Disfiguring post-traumatic deformities of the midface sometimes persist even after the treatment. Such deformities, after healing, are among the most formidable challenges faced by the surgeons, apart from the psychological impact on the patients. Following the basic principles of craniofacial reconstruction and with newer techniques, better results can be achieved. Symmetry is key to proper reconstruction in general and face in particular. Proper facial projection and height must be re-established with harmonious occlusion. Our basic approach to the evaluation of deformities and particularly useful techniques for their correction are presented, with a representative case of malunited panfacial fracture that we treated with an iliac bone onlay grafting for zygoma along with correction of mandibular deformity by osteotomies.
Keywords: Corrective osteotomy; Iliac onlay graft; Malocclusion; Malunion; Post-traumatic residual deformities.