Abstract
Background: The coronal incision with its various modifications provides the most versatile approach to various areas in the cranio-maxillofacial region coupled with excellent exposure. The aesthetic advantage of a hidden scar in the hairline, accounts for its continued popularity. In maxillofacial it can be used for fractures in the frontal bone, nasal bone and extensive fractures involving zygomatic arch and complex Methods: In this clinical and observational study, we operated 5 patients with complex cranio-maxillofacial injuries involving frontal bone, zygomatic arch and zygomatic complex, nasal bone and supra-orbital region. All the five cases were trauma cases between ages of 20 to 60 years with no facial nerve injury per-operatively. These cases for followed for post-operative complications namely sensory and motor nerve deficits, haematoma, wound dehiscence and ptosis Result: Two patients each had sensory and motor nerve deficits and one patient had minimal wound dehiscence, all settled conservatively Conclusion: The incision provides excellent access, has reduced complications and produces an acceptable scar. This incision is advised in treating complex cranio-facial trauma, tumors and le-fort esthetic surgeries. DOI: 10.21276/AABS.1430
Highlights
The incision provides excellent access, has reduced complications and produces an acceptable scar. This incision is advised in treating complex cranio-facial trauma, tumors and le-fort esthetic surgeries
The coronal incision with its various modifications provides the most versatile approach to various areas in the craniomaxillofacial region coupled with excellent exposure
The aesthetic advantage of a hidden scar in the hairline, accounts for its continued popularity. In maxillofacial it can be used for fractures in the frontal bone, nasal bone and extensive fractures involving zygomatic arch and complex. [1]
Summary
The coronal incision with its various modifications provides the most versatile approach to various areas in the craniomaxillofacial region coupled with excellent exposure. Various indications for the coronal approach include severe cranio-maxillofacial trauma, craniofacial deformities, craniotomy procedures, osteotomies of upper and middle one third of face, harvesting of bone and fascial grafts when indicated, for improved access to condylar regions, and for forehead rejuvenation. This procedure has proved to provide adequate exposure even as low as the mandibular condyles without extensive complications. The aesthetic advantage of a hidden scar in the hairline, accounts for its continued popularity In maxillofacial it can be used for fractures in the frontal bone, nasal bone and extensive fractures involving zygomatic arch and complex
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