with a congenital skull deformity, to reduce the overall skull size?
Skull deformity: Yes, but may also need the help of a neurosurgeon ...Read more
I have a 1 month baby born with a prominent broad nasal bridge. Is there something to be done at this age for this craniofacial abnormality?
May be normal: We get so used to the way older kids and adults look that sometimes we are bothered by normal variations in a newborn. The midface begins to appear more narrow as the nose begins to grow forward in middle childhood. Infants tend to be flat faced and the nasal root can be broad and normal. Discuss this with you pediatrician. There are published standards for the normal variations of these features. ...Read more
Scars never go away!: But the redness will fade (if kept out of the sun or tanning bed) over 6-12 months, and rarely longer. If the original injury is deep enough to cause a scar, the scar is permanent, but the scar will improve in appearance and red or pink will lighten over time. No treatments will make them disappear, so I hope you are paying for better, not "gone." disappear is a lie! ...Read more
I feel disconnected and suicidal but none of the medicines have helped me, I had 2 serious head injuries years ago, any advice?
I had a previous injury n was put on tramadol I've a routine drug test coming up n don't know if it will show? For work
Doci, I have been suffering from a groin injury since last year, have been taking antinflammatory drugs but it seems they are not working out for me.
Further evaluation: Groin injuries can be difficult and often take several months for complete resolution but a year is a long time. This definitely warrants more intensive evaluation looking for more significant injuries. A sports hernia is a possible consideration depending on the exact location. Also possibly a partial tendon/ muscle tear. I would definitely recommend you see a a sports medicine physician. ...Read more
Fell 2 months ago, pain in back shoulder but now I feel like I'm high when I'm not, like I took a drug. Can back injury cause this & if not, then what?
Feeling high / dizzy: It doesn't seem like a fall with symptoms 2 months later could be related-- unless you banged your head when you fell. Feeling "high" could be a cause for the fall-- I wonder if your heart is OK. Were you checked for arrhythmia? Two things affect these symptoms - brain and/or heart - so I think this is serious enough to get checked out by an MD. ...Read more
None: Can't really think of an OTC med strong enough to quell the pain of a broken limb. Usually narcotic pain relievers would be used. I never recommend NSAIDS like Advil or Aleve when you need healing as they do relieve pain, but they also interfere with the healing process, potentially prolonging the healing phase. You're pretty much left with Tylenol (acetaminophen). If no choice & really need relief, use an NSAID. ...Read more