A paradigm in panfacial fracture treatment to improved dental occlusion

改善牙齿咬合的全颜面骨折治疗范式

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Abstract

INTRODUCTION: The prevalence of maxillofacial fractures is rising due to increased road traffic accidents, necessitating prompt and effective management, especially in cases of panfacial fractures. The primary objective in treating such fractures is to restore occlusion and stabilize midface buttresses and pillars. CASE REPORT: This article presents the case of a 56-year-old male who sustained panfacial fractures following a road accident, exhibiting symptoms including facial pain and nosebleeds. The treatment involved the use of arch bars for dental occlusion. Post-operative recovery was complicated by silent aspiration, successfully managed with a tracheostomy. After one month, the patient showed symmetrical facial features with no abnormalities. CONCLUSION: It is crucial to weigh the benefits and limitations of Maxillomandibular Fixation in relation to the specific fracture types. This case underscores the potential of arch bars in improving outcomes for patients with complex facial fractures.

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