PMC8407624_01
A preoperative frontal view that shows the extent of the fractures
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F1
He was brought to the emergency department with breathing difficulty and unconsciousness [Figure 1].
Computed tomography was performed and manifested multiple facial fractures including frontal bone, skull base, NOE, zygomatic and sub condylar fractures. (a) Axial CT sections, (b) Coronal CT sections (c) Coronal and sagittal 3D-CT sections
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F2
Intraoperative views of the patients who show the surgical incisions and the fixation plates. (a) Lateral eyebrow incision (b) Lynch and midtarsal incisions (c) Retromandibular approach for sub-condylar fracture reduction
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F3
The patient underwent ORIF of the pan-facial fractures using lynch and midtarsal skin incisions [Figure 3].
Postoperative three dimensional CT (3D-CT) demonstrates proper reduction of the facial bones (a) 3D-CT coronal section showing the fixation plates (b) Additional section demonstrating symmetrical facial dimensions
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F4
Twenty four hours postsurgery, a three-dimensional CT was performed and showed proper facial fractures reduction with resultant symmetrical facial dimensions [Figure 4].
A clinical presentation after 18 months' follow-up period shows symmetric facial appearance and normal facial nerve function. (a) All surgical incisions were tightly closed and show satisfied esthetic outcomes. (b) The mandibular width and malar projection are fully restored
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F5
Long-term follow-up of 12- and 18-months postsurgery included evaluation of esthetic and functional outcomes and revealed satisfying outcomes [Figure 5].