Case report
Treatment of panfacial fracture and late reconstruction of frontal defect: Case report RAFAEL SARAIVA TORRES1 | GUSTAVO CAVALCANTI DE ALBUQUERQUE1 | JOEL MOTTA JUNIOR1 | VALBER BARBOSA MARTINS1 | MARCELO VINICIUS OLIVEIRA1 | INGRID SOANI AMARAL DE COUTO TENÓRIO2 | DENIS ESTEVES RAID2
ABSTRACT 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. DOI: https://doi.org/10.14436/2358-2782.7.1.043-049.oar
Universidade do Estado do Amazonas, Programa de Residência em Cirurgia e Traumatologia Buco-maxilo-facial (Manaus/AM, Brazil).
1
2
Universidade Federal do Amazonas, Hospital Getúlio Vargas, Programa de Residência em Neurocirurgia (Manaus/AM, Brazil).
Submitted: November 09, 2018 - Revised and accepted: February 07, 2019 » The authors report no commercial, proprietary or financial interest in the products or companies described in this article. » Patients displayed in this article previously approved the use of their facial and intraoral photographs. Contact address: Rafael Saraiva Torres E-mail: saraivatorres@gmail.com
© Journal of the Brazilian College of Oral and Maxillofacial Surgery
43
J Braz Coll Oral Maxillofac Surg. 2021 Jan-Apr;7(1):43-9
