The consensus in the literature is that fracture healing within the mi
dface occurs via fibrous union. Clinical experience with the surgical
correction of established traumatic deformities has not borne this out
. An earlier histological examination with human biopsy specimens demo
nstrated that eventually repair occurred by direct bony union. However
, a recent study in a rabbit model challenged this conclusion and indi
cated that the process of new formation resembles secondary bone forma
tion as in endochondral formed bone. The purpose of our inquiry is to
elucidate further the process of midfacial bony repair in an adult mal
e Sprague-Dawley rat model.