Traumatic panfacial fracture repair is one of the most complex and challenging reconstructive
procedures to perform. Several principles permeate throughout literature regarding
the repair of panfacial injuries in a stepwise fashion. The primary goal of management
in most of these approaches is to restore the occlusal relationship at the beginning
of sequential repair so that other structures can fall into alignment. Through proper
positioning of the occlusion and the mandibular-maxillary unit with the skull base,
the spatial relationships and stability of midface buttresses and pillars can then
be re-established. Here, the authors outline the sequencing of panfacial fracture
repair for the restoration of anatomical relationships and the optimization of functional
and structural outcomes.
Keywords
panfacial fracture - facial trauma - sequencing repair - occlusion restoration - spatial
relationships of midface and mandible
