A 42-year-old Indian man is recovering with restored facial function after surgeons at Aster Hospital Mankhool performed an extensive reconstruction of injuries spanning nearly every region of his face, the hospital said.
The patient arrived at the emergency room with multiple deep lacerations, uncontrolled bleeding, fractured bones across the face, double vision, impaired breathing, and partial facial nerve weakness. Doctors diagnosed pan facial trauma — a condition involving simultaneous fractures of the upper, middle, and lower facial zones that accounts for only 4 to 10 percent of all facial fractures and is most commonly linked to high-impact injuries.
Among the injuries documented were fractures of the jaw, cheekbones, nasal bones, and eye sockets, significant cartilage and tooth loss, misaligned jaw structure, and orbital damage that placed his vision at risk.
The anesthesia team, comprising Dr. Abhishek J Narayan and Dr. Jawad Ebn Mohammed, opted for sub-mental intubation given the extent of nasal and facial fractures — a decision that shaped how the surgical team could safely approach the procedure. The operation, performed under general anesthesia, involved Open Reduction and Internal Fixation with multiple orbital reconstructions led by Dr. Renju Prem, the hospital’s lead surgeon in oral and maxillofacial surgery.
Surgeons worked from the jaw upward toward the cranial base, fixing fractured bones with titanium plates and screws through external approaches, rebuilding the eye sockets, repositioning displaced nerves, and reconstructing nasal structures. Damaged bone fragments and lost teeth were removed in the process.
“Coordinating anesthesia for pan facial trauma cases is always challenging due to airway risks and prolonged operative time,” Dr. Jawad said. “It was rewarding to see the patient recover successfully and regain both function and confidence.”
Dr. Abhishek described the anesthesia management as central to the outcome. “Managing anesthesia for such a complex, long-duration surgery was critical to ensuring the patient’s stability and safety throughout,” he said. “Our team worked closely with the surgical and critical care teams to achieve a smooth procedure and recovery.”
The patient spent three to four days under intensive ICU monitoring with cardiology and nephrology support before gradually transitioning to oral feeding. He was discharged after approximately two weeks in a stable condition.
“This was an extraordinary challenge,” said Dr. Renju. “Restoring the patient’s face and function required meticulous planning, precision, and seamless collaboration across multiple specialties. The successful outcome demonstrates the high standard of care and clinical excellence we uphold at Aster Hospital, Mankhool.”
The patient credited the team with returning him to his previous quality of life. “The doctors and staff at Aster Hospital have truly changed my life,” he said. “They not only restored my face and jaw but also gave me back my confidence and my ability to live normally again. I am deeply thankful for their expertise, dedication, and care.”
