On examination, facial appearance was completely changed and he was not able to bite properly due to improperly united maxillary and Mandibular fracture segments. Left Mandibular canine and lateral incisor teeth were fractured and canine crown was displaced in between the fracture margins of the mandible which was not removed in the previous surgery done elsewhere.
After thorough clinical and radiological examination, Maxillofacial surgeon Dr. S. M. Balaji diagnosed that his left lateral orbital rim and zygomatic arch were fractured and laterally displaced. Maxilla and mandible also were fractured and wrongly united which led to improper bite. Dr. Balaji planned to correct his facial appearance and bite in a single surgery. Intraorally the impacted canine crown was removed along with the fractured lateral incisor and replaced with dental implants. Both upper and lower jaw stabilized and fixed in proper occlusion. Lateral orbital rim was also brought medially by intraocular incision and floor of the orbit was raised using titanium mesh. Thus the fractured facial bones were corrected in such a way that gave an improved appearance without any visible scars on his face.