A Multidisciplinary Approach to Malocclusion Caused by Facial Multiple Fracture

Area of Science:

• Oral and Maxillofacial Surgery
• Trauma Surgery
• Reconstructive Surgery

Background:

• Multiple facial fractures can lead to complications like aesthetic disturbances and functional deficits.
• Restoring facial symmetry and function is crucial after severe facial trauma.

Observation:

• A 20-year-old male sustained extensive midface (LeFort I/II, sagittal, maxillary sinus, orbital wall) and mandibular (midline, body) fractures after a car accident.
• The patient presented with significant facial deformity and functional impairment.

Findings:

• The patient underwent a complex surgical reconstruction involving open reduction, rigid fixation, intermaxillary fixation, maxillary osteotomy with iliac bone grafting, orthognathic surgery with coronoid process grafts, and hydroxyapatite block grafting.
• The multidisciplinary treatment successfully restored facial symmetry, occlusal function, and masticatory capabilities to the patient's satisfaction.

Implications:

• Complex facial fractures necessitate a comprehensive, multidisciplinary treatment strategy.
• Close interdepartmental cooperation is vital for achieving optimal outcomes in managing severe facial trauma.