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Panfacial Fractures Management
1Maxillofacial and Plastic Surgery Department, Alexandria Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
The Journal of Craniofacial Surgery
|February 13, 2020
Summary
The "bottom to top, lateral to medial" surgical sequence effectively manages panfacial fractures, offering reliable functional and cosmetic outcomes. This approach improves patient results in complex facial trauma cases.
Area of Science:
- Maxillofacial Surgery
- Trauma Surgery
- Plastic Surgery
Background:
- Panfacial fractures pose significant challenges for surgeons due to limited stable bone for fixation.
- Advances in fixation techniques, understanding of facial buttresses, bone grafting, and early intervention have improved outcomes.
- Various surgical sequences exist for treating panfacial fractures.
Purpose of the Study:
- To evaluate the functional and cosmetic outcomes of the "bottom to top, lateral to medial" surgical sequence for panfacial fracture management.
Main Methods:
- A study involving 73 patients with panfacial fractures treated at Alexandria University's Maxillofacial and Plastic Surgery Department.
Main Results:
- The majority of patients (71.23%) were between 21-40 years old, with males comprising 83.56%.
- Road traffic accidents were the primary cause (57 patients).
- Middle and lower facial thirds were most commonly involved (58%). Malocclusion was the main complication (6 patients), with most managed non-surgically.
Conclusions:
- The "bottom to top, lateral to medial" sequence is a reliable method for reducing and fixing panfacial fractures.
- This approach yields satisfactory functional and cosmetic results for patients.
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