Facial burns in infant can disrupt maxillofacial growth, leading to deformities and functional impairments. These burns, often occurring in children aged 8–13 months, may result in malocclusion and facial asymmetry caused by altered neuromuscular development. The historical principles of maxillofacial burn management have been established by pioneers such as Kazanjian and Hyslop. In 1849, Simon P. Hullihen performed the first documented orthognathic surgery for a burn-induced deformity on a young patient with mandibular prognathism. In the present study we discuss a similar case involving a 10-year follow-up, demonstrating the use of virtual surgical simulation in evaluating and treating maxillofacial deformities resulting from electrical burns in children.