case_images: PMC8407624_01
case_images: A preoperative frontal view that shows the extent of the fractures
case_images: AMS-11-191-g001.jpg
case_images: PMC8407624_01_AMS-11-191-g001.jpg
case_images: F1
case_images: He was brought to the emergency department with breathing difficulty and unconsciousness [Figure 1].
case_images: 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
case_images: AMS-11-191-g002.jpg
case_images: PMC8407624_01_AMS-11-191-g002.jpg
case_images: F2
case_images: 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
case_images: AMS-11-191-g003.jpg
case_images: PMC8407624_01_AMS-11-191-g003.jpg
case_images: F3
case_images: The patient underwent ORIF of the pan-facial fractures using lynch and midtarsal skin incisions [Figure 3].
case_images: 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
case_images: AMS-11-191-g004.jpg
case_images: PMC8407624_01_AMS-11-191-g004.jpg
case_images: F4
case_images: Twenty four hours postsurgery, a three-dimensional CT was performed and showed proper facial fractures reduction with resultant symmetrical facial dimensions [Figure 4].
case_images: 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
case_images: AMS-11-191-g005.jpg
case_images: PMC8407624_01_AMS-11-191-g005.jpg
case_images: F5
case_images: Long-term follow-up of 12- and 18-months postsurgery included evaluation of esthetic and functional outcomes and revealed satisfying outcomes [Figure 5].