Conversation: The conversation between human and AI assistant.
[|Human|] I have an orbital blowout fracture from a horse accident, along with nasal an jaw fractures. When I went to the emergency room, they said the situation was severe; however, the fractures seemed to be aligned and might heal on their own. After a couple of bad consultations, I went to John Hopkins. They want to perform surgery asap along with ENT surgery. They also said that they usually do surgery two weeks after the injury. I am older and am having a lot of pain and paralysis, but I m concerned about the major surgery on my face. What are my options?
[|AI|]  Hello, I can understand your concern. Paralysis and extreme pain are expected after multiple fractures including your nose, orbit and jaw. However, surgery might be necessary because all fragments of all bones cannot be aligned perfectly without opening the bony structure of the face and aligning the bones with each other. After aligning, they must use plates, screws or wires to maintain their correct position and heal the fracture sites which might not be possible without surgery. Maxillofacial surgeries in accident cases provide good results and as ENT surgeon will be present during the surgery, the nasal bones will be put in correct position by the specialist of nose. Thus, I would advise you to go for surgery as soon as possible to avoid misalignment of the fractured bones and their healing in the wrong way. I hope this information helps you. Thank you for choosing Chat Doctor. I wish you speedy recovery! Best,