Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
200 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest remedies for numbness and a dent in cheekbone post an injury

Answered by
Dr.
Dr. Honey Arora

Dentist

Practicing since :2011

Answered : 13920 Questions

default
Posted on Sat, 4 Jun 2016 in Dental Health
Question: I fell and hit my cheekbone about 7 weeks ago. I had an X-Ray one week after the accident which revealed no fracture. However an NHS plastic surgeon later said I had cracked it and this was the reason for the hard lump on my cheekbone. He also mentioned the lump will also disapear over time. The thing which is bothering me at the moment is the numb sensation and also a dent over my cheekbone which becomes more pronounced when I smile. Will this also go away on it's own ? I'm a 42 year old woman who likes to take care of my apearance and not knowing the answer to this is driving me crazy. Will I need to have plastic surgery to correct in the future ? Do I have nerve damage ? Should I go back to my doctor and maybe ask for facial physiotherapy ? Why do I have this dent if there is no fracture ? From everything ive read I should only have a dent over the bone if there is an actual fracture ?
doctor
Answered by Dr. Honey Arora 3 hours later
Brief Answer:
Lump might be Hematoma, dent might become less pronounced with time..

Detailed Answer:
Hi..
Welcome to HEALTHCARE MAGIC..

I have gone through your query and can understand your concerns..

As per your complain it seems that due to injury there is Hematoma formation under the skin..
Hematoma formation occurs when there is rupture of a superficial blood vessel under the skin and it leads to accumulation of blood into soft tissues forming a lump..
At times the Hematoma becomes localized and encapsulated forming a hard lump..
But it is completely resolved although can take a long time of even 2 to 3 months..

Remedy:
Do alternate warm and cool compresses over it and also apply Heparin gel over it (keep away from eye)..

Next portion of your question is numbness in the area of the injury..
Well, it can happen due to damage to terminal nerve endings present in that area due to injury..
It is also recovered with time..
Do warm compresses in the area and also take Vitamin B complex supplements..

But in case if it does not improve in a month or area of numbness increase, you might need consulting a Neurophysician and get evaluated..

Now the next part of your question is a dent on the face in the area of injury..
Well a dent in the area of injury when you do not have any fractures ruled out can be most probably due to damage to the fat cells present under the skin that leads to appearance of a dent..
Although it can become less prominent with time due to a combined action of facial muscles and healing with formation of fat cells in the area but complete resolution cannot be guaranteed..
Therefore consulting a plastic surgeon and getting facial x Ray or MRI scan if needed after a thorough clinical evaluation can be done..
Proper treatment that whether you need plsstic surgery can be advised only after Clinical examination..
Facial physiotherapy can have some improvement but not complete resolution if the dent is deep...

Any further questions are welcome..


Hope this information helps..

Thanks and regards.
Dr.Honey Nandwani Arora.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
default
Follow up: Dr. Honey Arora 19 hours later
Thanks for your reply ;)
When I saw the facial specialist, he said I the lump defiantly wasn't a heamatoma and that it was a callus which has grown over a crack in my cheekbone. The thing I'm not understand is ... How is a crack not a fracture ?
When I fell I felt my cheekbone compact into my face and there is defiantly a lobsided look to my face. Yet I am told it isn't a fracture and that no surgery is needed. When I have this along numness and a dent. I understand the nhs have cryterias for such surgery, like people who have problems with there eyes or jaw. Still I'm feeling more depressed everyday and feel I don't want anyone to see my face anymore. I hope you can answer all my questions including my original now you know it's definitely not a heamatoma. And why are they saying it's not a fracture but a crack... What is the difference pls. Also the bit About the numbness, you mention a MRI scan, what could one of these reveal. Also the cream you Recomened is this also applicable for callus and not heamatoma ? Thanks
doctor
Answered by Dr. Honey Arora 10 hours later
Brief Answer:
Crack and fracture can be a bit different in different prospectives..

Detailed Answer:
Hi..
Welcome Again..

Let me answer your queries point wise:

1. Crack and fracture both indicate breakage of bone both many a times crack is considered as an incomplete break in the bone and fracture is considered to be used as a term when the bone breaks into two completely..
When there is a crack and the bone is in a location that it is not movable like cheekbone then it tend to heal on its own and do not need surgery..
But fracture might need reduction and immobilization to rejoin fractured segments..

2.Secondly callus is a fibrous or fibro-bony growth that can be formed at the site of bony cracks in an attempt to rejoin the bone and if it grow in excess it can appear as a lump..
In case if it is a callus and not a Hematoma the heparin gel will not help as it is used in case of Hematoma only and not callus..

3. MRI Scan will help in ruling out for nerve related problems like nerve injury/damage caused due to fall that is leading to numbness..

Hope I have answered your queries..

Any further queries are welcome..

Thanks and regards..
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication
Treatment/Therapy
Lab Tests

Recent questions on  MRI

doctor1 MD

I know someone is has just recently started getting a bad headache with a quick onset and when he gets them, his legs go numb and just give out. He...

doctor1 MD

Hi. I am 25 years old.I have two points in my MRI.1.Large posterocentral disc protrusion noted at L5-S1 causing moderate compression on bilateral...

doctor1 MD

I am 69 years, weight 80kg, height 66 inches.Have a problem in speech which is not clear and is slur . Not diabetic, always worried about my family...

doctor1 MD

I have a possible stress fracture in the base of my 3rd toe. MRI and X-ray showed stress reaction. I don t know if that means full stress fracture....

doctor1 MD

For past 12+ hours, I’ve had left side pain from left pectoral up through left shoulder and down my left arm to my hand. Sharpest pain is in...

doctor1 MD

I had a discectomy and I woke up in excruciating pain. A week later a laminectomy to stop the pain. Epidural injection,Morhine, Dilaudid , nothing...

doctor1 MD

I have been diagnosed with spondylothesis of the L5 and S1 region. I have had an mri and x-rays for my back. I had an epidural injection(2) in Nov...