Introduction: Panfacial fractures commonly occur due to road traffic accidents in developing countries like India. Submental intubation can be an effective technique for upper airway management in few panfacial trauma patients associated with fracture of skull base or displaced nasal fracture and it offers an effective alternative to short term tracheostomy.Aims:To study different patterns of Panfacial fractures, their management and complications and to study the pattern and distribution of fractures at different sites of the maxillofacial skeleton.Materials and methods: This study is a prospective clinical study conducted in department of plastic surgery for a period of 2 years. Panfacial fractures divided as fracture involving the upper, middle, and lower face. The patients were followed at 2 weekly interval for the first 3 visits, followed by monthly interval up to a maximum of 6months.Results: Mandible is the most common in the mid face fractures in facial fractures. In the mandible, parasymphysis was the most common fractured site constituting 43.33% of patient population. 27 patients(90%) were treated by open reduction and internal fixation and 3 patients (10%) were treated by closed reduction arch bar/eyelets and inter maxillary fixation .Out of 30 patients studied, 1 patient had zygomatic arch prominence,1 patient had wound infection, In two patients, malocclusion was identified in the in post operative period, and was managed by reapplication of IMF in the operation theatre.Conclusion: Treatment to be focused on re-establishing proper occlusal, vertical and horizontal dimensions in the facial frame, as well as restoration of orbital, oral volumes. The high frequency of panfacial fractures due to RTA in our country
