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Related Experiment Video

Updated: Jun 3, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
06:13

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Published on: June 20, 2018

Maxillary sinusitis after reduction malarplasty.

Dong Hyun Kim1, Eun-ju Jeon, Seong Yun Jang

  • 1Department of Otolaryngology-Head and Neck Surgery, Incheon St. Mary's Hospital, The Catholic University of Korea, Incheon, Korea.

Annals of Plastic Surgery
|March 17, 2011
PubMed
Summary

Reduction malarplasty, a facial contouring procedure, can lead to rare complications. This study highlights two cases of chronic sinusitis caused by displaced bone fragments after this popular Asian cosmetic surgery.

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Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Oral and Maxillofacial Surgery

Background:

  • Reduction malarplasty is frequently performed in Asia to achieve an oval facial contour.
  • Potential complications include hematoma, orbital issues, facial asymmetry, and chin depression.
  • Surgical field limitations during malarplasty can lead to incomplete fixation and sinus penetration by osteotomes.

Observation:

  • Two patients developed chronic sinusitis following reduction malarplasty.
  • The sinusitis was attributed to displaced bony fragments within the sinus cavity.
  • This complication, sinusitis from bony fragments, has not been previously reported in medical literature.

Findings:

  • Displaced bony fragments from reduction malarplasty can cause chronic sinusitis.
  • Accurate surgical technique and fragment management are crucial to prevent sinus complications.
  • Radiological evaluation may be necessary to identify bone fragments as the cause of sinusitis.

Implications:

  • Highlights a novel complication of reduction malarplasty, emphasizing the need for vigilance.
  • Suggests improved surgical techniques or postoperative imaging may be warranted.
  • Informs surgeons about a rare but serious sequela, potentially improving patient outcomes.