Extended Hemicoronal Approach in Complex Facial Fracture. A Case Report

• Autores: Cuéllar Gutiérrez, Javier, Palma Garrido, katherine, Muñoz Cánepa, Antonia, GonzÁlez Vásquez, Roberto, Pampin López, Francisco
• Formato: artículo
• Fecha de Publicación: 2026
• Institución: Universidad Peruana Cayetano Heredia
• Repositorio: Revistas - Universidad Peruana Cayetano Heredia
• Lenguaje: español
• OAI Identifier: oai:revistas.upch.edu.pe:article/6864
• Enlace del recurso: https://revistas.upch.edu.pe/index.php/RMH/article/view/6864
• Nivel de acceso: acceso abierto
• Materia: fracturas faciales; traumatismos craneofaciales; procedimientos quirúrgicos operativos; cirugía craneofacial; facial fractures; craniomaxillofacial injuries; operative surgical procedures; craniofacial surgery

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.