Panfacial fractures management, a report of surgical treatment sequence in three cases
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Abstract
Multiple facial fractures, which involve the upper, middle, and lower thirds of the face, are called Panfacial fractures, and their management is one of the biggest challenges in the field of maxillofacial surgery. The proximity of maxillofacial skeleton to important sensory or vital structures such as the visual, olfactory, masticatory and respiratory systems and intracranial components in addition to negative effects on esthetic aspects of the face have doubled the intricacy. Small or thin fractured segments that are difficult to find and stabilize make management of pan facial fractures different from anywhere else in the body. One major challenge is to find the best pattern and sequence of treatment. There are different concepts, depending on the surgeon's experience and the pattern of fracture. This study reports three patients with the diagnosis of pan facial fractures. A 54-year-old woman, an 18-year-old and a 14-year-old man that were all victims of road traffic injuries (MVA). Conventional open reduction and internal fixation methods have been used and favorable results have been obtained in follow-up periods.
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2. Miloro M, Ghali G, Larsen P, Waite P, Of PsP. Oral And Maxillofacial Surgery. BC Decker, Ontario; 2004.
3. Singh A, Singh VK, Tiwari R, Thanvi G. Management of Panfacial Trauma: A Case Report.
4. Yang R, Zhang C, Liu Y, Li Z, Li Z. Why should we start from mandibular fractures in the treatment of panfacial fractures? Journal of oral and maxillofacial surgery. 2012;70(6):1386-92.
5. Markowitz BL, Manson P. Panfacial fractures: organization of treatment. Clinics in plastic surgery. 1989;16(1):105-14.
6. Miloro M, Ghalli G, Larsen PE, Waite PD, editors. Textbook of Peterson’s principles of Oral & Maxillofacial Surgery: Vol-1.
7. Pau M, Reinbacher KE, Feichtinger M, Navysany K, Kärcher H. The mandibular symphysis as a starting point for the occlusal-level reconstruction of panfacial fractures with bicondylar fractures and interruption of the maxillary and mandibular arches: report of two cases. Journal of Cranio-Maxillofacial Surgery. 2014;42(4):e51-e6.
8. Obuekwe O, Ojo MA, Akpata O, Etetafia M. Maxillofacial trauma due to road traffic accidents in Benin City, Nigeria: a prospective study. Annals of African Medicine. 2003;2(2):58-63.
9. Sharma S, Dhanasekaran V. Surgical approaches and management of panfacial trauma: a case report. Journal of clinical and diagnostic research: JCDR. 2015;9(8):ZD13.
| Files | ||
| Issue | Vol 10, No 1 (Winter 2023) | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/jcr.v10i1.13680 | |
| Keywords | ||
| pan facial fracture midface fracture maxillofacial trauma | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Momeni Rouchi M, Nezaminia S, Hajiani N. Panfacial fractures management, a report of surgical treatment sequence in three cases. J Craniomaxillofac Res. 2023;10(1):36-45.
