Treatment of panfacial fracture and late reconstruc- tion of frontal defect: Case report

RAFAEL SARAIVA TORRES, GUSTAVO CAVALCANTI DE ALBUQUERQUE, JOEL MOTTA JUNIOR, VALBER BARBOSA MARTINS, MARCELO VINICIUS OLIVEIRA, INGRID SOANI AMARAL DE COUTO TENÓRIO, DENIS ESTEVES RAID

Panfacial fractures are those that affect the upper, middle and lower face, making the treatment challenging. In some situations, the patients require multidisciplinary treatment because they have traumas in other regions of the body that preclude the treatment of all facial fractures. Cranioencephalic trauma, due to car accidents, often needs a neurosurgical approach. The use of biomaterials has been growing every day, like bioceramics, due to their characteristics, as an option for the reconstruction of bone defects. The objective of this article is to report a case of panfacial fracture treatment, with reconstruction, through a customized prosthesis (bioceramic), of a frontal region defect. The patient with multiple facial fractures was initially submitted to a surgical procedure to treat them. Later to correct a defect in the frontal region, it was installed a custom prosthesis. The patient has progressed well, with regression of complaints and correction of marked supraorbital defect. Thus, it can be concluded that panfacial fractures represent a complex challenge in the treatment of facial trauma. When they are accompanied with bone defects in the skull, the treatment through biomaterials and substances that can mimic the same characteristics of autogenous bone tissue has become an interesting option to be considered.

Keywords: Multiple trauma. Bone substitutes. Biocompatible materials.

How to cite: Torres RS, Albuquerque GC, Motta Junior J, Martins VB, Oliveira MV, Tenório ISAC, Raid DE. Treatment of panfacial fracture and late reconstruction of frontal defect: Case report. J Braz Coll Oral Maxillofac Surg. 2021 Jan-Apr;7(1):43-9.

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