Physiotherapy Approach in Bilateral Parasymphysis Fracture With Bilateral Zygomaticomaxillary Complex Fracture: A Case Report

The mandible occupies the lowest point on the face. When the lower face is struck by high blows with upward or obliquely directed force, the prominent bone of the face sustains severe damage. When combined with zygomaticomaxillary complex fractures, mandibular fractures, which frequently occur in parasymphysis, present a challenging clinical scenario. This combination often requires a collaborative strategy to ensure a proper diagnosis and all-encompassing care. In this case study, we discussed the alleged trauma case of a 30-year-old male who met with a road traffic accident due to a bike slip at around 8:30 p.m. on October 8, 2023, in Pulgaon. He was taken to a rural hospital and referred for further management. An orthopantomogram was done on investigation, and bilateral para-symphysis fracture and bilateral zygomaticomaxillary complex fracture were noticed. Later, the patient underwent surgery, where open reduction and internal fixation of the bilateral parasymphysis and right zygomaticomaxillary buttress fracture and closed reduction of the right zygomatic arch fracture under general anesthesia were made. Intermaxillary fixation was done. Then, he was referred to the physiotherapy department for therapeutic intervention. The rehabilitation goals were to maintain the strength of the afflicted muscles, regain full range of motion, minimize pain and edema, and gradually increase mobility. The patient was put on a fourweek regimen. It was found that the patient reacted favorably to the treatment.