Panfacial Trauma-Managing Separated Nasal Cartilage And Extensive Degloving Faciala Case Report

Abstract

Seven out of ten victims of trauma in many road traffic accidents are those with facial trauma, who not only experience fractures but mostly also experience soft tissue damage, including lacerations or bruising. Wounds on the face generally heal quickly because of the excellent vascularization of the facial area. Therefore, it is necessary to pay careful attention to the neatness and adaptation of the wound edges during suturing, especially in the area of the nose, lip, and eyes. Panfacial fractures are fractures that involve two of the three areas of the face: the frontal bone, midface, and mandible. This method is a case presentation and some literature reviews of one patient who presented with panfacial trauma to our hospital. This case underscores the importance of prompt and comprehensive management of panfacial trauma, involving a multidisciplinary approach. As a man in the 20–29 life decade, this patient had a high risk of undergoing panfacial trauma in a road traffic accident. Early recognition, stabilization, and specialized surgical intervention contribute to optimal outcomes in this case. The extensive degloving with separated nasal cartilage of the midface was managed by “inside out” sequencing. The high FISS score of this patient is in line with the length of stay in the hospital. The outcome of this case in 3 months was a sequelae of the right eye in the form of ptosis. The nasal and sense-of-smell functions are normal. The results show that after one year of the correction, the patient is feeling better about the appearance of the scar and ptosis correction. The quality of life becomes better.