Abstract
Panfacial fractures are due to high-energy trauma, making the treatment of patients since the first visit is challenging. Generally, these involve soft tissue injuries, comminuted fractures and even fragment loss. In addition to this, the surgical approach to facial reconstruction through the fixation of bone fragments can be postponed due to the patient's clinical conditions, which can lead the treatment to a more complex condition due to the possibility of infection, poor union of bone fragments and tissue contraction. The aim of this study is to discuss the clinical case of high-energy trauma caused by an air accident, leading to multiple facial and body fractures. And in this way contribute to the extremely limited scientific literature on the subject, with such etiology and significant facial trauma.
Highlights
Maxillofacial trauma generated by high-energy impact results in highly dislocated and/or comminuted facial fractures, creating a major challenge for oral and maxillofacial surgeons
High-energy traumas are defined as open or closed injuries, caused by extreme forces and leading to severe tissue trauma. They are often associated with soft tissue damage and loss of bony structures, which can result in severe deformities
A study conducted in the USA on the pattern and nature of injuries to people involved in air crashes was obtained by analyzing the Federal Aviation Administration's autopsy database for pilots involved in fatal helicopter accidents from 1993 to 1999
Summary
Maxillofacial trauma generated by high-energy impact results in highly dislocated and/or comminuted facial fractures, creating a major challenge for oral and maxillofacial surgeons. When these happen, the patient must first be hemodynamically stabilized and airway control according to Advanced Trauma Life Support (Christensen, Sawatari & Peleg 2015). High-energy traumas are defined as open or closed injuries, caused by extreme forces and leading to severe tissue trauma. They are often associated with soft tissue damage and loss of bony structures, which can result in severe deformities. The treatment of facial fractures may need to be delayed, leading to osseous mal union, soft tissue contracture and scarring, delivering a poor functional and aesthetic outcome (Moreira, 2017)
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