Surgical approaches and management of panfacial trauma: A case report

Amalia L. Dewi (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia)
Mukhtar N. Anam (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia)
Eky Nasuri (Department of Oral and Maxillofacial, Cipto Mangunkusumo National Central General Hospital, Jakarta, Indonesia)
Muhammad A. Latief (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia)

Journal of Dentomaxillofacial Science
Article In Press

Objective : A panfacial fracture is a fracture that involves the mandible, maxilla , and zygomatic areas. Panfacial fractures may also be accompanied by the involvement of naso orbito-ethmoid (NOE) and frontal bone fractures. Open reduction internal fixation (ORIF) is one of the treatments for midface reconstruction. Case Report: 19-year-old female patient came with complaints of minor head injuries, Lefort 2 Fracture + Compression Orbital Fracture, Bilateral Zygoma Arcus Fracture . The patient was subjected to Open Reduction Internal Fixation(ORIF) for midface and orbital reconstruction under general anesthesia. Application of midface plate in regio zygoma sinistra , in regio zygoma dextra section, and glabella. After placing the midface plate, the wound was sutured. Results: Surgical management for panfacial trauma using Open Reduction Internal Fixation (ORIF) result in the unification of the midface bones and reestablishing facial deformity. Conclusion: The main goal of panfacial fracture management is to restore the occlusal connection so that other parts of the structure can be repaired.