Facial Trauma

An oral and maxillofacial specialist is thoroughly qualified to repair facial injuries. These professionals are well versed in emergency care, acute treatment, and long-term reconstruction and rehabilitation – not just for physical reasons, but for emotional ones as well. Injuries to the face, by their very nature, impart a high degree of emotional as well as physical trauma to patients. The science and art of treating these injuries requires special training involving a “hands on” experience and an understanding of how the treatment provided will influence the patient’s long-term function and appearance.

Dr. Jacob, Dr. Aziz, Dr. Amato and Dr. Lee meet and exceed these modern standards. They are trained, skilled, and uniquely qualified to manage and treat facial trauma. They are on staff at local hospitals and deliver emergency room coverage for facial injuries, which include the following conditions:

Don’t Suffer With Facial Trauma

Call us: 973-360-1100

The Nature of Maxillofacial Trauma

There are a number of possible causes of facial trauma, such as motor vehicle accidents, accidental falls, sports injuries, interpersonal violence, and work-related injuries. Types of facial injuries can range from injuries to teeth to extremely severe injuries to the skin and bones of the face. Typically, facial injuries are classified as either soft tissue injuries (skin and gums), bone injuries (fractures), or injuries to special regions (such as the eyes, facial nerves, or the salivary glands).

Soft Tissue Injuries of the Maxillofacial Region

When soft tissue injuries, such as lacerations, occur on the face they are repaired by suturing. In addition to the obvious concern of providing a repair that yields the best cosmetic result possible, care is taken to inspect for and treat injuries to structures such as facial nerves, salivary glands, and salivary ducts (or outflow channels). Drs. Jacob, Aziz, Amato and Lee are well-trained oral and maxillofacial surgeons and are proficient at diagnosing and treating all types of facial lacerations.

Bone Injuries of the Maxillofacial Region

Fractures to the bones in the face are treated in a similar manner to fractures in other parts of the body. The specific form of treatment is determined by various factors, which include the location of the fracture, the severity of the fracture, and the age and general health of the patient. When an arm or leg is fractured a cast is often applied to stabilize the bone to allow for proper healing. Since a cast cannot be placed on the face, other means have been developed to stabilize facial fractures.

One of these options involves wiring the jaws together for certain fractures of the upper and/or lower jaw. Certain other types of fractures of the jaw are best treated and stabilized by the surgical placement of small plates and screws at the involved site. This technique of treatment can often allow for healing and eliminates the necessity of having the jaws wired together. This technique is called “rigid fixation” of a fracture. The relatively recent development and use of rigid fixation has profoundly improved the recovery period for many patients, allowing them to return to normal function more quickly.

The treatment of facial fractures should be accomplished in a thorough and predictable manner. More importantly, the patient’s facial appearance should be minimally affected. An attempt at accessing the facial bones through the fewest incisions necessary is always made. At the same time, the incisions that become necessary are designed to be small and, whenever possible, are placed so that the resultant scar is hidden.

Injuries to the Teeth & Surrounding Dental Structures

Isolated injuries to teeth are quite common and may require the expertise of various dental specialists. Oral surgeons usually are involved in treating fractures in the supporting bone, or in replanting teeth that have been displaced or knocked out. These types of injuries are treated by one of a number of forms of splinting (stabilizing by wiring or bonding teeth together). If a tooth is knocked out it should be placed in salt water or milk. The sooner the tooth is re-inserted into the dental socket the better chance it will survive. Therefore, the patient should see a dentist or oral surgeon as soon as possible. Never attempt to wipe the tooth off, since remnants of the ligament that hold the tooth in the jaw are attached and are vital to the success of replanting the tooth. Other dental specialists may be called upon, such as endodontists, who may be asked to perform root canal therapy, and/or restorative dentists, who may need to repair or rebuild fractured teeth. In the event that injured teeth cannot be saved or repaired, dental implants are often now utilized as replacements for missing teeth.

The proper treatment of facial injuries is now the realm of specialists who are well versed in emergency care, acute treatment, long-term reconstruction, and rehabilitation of the patient.

Northeast Facial and Oral Surgery Specialists, LLC

5 out of 5 stars based on 13 Facial Trauma reviews

Our Latest Patient Testimonial

Dr Gregg Jacob and his staff were top notch. My daughter had corrective jaw surgery before getting braces and he is just wonderful… he explained everything in a way we could understand it all. He is empathetic, funny and really knows his stuff. His assistant Heather so awesome that I felt like she held my had and my daughter’s the whole way … felt like a friend to be honest .. I would highly recommend with 5 star review

- K P

5 out of 5 stars on

Our Latest Patient Testimonial

Great very nice explains everything while doing procedure in

- Sandra L

5 out of 5 stars on

Our Latest Patient Testimonial

I was so nervous about removing my 4 wisdom teeth... to the point that I delayed and delayed. Dr. Lee and her staff made me regret waiting so long. I had no pain, no swelling, and my recovery was no issue. From the initial consultation to the procedure, Dr. Lee and her staff made me feel comfortable about it and explained the whole procedure and the recovery. Dr. Lee will be my go-to oral surgeon from now on!

- Jimmy V

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Jessica Lee comes with my highest recommendation. Both of my daughters required oral surgery to attach brackets to teeth up in the gums to help bring them down / expose them. The consultation itself included 3-D X-rays and a decent amount of Dr. Lee's time. This was immediately helpful, insightful and pleasant; we left the office with answers to all of our questions that had been lingering for months prior, as well as relief & confidence that the procedures would go smoothly. And they did. The surgeries themselves were successful, quick, according to plan - all handled with skill and precision. The recovery time was even shorter than predicted and required no pain medication! Follow-up visits were proactively scheduled and went smoothly. All in all, this was a very positive experience. We are very grateful for having found Dr. Jess Lee!

- Bridget B

5 out of 5 stars on

Our Latest Patient Testimonial

My experience at NEFOSS was amazing! I had the best experience with Dr. Jessica Lee and her staff. She was able to answer all my questions and is so personable which is extremely important to me when trusting a doctor to do oral surgery. I had fears about "going under" and she was able to calm my nerves and answer any concerns I had. I will definitely go back if I need any major oral surgery. The office was pleasant and very clean especially during the age of COVID.

- Delmy G R

5 out of 5 stars on

Our Latest Patient Testimonial

I called the office. Spoke to s staff member. Explained my situation, that I would like ayo schedule a consultation with Dr Jacobs. To discuss options for sleep apnea. Heather called me back within minutes. Asked me is I could come in today? At my consultation Dr Jacobs. While going over my options. Made me feel like a close family member. Dr Jacobs is a very compassionate and knowledgeable doctor. Always with my best interest at heart. His staff are very helpful and caring. Create a nice atmosphere. Thanks again Dr Jacobs and his staff

- Steve B

5 out of 5 stars on

Our Latest Patient Testimonial

On a return overseas flight a year ago, completely out of the blue, I experienced excruciating ear pain as if someone was stabbing ice picks in both of my ears. I have NEVER had a problem flying, and I was beside myself in pain. When I got home, I immediately went to my PCP to try to find out what was going on. One of my eardrums was a little swollen, but it didn’t warrant medication. Over the next three months, I went back to my PCP’s office two more times, seeing two different PA’s who still could not determine a cause: at this point I couldn’t eat anything but a soft diet, I couldn’t talk without pain, and it was impossible to sleep because each side of my head was so painful, even to touch. On the third visit, the PA gave me some ear drops and said that if they did not make a difference, I would need to see an ENT. When there was no change, it had been three months since the instantaneous onset of symptoms. So I left the office to schedule an appointment with an ENT. It took less than 8 seconds for the ENT to declare, “You don’t have an ear problem; you have TMJ! You’ll need to see an oral surgeon.” I’ve NEVER had a TMJ issue of any kind that I knew about. I sat in the ENT’s parking lot, called my dentist for a referral for oral surgeons, and got on the phone immediately with all 6 of them. I could only get an appointment 2 weeks out with one of them, and then called Dr. Jacob’s office. He asked me, “Can you be here in 10 minutes?!” I flew to his office and received incredible care right away. The photographs and panoramic X-rays revealed that both condyles in my jaw were disintegrating. His diagnosis was that I would require a bilateral TMJ joint replacement surgery to correct the issue. The prosthesis would be created at a laboratory in Ventura, CA, and the surgery was scheduled for several months out. All of this was pre-Covid which ultimately altered some of the original plans. In a subsequent visit, more pictures were taken and compared to the originals indicating further deterioration. Measurements were taken and a mold created to make the prosthesis: a 3-month long process. I knew no one who had ever had this kind of surgery, and it was a pretty terrifying prospect. I began working with a rheumatologist as well, in hopes of discovering the cause of my bone disintegration and whether it was caused by a systemic arthritis of some sort. The jury is still out on that, even post-surgery and the pathology report. I chose Morristown Medical Center for my procedure. The surgery was long: 5 ½ hours, and it required one night in the ICU and a subsequent night in a step-down unit. But the care I received was exceptional, and my surgical team from Northeast Facial and Oral Surgery Specialists, LLC: Dr. Jacob, Dr. Aziz and Dr. Lee did astounding work and very attentive post-surgery care! Fortunately, I had three physical therapy sessions before my surgery which made a HUGE difference in my recovery. About 2 days post surgery, I was able to begin PT, using the exercises I had already learned. I resumed PT with my physical therapists 3 weeks post-surgery, and am working hard to improve and restore muscle control and speech issues. Trying to find an oral surgeon to do this particular surgery was difficult; I did go for a second opinion, and I could not find a surgeon in North Jersey who would even attempt to do it, it is so intricate and specialized. I am SO very thankful I discovered Dr. Jacob and his team. I cannot recommend their expertise enough! The recovery is not easy, and there have been significant challenges over the past couple of weeks with eating and typical recovery issues from an extensive surgical experience. But I trust that I will continue to receive exceptional care and guidance going forward, and would absolutely recommend Northeast Facial and Oral Surgery Specialists, LLC to anyone who requires this particular TMJ joint replacement or other oral surgery procedure.

- Diane P

5 out of 5 stars on

Our Latest Patient Testimonial

On a return overseas flight a year ago, completely out of the blue, I experienced excruciating ear pain as if someone was stabbing ice picks in both of my ears. I have NEVER had a problem flying, and I was beside myself in pain. When I got home, I immediately went to my PCP to try to find out what was going on. One of my eardrums was a little swollen, but it didn’t warrant medication. Over the next three months, I went back to my PCP’s office two more times, seeing two different PA’s who still could not determine a cause: at this point I couldn’t eat anything but a soft diet, I couldn’t talk without pain, and it was impossible to sleep because each side of my head was so painful, even to touch. On the third visit, the PA gave me some ear drops and said that if they did not make a difference, I would need to see an EMT. When there was no change, it had been three months since the instantaneous onset of symptoms. So I left the office to schedule an appointment with an EMT. It took less than 8 seconds for the EMT to declare, “You don’t have an ear problem; you have TMJ! You’ll need to see an oral surgeon.” I’ve NEVER had a TMJ issue of any kind that I knew about. I sat in the EMT’s parking lot, called my dentist for a referral for oral surgeons, and got on the phone immediately with all 6 of them. I could only get an appointment 2 weeks out with one of them, and then called Dr. Jacob’s office. He asked me, “Can you be here in 10 minutes?!” I flew to his office and received incredible care right away. The photographs and panoramic X-rays revealed that both condyles in my jaw were disintegrating. His diagnosis was that I would require a bilateral TMJ joint replacement to correct the issue. The prosthesis would be created at a laboratory in Ventura, CA, and the surgery was scheduled for several months out. All of this was pre-Covid which ultimately altered some of the original plans. In a subsequent visit, more pictures were taken and compared to the originals indicating further deterioration. Measurements were taken and a mold created to make the prosthesis: a 3-month long process. I knew no one who had ever had this kind of surgery, and it was a pretty terrifying prospect. I began working with a rheumatologist as well, in hopes of discovering the cause of my bone disintegration and whether it was caused by a systemic arthritis of some sort. The jury is still out on that, even post-surgery and the pathology report. I chose Morristown Medical Center for my procedure. The surgery was long: 5 ½ hours, and it required one night in the ICU and a subsequent night in a step-down unit. But the care I received was exceptional, and my surgical team from Northeast Facial and Oral Surgery Specialists, LLC: Dr. Jacob, Dr. Aziz and Dr. Lee did astounding work and very attentive post-surgery care! Fortunately, I had three physical therapy sessions before my surgery which made a HUGE difference in my recovery. About 2 days post surgery, I was able to begin PT, using the exercises I had already learned. I resumed PT with my physical therapists 3 weeks post-surgery, and am working hard to improve and restore muscle control and speech issues. Trying to find an oral surgeon to do this particular surgery was difficult; I did go for a second opinion, and I could not find a surgeon in North Jersey who would even attempt to do it, it is so intricate and specialized. I am SO very thankful I discovered Dr. Jacob and his team. I cannot recommend their expertise enough! The recovery is not easy, and there have been significant challenges over the past couple of weeks with eating and typical recovery issues from an extensive surgical experience. But I trust that I will continue to receive exceptional care and guidance going forward, and would absolutely recommend Northeast Facial and Oral Surgery Specialists, LLC to anyone who requires this particular TMJ joint replacement or other oral surgery procedure.

- Diane P

5 out of 5 stars on

Our Latest Patient Testimonial

Pre-op visits were very informative and let me know exactly how my surgery was gonna go and what to expect. Surgery went very well and I am very happy with the results so far. All follow up visits have kept me on track to a positive recovery experience and I am very pleased with the whole process.

- Brian B

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Jacob and his staff were exceptional. From my initial telephone call through the procedure and after, everyone I dealt with was wonderful. I felt like I was in very good hands with a very caring staff. I highly recommend them!

- Whitney B

5 out of 5 stars on

Our Latest Patient Testimonial

i had a oral pathology procedure done with them. the whole process from the prep to throughout recovery has been smooth and easy. the staff and doctors are very friendly and helpful and are constantly making sure everything is going well and as painless as possible. highly recommend!

- shlomit k

5 out of 5 stars on

Our Latest Patient Testimonial

Words cannot describe how amazing Dr. Jacob and his amazing staff are! Not only did I see Dr. Jacob for the corrective jaw surgery I underwent, but he also took out my wisdom teeth. Throughout my time at NEFOSS he and his team took wonderful care of my twin and I. I knew I could always call to ask any questions. Besides that, I felt comforted whenever I was nervous. I recommend NEFOSS to all my friends because of the fantastic care and work that they do! Keep up the good work! 🙂

- Julia D

5 out of 5 stars on

Our Latest Patient Testimonial

I couldn't be more pleased with the results of my procedure & the overall service that Dr. Jacob and his team provided. They receive my highest recommendation & I would not hesitate to refer their office to a friend, family member, or colleague.

- Fred H

5 out of 5 stars on