Coronal Incision: An Approach to Facial Fractures

  • Surya Rao Rao Venkata Mahipathy Associate Professor Dept. of Plastic & Reconstructive Surgery Saveetha Medical College & Hospital Thandalam Kanchipuram Dist - 602105
  • Alagar Raja Durairaj Associate Professor, Dept. of Plastic & Reconstructive Surgery, Saveetha Medical College & Hospital, Thandalam, Kanchipuram Dist. 602105
  • Narayanamurthy Sundaramurthy Assistant Professor, Dept. of Plastic & Reconstructive Surgery, Saveetha Medical College & Hospital, Thandalam, Kanchipuram Dist. 602105
  • Shobhan Nandy Resident, Dept. of Oral & Maxillofacial Surgery, Saveetha Dental College Poonamallee, Chennai
Keywords: Coronal, Aesthetic, Facial Fractures, Versatile

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 complexMethods: 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 ptosisResult: Two patients each had sensory and motor nerve deficits and one patient had minimal wound dehiscence, all settled conservativelyConclusion:  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

Author Biographies

Surya Rao Rao Venkata Mahipathy, Associate Professor Dept. of Plastic & Reconstructive Surgery Saveetha Medical College & Hospital Thandalam Kanchipuram Dist - 602105
Associate ProfessorDept. of Plastic & Reconstructive Surgery
Alagar Raja Durairaj, Associate Professor, Dept. of Plastic & Reconstructive Surgery, Saveetha Medical College & Hospital, Thandalam, Kanchipuram Dist. 602105
Associate Professor,Dept. of Plastic & Reconstructive Surgery
Narayanamurthy Sundaramurthy, Assistant Professor, Dept. of Plastic & Reconstructive Surgery, Saveetha Medical College & Hospital, Thandalam, Kanchipuram Dist. 602105
Assistant Professor,Dept. of Plastic & Reconstructive Surgery
Shobhan Nandy, Resident, Dept. of Oral & Maxillofacial Surgery, Saveetha Dental College Poonamallee, Chennai
Resident,Dept. of Oral & Maxillofacial Surgery

References

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Published
2017-04-10
Section
Original Article