MANAGEMENT OF PANFACIAL TRAUMA: A SURGICAL QUANDARY FOR MAXILLOFACIAL SURGEONS

Dr. Govind Changule, Dr. Uma Mahindra, Dr. Vishwas Kadam, Dr. Komal Harde

Abstract


Patients with multiple fractures involving upper third of the face, the mid-face and the lower third are generally referred to as Panfacial fractures.
The establishment of pattern of repairing the pan facial fracture is the most challenging and require great experience as well as knowledge, as it vary
with each case. All the vertical and horizontal pillars has to be made to restore and rehabilitate the facial anatomy and aesthetic. The goal of
treatment as with all facial fracture is to restore both the functions and pre-injury 3-dimensional facial contours. To achieve this goal two common
sequences of management of Panfacial fractures are proposed, “Bottom up and inside out” or “Top down and outside in”. This article briefs about
the management and simple approaches used to reduce and fix a case of pan facial trauma in a 29-year-old male who underwent a road traffic
accident (RTA).


Keywords


Panfacial Trauma , Open Reduction And Internal Fixation, Bottom Up -inside Out

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References


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