Coronal Incision: An Approach to Facial Fractures

Surya Rao Rao Venkata Mahipathy, Alagar Raja Durairaj, Narayanamurthy Sundaramurthy, Shobhan Nandy


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


Coronal, Aesthetic, Facial Fractures, Versatile

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