AN UNUSUAL CASE REPORT OF PANFACIAL INJURY FOLLOWING BULLOCK CART TYRE BURST

Dr. C. Selvakumar; Dr. H. Divya Devi; Dr. S. B. Sethu rajan; Dr. K. Mahadevan; Dr. J.Jaganmohan

Volume : VII, Issue : X, October - 2017

AN UNUSUAL CASE REPORT OF PANFACIAL INJURY FOLLOWING BULLOCK CART TYRE BURST

Dr. C. Selvakumar, Dr. H. Divya Devi, Dr. S. B. Sethu Rajan, Dr. K. Mahadevan, Dr. J. Jaganmohan

Abstract :

Purpose:

To evaluate the outcome of bottom up–inside out approach in early anatomical reconstruction of Panfacial fracture.

Case report:

A 35yr. old male presented to the casualty with isolated facial injury following bullock cart tyre burst. He had sustained right Lefort III fracture; dentoalveolar fracture with open midline split of the maxilla and left parasymphysis fracture of mandible. His airway was immediately secured and was taken up for emergency surgery.

Intra operatively, mandible was reconstructed and maxilla was disimpacted to obtain near normal midfacial projection. Postoperatively, the wound healed well with minimal scarring and stable occlusion.

Conclusion:

Early intervention in Pan facial injury helps to achieve proper facial projection and stable occlusion with minimal complications.