Panfacial trauma refers to simultaneous fractures of the upper, middle, and lower thirds of the face—often due to high-impact injuries. Management demands a staged, systematic approach to restore skeletal buttresses, occlusion, and soft-tissue symmetry.
Dr. Singhavi customizes the approach based on imaging findings (high-resolution CT or PET/CT) and biopsy results. For early lesions with limited bony contact, he selects a marginal mandibulectomy to spare as much bone as possible; for more extensive involvement, he performs a segmental resection with predefined 3D-printed cutting guides for optimal precision. Preoperative planning includes dental impressions and occlusal analysis to anticipate post-resection alignment. Intraoperatively, Dr. Singhavi uses nerve preservation techniques where feasible to minimize sensory loss. When segmental defects occur, he coordinates immediate reconstructive options—such as fibula free-flap transfer—to restore jaw continuity and prepare for future dental rehabilitation.
Under Dr. Singhavi’s care, patients achieve comprehensive tumor clearance while preserving—or promptly reconstructing—jaw function. Marginal resections often allow patients to maintain normal chewing and speech with minimal alteration. In segmental cases, immediate reconstruction reduces the risk of malocclusion and facial asymmetry, accelerating the timeline for dental implants and prosthetic rehabilitation. Overall, this targeted approach minimizes morbidity, shortens hospital stays, and enhances postoperative quality of life by restoring both form and function in a coordinated, single-stage procedure
