Panfacial Trauma A Case Report

Usha Asnani, Smita Sonavane, Fawaz Baig, Srivalli Natrajan


Since last two decades much attention has been focused on developing an organized plan of repair that optimized retention of post traumatic facial form and functions. Successful reconstructions can be achieved through a flexible approach that adheres to several key principles. 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”. Other sequences exist but there are variations of these two major approaches.

In the present day scenario because of high velocity accidents, patterns of fracture are so varied. It is difficult to follow an established pattern of sequencing and organizing the repair of Panfacial fractures. The correct timing of surgical intervention and use of rigid fixation allows the restoration of morphological and functional nature of face after Panfacial fractures. The aim of presenting the paper is to analyze the principles that determine the choice of method of treatment and the outcome in traumatic injuries.


Panfacial Fracture;Orbital Floor Defect;Midface Fracture


Dongmei He, Yi Zhang, Edward Ellis III, Panfacial fractures: Analysis of 33 cases Treated Late, J Oral & Maxillofacl Surg2007:65: 2459-2465.

A. Tullio, E Sesenna, Role of surgical reduction of condylar fractures in the management of panfacial fractures, Br J Oral & Maxillofac Surg2000:38: 472-476.

Gerbino, G., Ramieri, G., Bernardi, M., Berrone, S., Management of panfacial fractures: Aesthetic and Anthropomatric results and Pitfalls. Int J of Oral & Maxillofac surg1999:28:80.

Michael Miloro, G.E. Ghalli, Peter E. Larsen, Peter D. Waite., Textbook of Peterson’s principles of Oral & Maxillofacial Surgery, Second edition, Vol-1:547-559.

Peter Ward Booth, Barry Eppley, Rainer Schmelzeisen., Textbook of Maxillofacial Trauma and Esthetic Facial Reconstruction, 247-254.

Merville L: Multiple dislocations of the facial skeleton. J Maxillofac Surg1974:2:187.

Markowitz BL, Manson PN: Panfacial Fractures: Organization of treatment. Clin Plast Surg1989:16:105.

Fonseca: Walker, Betts, Barber, Powers., Textbook of Oral and Maxillofacial Trauma, Third Edition, Vol-1: 360.

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