Facial Trauma Unit

Specialist management of complex facial fractures and injuries

The Facial Trauma Unit at the Publio Cordón Memorial Hospital, headed by Dr José Luis Cebrián Carretero, is a highly specialised unit dedicated to the diagnosis and comprehensive treatment of fractures and injuries affecting the bony structure and tissues of the face. It treats injuries of varying complexity that may compromise not only facial anatomy but also essential functions such as vision, chewing, breathing or sensation.

This is a surgical field that demands sound clinical judgement, technical expertise and individualised planning, particularly when injuries simultaneously affect several anatomical structures or are associated with high-impact trauma.

Indications for specialist assessment

Assessment by a specialist team is particularly recommended in cases of displaced nasal fractures, orbital fractures, cheekbone injuries, maxillary or mandibular fractures, as well as facial trauma resulting in obvious functional impairment or a risk of long-term sequelae.

The unit provides a detailed analysis of facial anatomy, specialist knowledge of bone biomechanics and expertise in structural reconstruction whilst preserving aesthetics. The aim is not merely to stabilise the fracture, but to restore facial function and harmony in accordance with rigorous and proportionate medical criteria.

Facial injuries requiring specialist assessment

The unit frequently treats various types of facial trauma, always based on an individualised assessment that takes into account the mechanism of injury, functional impairment and structural impact.

Among the most common conditions are:

• Simple and complex nasal fractures

• Orbital fractures involving the floor or walls

• Fractures of the zygomatic bone (cheekbone)

• Maxillary and mandibular fractures

• Dentoalveolar trauma

• Sequelae of previous trauma

Each case is analysed taking into account bone stability, functional impact, the condition of the soft tissues and the available treatment options, with surgery being indicated where there is a reasonable and well-founded clinical benefit.

Accurate diagnosis and personalised surgical planning

The process begins with a specialist consultation during which a thorough clinical examination is carried out, supported by high-resolution imaging tests, such as facial CT scans and three-dimensional reconstructions where necessary.

Surgical planning may incorporate 3D technology to assess bone displacement, identify fixation points and optimise anatomical restoration. In complex cases, the assessment is carried out within a multidisciplinary setting, particularly where other specialities such as ophthalmology, neurology or oral and maxillofacial surgery are involved.

Reconstructive surgery based on clinical criteria

The therapeutic approach is determined by the type of fracture, the degree of displacement and the functional impact. Surgery may involve open reduction and internal fixation using high-precision osteosynthesis systems, minimally invasive techniques where indicated, and structural reconstruction in complex injuries.

The indication for surgery is established when structural correction objectively improves function, prevents secondary deformities or reduces the risk of long-term sequelae. Careful planning and precise technical execution are crucial to achieving stability, symmetry and adequate functional recovery.

Experience, safety and support in every case

The unit comprises surgeons specialising specifically in facial trauma and with experience in managing injuries of varying complexity. Their practice is underpinned by up-to-date protocols, coordination with other hospital specialities and a structured care model.

The Publio Cordón Memorial Hospital offers a highly effective environment, with sufficient time for assessment, a detailed explanation of the diagnosis and individualised treatment planning. Decision-making is based on clear information, support throughout every stage of the process and an approach rooted in clinical humanity and technical excellence.