Panfacial Fractures

What are Panfacial Fractures?

Panfacial fractures are defined as multiple fractures of the facial bones that usually affect the upper, middle, and lower areas of the face. The management and treatment of panfacial fracture is an intricate task because of the lack of reliable developments. Before attempting a treatment on a patient of panfacial fracture, a thorough understanding of the principles is important. Panfacial fractures are often termed as maxillofacial injuries. The treatment of patients suffering from injuries require immediate operative management. If the patient is not under critical state, the treatment or operation can be delayed. In cases where patient needs critical care, the initial surgeries performed are majorly corrective surgeries.


Panfacial fractures involve injuries to the upper, lower, and middle thirds of the facial bones. Such injuries often result in multisystem injury, requiring team approach. The injury can be identified with early symptoms which include:

  • Difficulty in breathing, in case of nasal bone fractures.
  • Swelling around the eyes and the traumatized area.
  • Internal bleeding.


Based on a recent report the major causes of these traumatic injuries are:

  • Physical attack or assault.
  • A head-on vehicle collision.
  • Falling from a height.
  • Sports injury.
  • Occupational injuries or injury at work.
  • Injury due to a blast or shooting.


The main risk factors include:

  • Deformities affecting looks and appearance.
  • Scars and marks left behind after injury and surgery.
  • Social and emotional trauma.
  • Lowering of blood volumes or high cholesterol levels.


In order to prevent the occurrence of this disease, one should take care of the following things:

  • Avoiding rigorous exercise.
  • Maintaining health.
  • Cleaning and washing your face properly.

How is it diagnosed?

At Medanta, the ultimate aim is to treat the multiple facial fractures and correct the affected areas through thorough understanding. The degree of trauma and the affected areas need to be closely ...

How is it treated?

Immediate operation is performed for critical cases so as to stabilize the condition. Extensive evaluation and diagnosis are delayed to a later stage, if the patient is stable. The doctors are aware of the obvious and occult injuries that may affe..

  • Grafting

    It is used to reconstruct large bone defects. On the contrary, discontinuity defects are treated using maxillomandibular fixation (MMF).

  • Top-to-bottom technique

    Involves treating face in three stages following the sequence of outer facial frame, then the inner facial frame, followed by maxilla reconstruct. If required MMF is performed at the end.

  • Bottom-to-top technique

     Uses screws and plates for repairing mandible fractures, and rest of the face is treated as an isolated midface fracture.

When do I contact the doctor?

You should immediately consult a doctor, if you begin to experience symptoms such as trouble breathing, internal bleeding, and swelling around the eyes. All your symptoms of the disease will be treated just right with the medical and clinical assistance at Medanta.

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