eMedicine Specialties > Plastic Surgery > Facial Fractures

Facial Trauma, Management of Panfacial Fractures: Follow-up

Author: Kris S Moe, MD, FACS, Chief, Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of Washington School of Medicine; Clinical Associate Professor of Surgery, Division of Head and Neck Surgery, University of California, San Diego
Contributor Information and Disclosures

Updated: Sep 9, 2009

Outcome and Prognosis

At first glance, panfacial trauma can appear complex and difficult to treat. The actual treatment involves a conglomeration of many smaller procedures that are commonplace in maxillofacial injuries. Adhering to a treatment protocol and treating each fracture as a unit enable the surgeon to obtain reproducibly good results. Development of a step-by-step treatment plan prior to surgery and adherence to the general principles of maxillofacial trauma simplify the treatment of these patients.

Postoperative view of patient.

Postoperative view of patient.

Postoperative view of patient.

Postoperative view of patient.



Postoperative frontal view of patient, demonstrat...

Postoperative frontal view of patient, demonstrating good facial symmetry.

Postoperative frontal view of patient, demonstrat...

Postoperative frontal view of patient, demonstrating good facial symmetry.



Postoperative profile view of patient, demonstrat...

Postoperative profile view of patient, demonstrating good nasal dorsal and zygomatic anterior-posterior projection.

Postoperative profile view of patient, demonstrat...

Postoperative profile view of patient, demonstrating good nasal dorsal and zygomatic anterior-posterior projection.



Postoperative view of patient, demonstrating norm...

Postoperative view of patient, demonstrating normal intercanthal distance (33 mm) after resuspension of the medial canthal ligament and fixation of the nasoorbitoethmoid component.

Postoperative view of patient, demonstrating norm...

Postoperative view of patient, demonstrating normal intercanthal distance (33 mm) after resuspension of the medial canthal ligament and fixation of the nasoorbitoethmoid component.


For excellent patient education resources, visit eMedicine's Breaks, Fractures, and Dislocations Center. Also, see eMedicine's patient education article Facial Fracture.

 
Acknowledgments

The authors and editors of eMedicine gratefully acknowledge the contributions of previous authors Adel R Tawfilis, DDS; David W Kim, MD; Patrick Byrne, MD; and Louie Limchayseng, DMD, FACD; to the development and writing of this article.



More on Facial Trauma, Management of Panfacial Fractures

Overview: Facial Trauma, Management of Panfacial Fractures
Workup: Facial Trauma, Management of Panfacial Fractures
Treatment: Facial Trauma, Management of Panfacial Fractures
Follow-up: Facial Trauma, Management of Panfacial Fractures
Multimedia: Facial Trauma, Management of Panfacial Fractures
References

References

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Further Reading

Keywords

facial trauma, panfacial fractures, facial fracture, plate and screw fixation, plate-and-screw fixation, facial trauma pictures, facial fracture pictures, facial fracture treatment, facial fracture repair, rigid fixation, midface injury, mid-face injury, midface reconstruction, mid-face reconstruction, panfacial injury, complex maxillofacial injury, panfacial trauma, facial fracture, face fracture, maxillofacial surgery, maxillofacial reconstruction, maxillofacial repair, maxillofacial injury, maxillomandibular fixation, MMF, panfacial fracture, facial trauma, facial fracture management

Contributor Information and Disclosures

Author

Kris S Moe, MD, FACS, Chief, Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of Washington School of Medicine; Clinical Associate Professor of Surgery, Division of Head and Neck Surgery, University of California, San Diego
Kris S Moe, MD, FACS is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American Society for Head and Neck Surgery, and North American Skull Base Society
Disclosure: Nothing to disclose.

Medical Editor

James F Thornton, MD, Assistant Professor, Department of Plastic and Reconstructive Surgery, University of Texas Southwestern
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Jaime R Garza, MD, DDS, FACS, Consulting Staff, Private Practice
Jaime R Garza, MD, DDS, FACS is a member of the following medical societies: Alpha Omega Alpha, American Academy of Otolaryngology-Head and Neck Surgery, American Cleft Palate/Craniofacial Association, American College of Surgeons, American Medical Association, American Society for Aesthetic Plastic Surgery, American Society of Maxillofacial Surgeons, Texas Medical Association, and Texas Society of Plastic Surgeons
Disclosure: Allergan Honoraria Consulting

CME Editor

Nicolas (Nick) G Slenkovich, MD, Director, Colorado Plastic Surgery Center
Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and Colorado Medical Society
Disclosure: Nothing to disclose.

Chief Editor

Deepak Narayan, MD, FRCS, Associate Professor of Surgery (Plastic), Yale University School of Medicine; Chief of Plastic Surgery, West Haven Veterans Affairs Medical Center
Deepak Narayan, MD, FRCS is a member of the following medical societies: American Association for the Advancement of Science, American College of Surgeons, American Medical Association, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, Indian Medical Association, Plastic Surgery Research Council, Royal College of Surgeons of Edinburgh, and Royal College of Surgeons of England
Disclosure: Nothing to disclose.

 
 
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