Management of Panfacial Fractures

Abstract Panfacial injury refers to fractures present in the cranio-orbital (upper third), orbitozygomaticomaxillary (middle third), as well as the mandibular (lower third) portions of the craniofacial skeleton. These injuries present challenges in surgical management to avoid long-term sequelae of inadequate correction, including increased facial width, enophthalmos, facial retrusion, and malocclusion. The purpose of this chapter is to provide an algorithm for management of these panfacial injuries in order to optimize outcomes.