Emergency Management of Complex Maxillofacial Lacerations and Segmented Dentoalveolar Fractures Following High-Velocity Trauma: A Case Report

Abstract

Purpose: This report describes the emergency and definitive management of a 44-year-old female who sustained extensive facial soft tissue injuries and a segmented dentoalveolar fracture following a high-velocity motor vehicle accident.

Methods: Clinical evaluation revealed extensive lacerations across the nose, left cheek, and vestibular regions, alongside a segmented fracture of teeth 21 and 22. Initial hemorrhage control was achieved via situational suturing at a primary center, followed by referral for definitive care. Treatment included meticulous layered extraoral suturing and interdental wiring for dentoalveolar stabilization.

Results: Post-operative monitoring through day 22 demonstrated excellent scar maturation, resolution of systemic stress responses, and maintenance of stable dental occlusion without secondary infection.

Conclusion: Optimal functional and aesthetic outcomes in polytrauma cases depend on rapid assessment, tailored pharmacological management, meticulous soft tissue handling, and prompt semi-rigid stabilization of dentoalveolar segments.