Semin Plast Surg 2017; 31(02): 108-117
DOI: 10.1055/s-0037-1601579
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Management of Panfacial Fracture

Kausar Ali
1  Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
Salvatore C. Lettieri
2  Division of Plastic Surgery, Mayo Clinic, Rochester, MN and Plastic Surgery, Maricopa Integrated Health System, Phoenix, Arizona
› Author Affiliations
Further Information

Publication History

Publication Date:
09 May 2017 (online)


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.