History of the Procedure
The management of panfacial fractures has undergone several changes in the last decade. Plate-and-screw fixation has completely revolutionized the sequence with which panfacial injuries can be managed. The “inside-out, bottom-to-top” approach has been the guiding principle in the management of panfacial trauma.
With the advent of rigid fixation, midface reconstruction can precede the fixation of the mandible if adequate bony keys or pillars are restored to ensure proper maxillary positioning.