Early Vs. Delayed Management Of Faciomaxillary Fractures: A Comparative Study Of Functional And Aesthetic Outcomes

Background: Faciomaxillary fractures represent a significant challenge in plastic and reconstructive surgery. The timing of intervention—whether early (within 72 hours) or delayed (beyond 72 hours)—can influence patient outcomes significantly. This study aims to compare functional and aesthetic outcomes between early and delayed management of various types of faciomaxillary fractures. Methods: A prospective study was conducted on 20 patients with different types of faciomaxillary fractures. Patients were divided into early intervention (n=10) and delayed intervention (n=10) groups. Functional outcomes were assessed based on occlusion, jaw mobility, and sensory recovery. Aesthetic outcomes were evaluated using the Facial Injury Severity Scale (FISS) and patient satisfaction scores. Results: Early intervention resulted in improved occlusal alignment, reduced complications, and higher aesthetic satisfaction. Delayed intervention showed a higher incidence of malunion and functional deficits. Statistical significance (p < 0.05) was noted in sensory recovery and symmetry scores between the two groups. Conclusion: Early management of faciomaxillary fractures yields superior functional and aesthetic outcomes compared to delayed intervention. Timely surgical intervention minimizes complications and optimizes patient recovery.