Fratura panfacial: relato de caso

Abstract

Introduction: Panfacial fractures are those that affect two thirds of thefaceormore simultaneously. They present particularities that require greater attentionanddedication from professionals who provide primary and secondary caretovictims.One of the main challenges is the correct diagnosis of all fractures, especiallythosethat affect the middle third of the face. Furthermore, the order in which fracturesarereduced and the time after trauma can also affect the final result. To thisend, it isrecommended, whenever possible, to request specific imaging tests, suchascomputed tomography scans preoperatively. Objective: To report a caseof panfacial fracture reduction in a patient treated at Hospital João XXIII, in BeloHorizonte-Minas Gerais; and describe the approaches used in facial reconstruction. Casereport: Male patient, victim of a motorcycle accident, underwent a surgical procedure,under general anesthesia, through orotracheal intubation with submental shunt, foropen reduction of fractures involving the facial three thirds of the face. The“bottomup” and “from the inside out” sequence was used, aiming to approach all fracturesina single surgical step. Results: Waters and Hirtz radiographs for the zygomaticarchindicate satisfactory alignment of the fractures post-operatively. The patient wasfollowed for 1 year, evolving without pain or functional complaints, and satisfiedwithfacial aesthetics. Conclusion: The management of panfacial fractures is achallengefor the surgeon, and it is mandatory that this professional has experienceandknowshow to analyze the specificities of each case. Furthermore, it is important toensurethat there is close communication between the professionals involved intheprimary(general surgery) and secondary (oral and maxillofacial surgeon) care of patients.