Aims & objectives To analyze the soft tissue response in patients treated by combined anterior segmental bimaxillary procedures. Methods A Prospective, observational and analytical study was carried out for a period of 2 years involving 37 patients with predefined inclusion and exclusion criteria; lateral cephalograms were taken by the same operator on the standardized unit immediately before and 6 months after surgery; hard and soft tissue landmarks were measured in millimeters to both horizontal and vertical reference lines; any differences in distances were recorded as a surgical change; appropriate statistical test was carried; level of significance was p \ 0.05. Results All patients underwent anterior maxillary osteotomy with 34 anterior mandibular osteotomies, 2 advancement genioplasties and 1 reduction genioplasty. Analysis showed significant angular, horizontal and vertical change. The significant differences in skeletal variables were observed in N-Pg distance, overjet, overbite, U1-NF angle, L1-Mp angle and soft tissue variables like labiomental angle, upper-lower lip protrusion, upper-lower lip length and lower incisor to labrale inferius distance. Nasolabial angle, interlabial gap and upper incisor exposure were extremely significant. Conclusion Soft tissue response to surgery is perhaps more predictable after 6 months, so this may be a treatment modality of choice in adult bimaxillary/dentoalveolar protrusion patients who need instant esthetic facial results.

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Pattern and etiology of maxillofacial injures varies from one country to another and even within the same country depending on prevailing socio-economic, cultural and environmental factors. Aim and objective of this study was to analyse retrospectively how various factors and etiology affects pattern of facial fractures and management at maxillofacial department and research center of tertiary care college and hospital. Out of 8715 patients who were reported to our center between years 2017 to 2021. 82% had mandibular fracture, 17% mid third fracture and around 1% had facial fractures involving cranial bones. Most patients with mid face fracture had fractures of zygomaticomaxillary region78%, while fracture of parasymphysis region were more common in mandible39%. Most patients were in the 21–30 year old age group, Road trafc accidents were more common around 76%.