Management of panfacial and complex facial fractures: A Belgaum perspective – Case series

Multiple facial bone fractures usually are consequential to severe injuries secondary to motor vehicle calamities. These complex and panfacial fractures are usually associated with multiple systemic injuries that mandate a multidisciplinary approach to their management. It involves rebuilding the facial architecture and restoring the facial buttresses to reinstate the cosmetics and function. The complex nature of treatment makes them challenging for the surgeon and thus requires an organized approach for efficient reduction. Various sequences such as bottom–up, top-to-bottom, and occlusion first have been commonly used. This case series presents two cases of complex facial fractures and two cases of panfacial fractures. In these cases, occlusion was first achieved by maxillomandibular fixation. The mandible was first reduced and fixed, followed by the maxilla.