Post trauma craniofacial deformities and treatment protocol

Correction of post traumatic craniofacial deformities constitutes a challenging but worthwhile endeavor. Traumatic telecanthus, enopthalmos and occlusal deformity are the deformities most refractory to secondary correction. Aesthetic results are adversely affected by the severity and number of pre-existing abnormalities and by the presence of established deformities (beyond 6-12 months). The basic principles of treatment include an osseous reconstruction surgery as early as possible to restore the anatomically correct craniofacial architecture followed by selective ancillary procedures to address soft tissue deficits and functional deformities. The purpose of this study was to analyze the aesthetic and functional outcomes of secondary correction of post traumatic craniofacial deformities (PTCD) and to highlight the underlying principles and formulate treatment guidelines.