Introduction: Maxillofacial fracture is an injury that is often followed by head injury. Maxillofacial fractures vary in their severity, some involves either a single bone or several complex bones, depending on the force degree of impact on the face region. A comprehensive management can prevent more severe complications of head injury. This case report describes the management of multiple maxillofacial fractures with head injury. Case report: A 26-year-old female patient came to the Emergency Department of RSUP Dr. Hasan Sadikin Bandung with complaints of fractures in the facial bones and headaches due to an accident. Physical examination revealed facial asymmetry, edema, and hematomas in the bilateral periorbita, right and left mandible, and mental region. The patient had performed a CT scan of the head before and it appeared that there was a soft tissue swelling in the left temporal region, as well as bone discontinuities in the left zygoma and left mandibular angle with sulcus and gyrus, sylvian fissure, uncompressed ventricles and cisterns and no midline shift. The patient underwent definitive treatment with open reduction intermaxillary fixation (ORIF) for multiple maxillofacial fractures and conservative treatment for her head injury. Conclusion: The success of maxillofacial fracture treatment with head injury is strongly determined by accuracy in the initial assessment and comprehensive treatment involving multidisciplinary. Head injuries need priority treatment followed by treatment of maxillofacial fractures. Keywords: Multiple maxillofacial fractures, Head injury, Open reduction (ORIF), Close reduction

Introduction: Odontectomy is the most common procedure performed by oral and maxillofacial surgeons. The consideration of odontectomy cases in general anesthesia with certain factors, such as patient anxiety, mental or physical disorders, degree of difficulty in impacted teeth, disoriented patients, number of teeth performed odontectomy, and duration of surgery. Some complications after odontectomy, including swelling, trismus, and paresthesia often occur from the first day after odontectomy. The purpose of this study was to determine the characteristics of the complications on the first day after odontectomy of impacted mandibular third molar in general anesthesia at Dr. Hasan Sadikin General Hospital during January – June 2020. Methods: This study was a cross-sectional retrospective using medical record data of patients diagnosed with class I, II, and III mandibular molar impaction based on clinical and panoramic x-rays and performed odontectomy of mandibular third molar impaction in general anesthesia at Dr. Hasan Sadikin Hospital for the period January - June 2020. Results: The obtained data were 186 cases from 98 patients. Data were obtained from secondary data through medical records of mandibular third molar impaction odontectomy patients in general anesthesia who were treated at the inpatient installation of RSUP Dr. Hasan Sadikin for the period during January to June 2020 to determine the characteristics of complications on the first day after odontectomy of impacted mandibular third molar in general anesthesia based on age, gender, and the classification of mandibular third molar impactions. The percentage of complications on the first day after odontectomy of impacted mandibular M3 in general anesthesia at Dr. Hasan Sadikin General Hospital for the period during January - June 2020 showed that the largest number was found in complications of swelling as many as 41 people (54%), followed by trismus as many as 33 people (43%) and paresthesia were 2 patient (3%). Conclusion: The most common complications were swelling and trismus, where these complications were classified as mild and normal complications from odontectomy of impacted mandibular third molars. Meanwhile, the rarest complication was paresthesia. Keywords: Complications, Post-odontectomy, Impaction of mandibular third molar