IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-8-12-23636 Original Research Paper Management of Panfacial Trauma: A Surgical Quandary for Maxillofacial Surgeons Changule Dr. Dr. Vishwas Kadam Dr. December 2019 8 12 01 02 ABSTRACT

Patients with multiple fractures involving upper third of the face, the mid–face and the lower third are generally referred to as Panfacial fractures. The establishment of pattern of repairing the pan facial fracture is the most challenging and require great experience as well as knowledge, as it vary with each case. All the vertical and horizontal pillars has to be made to restore and rehabilitate the facial anatomy and aesthetic. The goal of treatment as with all facial fracture is to restore both the functions and pre–injury 3–dimensional facial contours. To achieve this goal two common sequences of management of Panfacial fractures are proposed, “Bottom up and inside out” or “Top down and outside in”. This article briefs about the management and simple approaches used to reduce and fix a case of pan facial trauma in a 29–year–old male who underwent a road traffic accident.