Skip to Content

Facial Fracture in Children


A facial fracture is a break in one or more of the bones in your child's face. The facial bones include the cheekbones and the bones around the eyes, nose, and mouth. A facial fracture may also cause damage to nearby tissue, such as the eyes, nose, mouth, nerves, or blood vessels.


Informed consent

is a legal document that explains the tests, treatments, or procedures that your child may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your child's medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done to your child. Make sure all of your questions are answered.

Emotional support:

Stay with your child for comfort and support as often as possible while he is in the hospital. Ask another family member or someone close to the family to stay with your child when you cannot be there. Bring items from home that will comfort your child, such as a favorite blanket or toy.


is a small tube placed in your child's vein that is used to give him medicine or liquids.

Neurologic signs:

These are also called neuro signs, neuro checks, or neuro status. During a neuro check, healthcare providers see how your child's pupils react to light. They may check his memory and how easily he wakes up. His hand grasp and balance may also be tested. How your child responds to the neuro checks can tell healthcare providers if his illness or injury has affected his brain.


Your child's healthcare provider will tell you when it is safe for him to get out of bed. A healthcare provider will help him get up for the first time. If your child ever feels weak or dizzy, have him sit or lie down right away.


  • Pain medicine may be given to decrease pain. Do not wait until your child's pain is severe before you ask for more medicine.
  • Acetaminophen decreases pain.
  • NSAIDs help decrease swelling and pain.
  • Antibiotics help treat or prevent a bacterial infection if the bone broke through his skin.
  • A tetanus shot may be given to keep your child from getting tetanus. Your child should have a tetanus shot if he has not had one in the past 5 to 10 years.


X-rays, a CT scan, or MRI of your child's face and head may be taken. Your child may be given a dye before the pictures are taken to help healthcare providers see the pictures better. Tell the healthcare provider if your child has ever had an allergic reaction to contrast dye. He should not enter the MRI room with anything metal. Metal can cause serious injury. Tell the healthcare provider if your child has any metal in or on his body.


Your child may need surgery to return the bones to their normal position if the fracture is severe. Pins, plates, and screws may be used to hold the bones together. Surgery may also be needed to correct a deformity or fix damaged tissues, such as the mouth, tongue, nerves, or blood vessels.


Your child may bleed more than expected or get an infection if he has surgery. If left untreated, the fracture may not heal the right way. Permanent injuries such as nerve damage or paralysis may develop.


You have the right to help plan your child's care. Learn about your child's health condition and how it may be treated. Discuss treatment options with your child's healthcare providers to decide what care you want for your child.

© Copyright IBM Corporation 2018 Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or IBM Watson Health

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Learn more about Facial Fracture in Children (Inpatient Care)

IBM Watson Micromedex