Symptoms:

• Changes in sensation and feeling over the face
• Deformed or uneven face or facial bones
• Difficulty breathing through the nose due to swelling and bleeding
• Double vision
• Missing teeth
• Swelling around the eyes that may cause vision problems

Signs and tests:

The doctor will perform a physical exam, which may show:

• Bleeding from the nose, eyes, or mouth, or nasal blockage
• Breaks in the skin (lacerations)
• Bruising around the eyes or widening of the distance between the eyes, which may mean injury to the bones between the eye sockets

The following may suggest bone fractures:

• Abnormal sensations on the cheek and irregularities that can be felt
• An upper jaw that moves when the head is still

A CT scan of the head may be done.