Reconstruction of the Midface in Traumatic Injuries

Midface trauma is difficult for a reason: thin, multi-fragmentary bones form complex three-dimensional structures, while the final result must restore not only continuity but also facial shape, occlusion, orbital function and soft-tissue support. In this lecture, an experienced maxillofacial surgeon shares 16 years of personal experience and walks through the logic behind reconstructive planning.

The discussion covers facial buttresses, orbital and nasoethmoidal injuries, panfacial fractures, surgical access selection and the balance between exposure, function and aesthetics. Real cases illustrate why computer planning, stable fixation and restoration of orbital volume matter—and why sometimes a wider access can produce the more aesthetic result. The open discussion adds practical decision-making around simultaneous multidisciplinary surgery, orbital indications, bone grafting and firearm-related injuries.