Reduction malarplasty for making an oval facial shape is a popular procedure in Asia. However, a range of complications after malarplasty have been reported, including hematoma, orbital complications, asymmetric face, and depression of the chin. Fixation can be incomplete and the osteotome can penetrate the sinus during surgery due to the narrow surgical field, which can result in sinusitis caused by bony fragments after malarplasty. However, there are no reports of sinusitis caused by bony fragments after malarplasty. The authors report 2 cases of chronic sinusitis caused by displaced bony fragments after reduction malarplasty.
From the *Department of Otolaryngology–Head and Neck Surgery, Incheon St. Mary's Hospital, The Catholic University of Korea, Incheon, Korea; †Department of Otolaryngology–Head and Neck Surgery, Wallace Memorial Baptist, Busan, Korea; and ‡Department of Otolaryngology, Ajou University School of Medicine, Suwon, Korea.
Received July 12, 2010, and accepted for publication, after revision, December 13, 2010.
Conflicts of interest and sources of funding: none declared.
Reprints: Hyun Jun Kim, MD, Department of Otolaryngology, Ajou University School of Medicine, 5 Wonchon-Dong, Yeongtong-Gu, Suwon 442–749, Korea. E-mail: firstname.lastname@example.org.