Facial Plast Surg 2019; 35(06): 640-644
DOI: 10.1055/s-0039-3399494
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Secondary Management of Midface Fractures

Hessah Aman
1  Department of Oral and Maxillofacial Surgery, Texas A&M College of Dentistry, Dallas, Texas
Tom Shokri
2  Department of Otolaryngology, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania
Likith V. Reddy
3  Department of Oral and Maxillofacial Surgery, Baylor University Medical Center, Dallas, Texas
Yadranko Ducic
4  Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
› Author Affiliations
Further Information

Publication History

Publication Date:
29 November 2019 (online)


Secondary reconstruction of posttraumatic facial deformities has been consistently described as one of the most challenging procedures performed. Ideal primary reconstruction cannot always be achieved, and often it is complicated by severe comminution or inadequate surgical management. It also can arise because of a lack of definitive surgical repair or excessive delay of initial treatment. Complications leading to secondary deformities can occur even when craniofacial injuries are treated by experienced surgeons. Following proper surgical principles, meticulous perioperative planning, and anticipation of potential functional and aesthetic sequelae limit many of those complications. Herein, we discuss secondary procedures in traumatic midface injuries.