Emergency: 9010550550
24/7 Service

Rebuild Your Jaw Safely After Trauma

ATLS-aligned emergency response, 3D plating, and dedicated ICU support

Book Trauma Consultation
40 mins
Door-to-CT
Emergency imaging completed within golden hour
93%
Stable Occlusion
Functional bite restored after definitive fixation
24/7
Trauma Coverage
Consultants on-site with OT and ICU readiness

When to Consult

  • Any facial injury with jaw pain, malocclusion, or inability to close the mouth
  • Bleeding from the mouth, nose, or ear after road traffic accidents
  • Facial swelling, bruising, or numbness suggesting nerve injury
  • Loose, cracked, or missing teeth following impact
  • Difficulty breathing, swallowing, or speaking after trauma
  • Non-healing fractures or malunion from previous treatment elsewhere

Understanding Jaw Fractures in the Indian Context

Hyderabad sees a high incidence of road traffic accidents, two-wheeler skids, and workplace trauma. Facial injuries often co-exist with head or cervical spine issues, making airway protection critical. Ajuda Hospitals sits on the ORR corridor, enabling rapid access for patients from Gachibowli, Shamshabad, and Medchal. We follow ATLS (Advanced Trauma Life Support) and AOMSI (Association of Oral and Maxillofacial Surgeons of India) protocols to restore jaw function while safeguarding neurological status.

Our trauma unit is NABH-accredited with CT, OT, ICU, and blood bank under one roof. Experienced surgeons collaborate with neurosurgery, ENT, and ophthalmology teams to prevent vision or airway complications and rebuild facial aesthetics.

When to Consult Our Trauma Surgeons

🚨 Call emergency services if you notice:

  • ✓ Bleeding that will not stop with pressure
  • ✓ Difficulty breathing, hoarseness, or gurgling sounds
  • ✓ Loss of consciousness or seizures after the injury
  • ✓ Teeth not meeting properly or jaw shifted to one side

For minor trauma, book an urgent clinic visit if you develop swelling, loose teeth, or numbness days after injury. Early assessment prevents malunion and chronic TMJ dysfunction.

Our Diagnostic Approach

Airway & Stabilisation

Emergency physicians secure airway, control bleeding, and prevent cervical spine movement. Anaesthesiologists stand by for rapid sequence intubation if required.

Imaging & 3D Reconstruction

128-slice CT with 3D reconstructions identifies fracture lines, comminution, and intracranial associations. Portable X-rays and ultrasound identify accompanying injuries.

Occlusion & Nerve Mapping

Maxillofacial surgeons, along with dental specialists, document bite relation and neurosensory deficits. Digital impressions help fabricate occlusal splints immediately.

Virtual Surgical Planning

Advanced software plans plate position, screw length, and graft requirement. Patient-specific implants are fabricated for complex defects, expediting OR time.

Treatment Pathways

  • Resuscitation & Splinting: Intermaxillary fixation wires or arch bars stabilise occlusion. ENT support manages nasal bleeding and airway.
  • Definitive ORIF: Intraoral, retromandibular, or submandibular approaches allow anatomical reduction with titanium mini and reconstruction plates.
  • Endoscopic Condylar Repair: Minimally invasive access protects facial nerve branches, ideal for young adults concerned about scars.
  • Secondary Reconstruction: Autogenous bone grafts, CAD/CAM plates, and soft tissue flaps restore symmetry for delayed or infected fractures.
  • Paediatric Protocol: Growth-friendly resorbable plates avoid interference with developing jaws; speech therapy ensures articulation recovery.
  • Rehabilitation: Physiotherapy, laser therapy, and nutrition counselling accelerate return to routine. Tele follow-ups keep patients from Karimnagar or Nalgonda connected.

What to Expect: Your Care Journey

  1. Emergency Arrival: Resuscitation, imaging, and splinting within the first hour. Family receives care pathway updates and estimated costs.
  2. Definitive Surgery: ORIF or minimally invasive repair performed within 24-48 hours once vitals stabilise. Intra-op occlusal checks ensure bite accuracy.
  3. ICU & Ward Stay: 24-hour ICU observation for high-energy trauma, then transfer to monitored ward. Dietitian and physiotherapist visits start early.
  4. Rehab Phase: Elastics adjusted weekly; jaw-opening exercises commence under supervision. Tele consults support patients returning to offices in HITEC City or to colleges.
  5. Long-term Follow-up: At 6 months, final CT or OPG confirms bone consolidation. Scar revision or cosmetic refinements offered if required.

Technology & Innovation

Ajuda employs 3D Systems VSP, Stryker CMF plates, and intraoperative navigation for complex defects. Point-of-care ultrasound checks airway oedema, while EMR alerts track antibiotic prophylaxis and tetanus status.

Benefits include:

  • Accurate restoration of facial symmetry
  • Reduced operative time and blood loss
  • Coordinated rehab plans integrated with EMR reminders

Preventing Complications

We pre-empt infection with evidence-based antibiotics, maintain strict OT sterility, and use anti-coagulant protocols to prevent DVT in long surgeries. Early physiotherapy and speech therapy avoid trismus and speech issues. Psychologists assist patients coping with post-trauma anxiety.

Why Ajuda for Jaw Trauma Care?

🚑 24/7 Response

In-house surgeons, anaesthetists, and ICU beds ready for midnight road accidents or industrial injuries.

🧠 Multidisciplinary Board

Neurosurgery, ENT, ophthalmology, and dental teams align on one plan to protect brain, airway, and aesthetics.

📲 Tele Rehab Support

Weekly WhatsApp and video sessions help you regain chewing and speech, even if you live outside Hyderabad.

Take the First Step

If you or a loved one sustains facial trauma, contact Ajuda Hospitals immediately. Our emergency hotline 9010550550 coordinates ambulance pick-up, CT slots, and surgeon availability. Early intervention ensures precise jaw alignment, shorter recovery, and confident smiles.

Diagnosis Approach

1

ATLS-aligned Primary Survey

Airway, breathing, and circulation stabilised with anaesthesia and emergency medicine teams before maxillofacial intervention.

2

Multi-slice CT & 3D Reconstruction

128-slice CT with 3D rendering for mandible, midface, and orbital evaluation following AOMSI guidelines.

3

Dental Occlusion & Nerve Assessment

Splint trial, bite registration, and neurosensory mapping of infraorbital and inferior alveolar nerves.

4

Definitive Surgical Planning

Virtual surgical planning (VSP) for plate placement, along with ENT and neurosurgery consult when skull base or airway is involved.

Treatment Options

Emergency Stabilisation & Splinting

Intermaxillary fixation, elastics, and airway management to stabilise the patient before definitive surgery.

Prevents airway compromise and maintains occlusion during critical hours
First 12-24 hours

Open Reduction Internal Fixation (ORIF)

Titanium miniplate and reconstruction plate fixation via intraoral or transcutaneous approaches.

Restores functional bite in 93% of cases by 6 weeks
2-4 hour surgery depending on fracture complexity

Endoscopic & Minimally Invasive Condylar Repair

Retroauricular or transoral endoscopic techniques for condylar fractures to preserve facial nerve.

Improves mouth opening to >40 mm within 8 weeks
90-120 minutes

Secondary Reconstruction & Bone Grafting

Iliac crest grafts, fibula flaps, and CAD/CAM plates for defects or non-union.

Re-establishes facial symmetry with 88% patient satisfaction
Staged over 3-6 months

Paediatric Fracture Protocol

Growth-friendly resorbable plates, soft diet, and speech therapy for children.

Maintains mandibular growth trajectory in paediatric patients
6-12 week monitoring

Rehabilitation & TMJ Physiotherapy

Guided jaw exercises, laser therapy, and pain management to regain full range of motion.

85% achieve normal opening and chewing by Week 6
6-12 week supervised rehab

Expected Outcomes

Treatment Timeline

0-24 Hours

Airway stabilised, pain controlled, CT and splinting completed

1-2 Weeks

Post-op swelling subsides; soft diet resumed with elastics

6 Weeks

Functional occlusion, return to office work or college

3-6 Months

Bone remodelling complete; contact sports clearance after evaluation

Success Metrics

  • Malocclusion recurrence kept under 5%
  • 98% of patients extubated in OT with no ICU ventilator requirement
  • Return-to-work typically within 3 weeks for non-labour jobs