The coronal or bi-temporal approach is used to expose the anterior cranial vault, the forehead, and the upper and middle regions of the facial skeleton. The extent and position of the incision, as well as the layer of dissection, depends on the particular …

2024年7月2日 · Here, we present a demonstration of the coronal approach to exposing the upper or middle facial skeleton in a cadaver. Maxillofacial injury; reconstructive surgery; fracture open reductions. The presence of maxillofacial fractures to the upper or middle facial skeleton occurs in both blunt and penetrating trauma.

In selected patients, the coronal approach provides wide exposure and direct availability of calvarial bone grafts and enables the surgeon to accurately reconstruct the shattered face (multiple fractures) with intact bone of similar shape and consistency.

The coronal flap has recently become a preferred approach for the otolaryngologist-head and neck surgeon requiring access to the craniofacial skeleton and orbit. The variety of cases in which it has proven indispensable include craniofacial reconstruction, facial trauma, and tumor resection.

The coronal incision allows for excellent exposure of the zygomatic arch, as well as reduction and fixation of comminuted fractures. This allows reconstruction of the width and AP projection of the midface.

The standard coronal incision runs from helical crus to helical crus approximately 2 to 3 cm posterior to the hairline. Rubber band pigtails are used to gather up the hair on either side of the intended incision line. The incision line should follow a geometric broken line type of pattern.

2024年11月26日 · To overcome such shortcomings, Dr. Se-Min Baek and others developed in 1984 a new technique with a coronal approach, which consists of medial and lateral malar osteotomy, repositioning of the malar complex, and bony fixation .

The coronal approach to zygoma reduction is a safe and effective way to reduce the zygomatic bone and the arch over protrusion. The initial complication rates of the more open and wide dissection of the coronal approach were high, such as with alopecia, but most complications resolved within 1 year, and there were minimal significant long-term ...

The results of this study suggest that a coronal approach will facilitate accurate reduction and fixation of fragments and will allow good cosmetic result with minimal or no complications. The coronal incisions should be the first choice in case of comminuted, multiple and late zygomaticomaxillary c …

The aim of this study was to review the surgical anatomy, technique and problems of post-operative morbidity pertinent to coronal approach in various clinical situations such as craniofacial trauma, tumour resections and reconstructive craniofacial procedures.