There are no clear, evidence-based guidelines that dictate when it is safe for a patient to fly after a midface fracture, whether they are surgically managed or not. The Royal Darwin Hospital Maxillofacial Unit had 48 out of 201 patients with a midface fracture flown to the unit for definitive management. Despite flying 24% of our patients with midface fractures to our centre for management, there were no complications arising from the flight, nor was there any change to flight paths or patterns as a result of the patient’s fractures. We have shown that, on a variety of aircraft, there are no absolute contraindications to flying with midface fractures, but clinical assessment remains crucial for an informed decision to transport these patients by air.
Flying with facial fractures—the truth is out there
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