Related Experiment Video
Updated: May 10, 2026

08:18
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
Flying and midface fractures: the truth is out there
E Tan-Gore1, R Thanigaivel, B Wilson
1Department of Maxillofacial/Head and Neck Surgery, Royal Darwin Hospital, Northern Territory, Australia.
Summary
Patients with midface fractures can safely fly on various aircraft without complications. Clinical assessment is essential for determining fitness to fly after orbital fractures involving paranasal air sinuses.
Area of Science:
- Maxillofacial Surgery
- Aerospace Medicine
- Ophthalmology
Background:
- Lack of clear guidelines for air travel post-midface fracture.
- Orbital fractures involving paranasal air sinuses present unique considerations for flight safety.
Purpose of the Study:
- To evaluate the safety of air travel for patients with midface fractures.
- To determine if orbital fractures involving paranasal air sinuses contraindicate flight.
Main Methods:
- Retrospective review of 48 patients with orbital fractures transported by air.
- Analysis of patient data from Royal Darwin Hospital Maxillofacial Unit (2006-2009).
- Assessment for orbital complications and flight plan deviations.
Main Results:
- No orbital complications reported in 24% of patients requiring air transport.
- No deviations from standard flight plans were recorded.
- Demonstrates feasibility of air travel for these patients.
Conclusions:
- No absolute contraindications to flying with midface fractures were identified.
- Clinical judgment is paramount in deciding on air transport for patients with these injuries.
- Supports the safe transport of patients with midface fractures via air.
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