Abstract
Panfacial fracture are facial fractures simultaneously involving the upper, middle, and lower thirds of the face. Fractures of the frontal sinus, maxilla, zygomatic complex, nasoethmoid-orbital (NEO), and mandible are the most common. Management of panfacial fracture requires an understanding of the interrelationship between the horizontal and vertical buttresses of the face. Panfacial fractures result in loss of anterior projection and increased horizontal and decreased vertical dimensions of the face. Panfacial fracture complexity is based on the number of fractures, the degree of fracture comminution and displacement, and the stability of fractured segments. A systematic approach to evaluation, planning, and execution is necessary to achieve the most optimal results. Inadequate early treatment leads to secondary deformities that are challenging to treat. The purpose of this chapter is to review pearls and pitfalls for surgical management of panfacial fractures.