Treatment of multiple facial fractures in air crash survivor




Oral and maxillofacial surgeons; Facial injuries; Fracture fixation; Open fracture reduction.


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.


Chrcanovic, B. R. (2012). Factors influencing the incidence of maxillofacial fractures. Maxillofac Surg, 16(1), 3–17.

Christensen, J., Sawatari, Y., & Peleg, M. (2015). High-energy traumatic maxillofacial injury. J Craniofac Surg, 26(5), 1487–91.

Cillo, J. E., & Ellis, E. (2014). Management of bilateral mandibular angle fractures with combined rigid and nonrigid fixation. J Oral Maxillofac Surg, 72(1), 106–11.

Cohen, M. A., Shakenovsky, B. N., & Smith, I. (1986). Low velocity hand-gun injuries of the maxillofacial region. J Maxillofac Surg, 14(C), 26–33.

Glapa, M., Kourie, J. F., Doll, D., & Degiannis, E. (2007). Early management of gunshot injuries to the face in civilian practice. World J Surg, 31(11), 2104–10.

Hollier, L., Grantcharova, E. P., & Kattash, M. (2001). Facial gunshot wounds: A 4-year experience. J Oral Maxillofac Surg, 59(3), 277–82.

Kaufman, Y., Cole, P., & Hollier, L. (2009). Facial Gunshot Wounds: Trends in Management. Craniomaxillofacial Trauma Reconstr, 2(02), 085–90.

Moreira, R. W. F. (2017). O tratado de Cirurgia Bucomaxilofacial. Nova Odessa- SP- Brasil: Editora Napoleão.

Pappachan, B., & Alexander, M. (2012). Biomechanics of Cranio-Maxillofacial Trauma. J Maxillofac Oral Surg, 11(2), 224–30.

Peltola, E. M., Koivikko, M. P., & Koskinen, S. K. (2014). The spectrum of facial fractures in motor vehicle accidents: An MDCT study of 374 patients. Emerg Radiol, 21(2), 165–71.

Pereira, A. S., et al. (2018). Metodologia da pesquisa científica. Ed. UAB/NTE/UFSM. omputacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1.

Ribeiro, A. L., Rodrigues, T. M., Alves-Junior, S. M., & Pinheiro, J. J. (2015). Interfragmentary screw fixation of the zygomatic arch in complex midface and zygomaticomaxillary fractures. J Oral Maxillofac, 3(3), 494-8.

Stefanopoulos, P. K., Soupiou, O. T., Pazarakiotis, V. C., & Filippakis, K. (2015). Wound ballistics of firearm-related injuries - Part 2: Mechanisms of skeletal injury and characteristics of maxillofacial ballistic trauma. Int J Oral Maxillofac Surg, 44(1), 67–78.

Stuehmer, C., Blum, K. S., Kokemueller, H., Tavassol, F., Bormann, K. H., Gellrich, N. C., et al. (2009). Influence of Different Types of Guns, Projectiles, and Propellants on Patterns of Injury to the Viscerocranium. J Oral Maxillofac Surg, 67(4), 775–81.

Taneja, N., & Wiegmann, D. A. (2003). Analysis of injuries among pilots killed in fatal helicopter accidents. Aviat Space Environ Med, 74(4), 337-41.

Wei, J. J., Tang, Z. L., Liu, L., Liao, X. J., Yu ,Y. B., & Jing, W. (2015). The management of naso-orbital-ethmoid (NOE) fractures. Chin J Traumatol, 18(5), 296-301.




How to Cite

GUERRA, R. C.; SANTOS, D. L. P.; PULINO , B. de F. B.; PEREIRA, R. dos S. .; FAVERANI, L. P.; AUGUSTO NETO, R. T.; TORRES, L. H. S.; RODRIGUES, B. J.; PASTORE, G. P.; HOCHULI- VIEIRA, E. Treatment of multiple facial fractures in air crash survivor. Research, Society and Development, [S. l.], v. 10, n. 1, p. e46410111919, 2021. DOI: 10.33448/rsd-v10i1.11919. Disponível em: Acesso em: 21 apr. 2021.



Health Sciences