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Updated: Mar 18, 2026

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Treatment Options in Maxillofacial Fractures.

Jorge Orlando Guerrissi1

  • 1Plastic Surgery Service, Argerich Hospital, Buenos Aires, Argentina.

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PubMed
Summary

Facial trauma patients with panfacial fractures achieved acceptable aesthetic and functional outcomes with rigid fixation and bone grafting. This approach, utilizing craniofacial techniques, aims to restore pre-trauma facial form and function.

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Area of Science:

  • Plastic Surgery
  • Trauma Surgery
  • Craniofacial Surgery

Background:

  • Facial trauma is a significant concern, with panfacial fractures presenting complex reconstructive challenges.
  • From 2000-2010, 58 patients with panfacial fractures were treated at Argerich Hospital.

Purpose of the Study:

  • To evaluate the outcomes of craniofacial surgical techniques for treating panfacial fractures.
  • To assess the efficacy of rigid fixation and autografts in achieving aesthetic and functional facial reconstruction.

Main Methods:

  • Retrospective study of 58 patients with panfacial fractures.
  • Treatment involved airway evaluation, bleeding control, management of associated injuries, and facial reconstruction using titanium plates and bone autografts (iliac crest, calvary, costal).
  • Standard surgical approaches like coronal and subciliar palpebral were employed.

Main Results:

  • 85% (48/58) of reconstructions were deemed acceptable in form and harmony.
  • 15% (9/58) had unacceptable results.
  • Postoperative complications occurred in 18 patients.

Conclusions:

  • Internal rigid fixation and bone autografts are crucial for optimal aesthetic and functional results in panfacial fracture repair.
  • The primary goal of treatment should be the restoration of the face's three-dimensional structure and pre-trauma aesthetic and functional state.