Case Studies

$17.4M Verdict Showing Facial Fractures and Bone Disease

Deborah Chang, Esq., Panish, Shea & Boyle LLp, Los Angeles, CA

After a 35-ton freight truck crashed into a row of stopped cars in traffic, a 24-year-old driver suffered severe facial fractures, brain trauma, and a degenerative disease in his jaw that left him with the inability to chew food for the rest of his life.

The trucking company admitted liability, but denied the victim’s claims of injury and long-term suffering - offering only $400K at mediation. Deborah Change, Esq., Panish Shea & Boyle, needed High Impact to help illustrate the full extent of their client’s damages for a jury to decide.

We prepared the following 11 exhibits, which resulted in a $17.4M verdict.

​Exhibit A: Illustrating the Brain Injury

The first medical illustration highlights the victim’s traumatic brain injury by showing the injured hippocampus while outlining the neural functions affected, including memory, navigation, and coding.

$17.4M Verdict Showing Facial Fractures and Bone Disease

Exhibits B-D: Highlighting Brain Damage in MRI’s

These Color Diagnostic exhibits make the victim’s MRI scans recognizable for the jury, by colorizing the brain injury over black-and-white radiographic films - highlighting the extent of damage.

$17.4M Verdict Showing Facial Fractures and Bone Disease
$17.4M Verdict Showing Facial Fractures and Bone Disease
$17.4M Verdict Showing Facial Fractures and Bone Disease

Exhibit E: Comparing Normal Jaw vs Fractured Jaw

The victim’s facial injuries are introduced in the fifth exhibit, which compare a normal mandibular joint versus the skull deformations induced by ischemic bone disease.

$17.4M Verdict Showing Facial Fractures and Bone Disease

Exhibit F: Summarizing Numerous Skull Injuries

The sixth exhibit summarizes every injury to the skull one by one, in graphic detail. It highlights the ramus, parasymphysis, and maxillary sinus fractures with peripheral trigeminal nerve entrapment. A view from under the skull illustrates basilar condyle and lateral pterygoid plate fractures, and close ups focus on the temporomandibular joint trauma, non-displaced fractures, and maxillary sinus fractures with blood.

$17.4M Verdict Showing Facial Fractures and Bone Disease

Exhibit G: Progression of Ischemic Bone Disease

The seventh exhibit shows the progression of the victim’s mandibular ischemic bone disease from its normal condition before the accident, through multiple surgeries, and its current condition - providing visual context for suffering over time.

$17.4M Verdict Showing Facial Fractures and Bone Disease

Exhibit H-K: Animating Multiple Surgeries

These animation exhibits demonstrate the step-by-step procedures required for each of the victim’s surgeries, which include the placement and removal of arc bars over the teeth; placement of screws and plates to the parasymphsis fracture; temperomandibular joint (TMJ) injections; and a Condylotomy with a saw used in the vertical osteotomy.


Internal Fixation of Parasymphysis Fractures


Removal of Arch Bars and Wires


Pain Management for TMJ Injury


Arch Bar Placement and Condylotomy

Exhibit L: Anchoring with a Powerful Visual

The final animation anchored our clients’ case with a powerfully unforgettable visual, emphasizing the painful reality of the ischemic bone disease in accurately graphic detail.


Mechanism of Ischemic Bone Disease

High Impact’s team of visual strategists, artists and developers can build and customize your digital presentation for any case involving personal injury, medical malpractice, birth trauma - or any subject involving complex information.

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