Minimally invasive approaches in severe panfacial fractures.

BACKGROUND

Minimally invasive approaches to severe panfacial fractures are being used increasingly to reduce surgical trauma and the related complications. In this study, it was aimed to determine the ideal surgical approaches in severe panfacial fractures.

METHODS

Sixteen patients with severe panfacial fractures were included in this study. Minimally invasive approaches were used for Le Fort III fracture in six patients, for Le Fort II fracture in four patients, and for bilateral maxillary and orbital floor fractures in six patients. We used subciliary, intraoral vestibular, lateral eyebrow incisions to reach orbital, maxillary, zygomaticomaxillary buttress, and nasoethmoidal fractures, respectively.

RESULTS

All fractures were repaired with miniplates and screws. No hematoma, wound infections or other complications were observed.

CONCLUSION

Minimally invasive approaches in severe panfacial fractures are considered suitable and effective in terms of aesthetic results.