A comprehensive rehabilitation in a case and panfacial fracture with extensive oral soft tissue trauma of lip and tongue in a musician: a case report


  • Dempsy Chengappa M. M. Department of Pediatric Dentistry, INHS Sanjivani, Kochi, Kerala, India
  • Sandeep Mehta Department of Oral and Maxillofacial Surgery, INHS Sanjivani, Kochi, Kerala, India
  • Shanender S. Sambyal Department of Oral and Maxillofacial Surgery, INHS Sanjivani, Kochi, Kerala, India
  • Gaurav Dua Department of Oral and Maxillofacial Surgery, INHS Sanjivani, Kochi, Kerala, India
  • Andrews Navin Kumar Department of Pediatric Dentistry, Department of Oral and Maxillofacial Surgery, INHS Sanjivani, Kochi, Kerala, India




Pan facial fracture, Open reduction, Internal fixation


Pan facial fractures as the name suggest it involves multiple fractures of facial bones and so the management of such multiple fractures is also extremely complicated and the patient is generally left with residual deformities, which might leave a deep psychological impact on the individual’s life. Maxillofacial region also harbours organs which are very essential for the normal survival of the Individual such as eyes, organ for olfaction, respiration, mastication, deglutition and aesthetics and phonetics. All these factors put additional pressure in complexities of fracture management, also create a dilemma for surgeon. Another peculiarity of the panfacial fractures is the difficulty in accessing the fracture sites and because of that reduction and fixation are compromised often leading to secondary deformity. Determining the sequence of repairing of the pan facial fracture is the most challenging and requires great experience as well as knowledge of anatomy, as the approach varies with each case. All the vertical and horizontal pillars have to be restored to get the near-normal facial anatomy and aesthetic. Even after all the aggressive treatment, the residual deformity in cases of panfacial trauma is not uncommon, which often requires a second stage corrective surgery. This article briefs about the management and simple approaches used to reduce and fix a case of pan facial trauma in a -year-old male who underwent a road traffic accident.

Author Biography

Dempsy Chengappa M. M., Department of Pediatric Dentistry, INHS Sanjivani, Kochi, Kerala, India

Classified Specialist in Oral and Maxillofacial Dept, Army Dental Corps


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Case Reports