Extended Hemicoronal Approach in Complex Facial Fracture. A Case Report
DOI:
https://doi.org/10.20453/rmh.v37i1.6864Keywords:
facial fractures, craniomaxillofacial injuries, operative surgical procedures, craniofacial surgeryAbstract
SUMMARY
The extended hemicoronal approach (EHCA) provides broad access to all three facial thirds, which is useful in complex panfacial fractures. The case of a polytrauma male with right panfacial fracture, after sustaining a high-energy motorcycle accident, is presented. Clinically, he was hemodynamically stable, and on examination, hemifacial volume increase, edema, periorbital ecchymosis, conjunctival chemosis, restriction of mandibular opening, and anterior open bite were noted. CT scan showed multiple fractures in the three facial thirds. EHCA was performed, supplemented with transconjunctival and upper vestibular accesses, which allowed accurate anatomical reduction and stable fixation by means of osteosynthesis plates. The patient recovered without significant functional or aesthetic sequelae. This case demonstrates that the EHCA is effective and versatile for the comprehensive management of complex panfacial fractures.
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Copyright (c) 2026 Javier Cuéllar Gutiérrez, katherine Palma Garrido, Antonia Lucía Muñoz Cánepa, Roberto Gonzalez Vásquez, Francisco Pampin López
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