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Cranial Bones: Lateral View01:27

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Updated: Jul 24, 2025

Three-Dimensional Reconstruction of Orbital Fractures
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Relationship between midfacial fractures and maxillary sinus pathology.

Dong Wan Kim1, Soo Hyuk Lee1, Jun Ho Choi1

  • 1Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School, Gwangju, Korea.

Archives of Craniofacial Surgery
|July 7, 2023
PubMed
Summary

The incidence of maxillary sinus pathology after midfacial fracture surgery is low at 11.27%, often resolving without intervention. Blowout fractures involving orbital walls are a key risk factor.

Keywords:
Facial bonesMaxillary sinusMaxillary sinusitisOpen fracture reductionParanasal sinus diseasesParanasal sinuses

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Otolaryngology
  • Neurosurgery

Background:

  • Midfacial fractures commonly affect the maxillary sinus, potentially causing pathology.
  • Understanding maxillary sinus pathology post-fracture is crucial for patient outcomes.

Purpose of the Study:

  • To determine the incidence of maxillary sinus pathology in patients undergoing open reduction and internal fixation (ORIF) for midfacial fractures.
  • To identify factors contributing to maxillary sinus pathology in this patient group.

Main Methods:

  • Retrospective analysis of patients who underwent ORIF for midfacial fractures over 10 years.
  • Clinical and CT scan data were used to identify maxillary sinus pathology.
  • Statistical analysis examined factors influencing pathology development.

Main Results:

  • The incidence of maxillary sinus pathology was 11.27%, with sinusitis being most frequent.
  • Maxillary sinus pathology was significantly associated with blowout fractures of medial and inferior orbital walls.
  • Demographics, comorbidities, and surgical hardware did not significantly impact pathology development.

Conclusions:

  • Postoperative maxillary sinus pathology following ORIF for midfacial fractures occurs at a relatively low incidence.
  • Most cases resolve spontaneously, suggesting minimal need for specific postoperative management.
  • Blowout fractures involving orbital walls are a significant predictor of maxillary sinus pathology.