Bicoronal Approach in Correction of Post-traumatic Frontal Bone Deformity: Report of Two Cases

Mishra, Madan; Singh, Gaurav; Singh, Harpreet; Tewari, Abhivyakti

doi:10.1177/2632327319882824

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…13 The supraorbital and preauricular sensory abnormalities that cause forehead and temporal paresthesia/anesthesia, motor impairment of the zygomatic and temporal branches of the facial nerve, and seroma or hematoma under the flap are all consequences of the bicoronal technique. 4 Our study comprises of 44 patients, who underwent bicoronal flap reflection due to craniomaxillofacial trauma. Postoperatively patients were evaluated for supratrochlear, supraorbital, auriculotemporal and zygomaticotemporal nerve paresthesia for upto 6 months.…”

Section: Discussionmentioning

confidence: 99%

“…3 The best surgical strategy for treating the craniomaxillofacial skeleton should permit for excellent aesthetic outcomes, maximal accessibility of the facial skeleton, and little risk of harm to the facial architecture. 4,5 Hemicoronal, preauricular, infraorbital, lateral eyebrow, and bicoronal approaches are only a few of the layouts that have been discussed. 6 The upper and middle third of the face may be surgically exposed while causing the least amount of damage attributable to the bicoronal technique, which is considered to be both trendy and adaptable.…”

Section: Introductionmentioning

confidence: 99%

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Assessment of Postoperative Neurosensory Deficit Following Craniomaxillofacial Reconstruction Utilizing Bicoronal Flap

Khan¹,

Haq²,

Ayub³

et al. 2022

PJMHS

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Objective: To assess post operative neurosensory deficit following craniomaxillofacial reconstruction using bicoronal flap. Subject and Methods: In altogether, 44 individuals between the ages of 18 and 60 were included in the research. All patients reported with primary complain of craniomaxillofacial trauma. Bicoronal flap was utilized in all patients. All patients were clinically examined for neurosensory deficits (supraorbital , supratrochlear region , zygomaticotempral and auriculotempral nerve). At least three intervals of one month, three months, and six months have been used to follow up on every case. Results: In 1st month evaluation, 14 patients were seen with neurosensory deficit with supraorbital nerve and 2 patients with supratrochlear nerve, while none of the patients were seen with disturbances in auriculotemporal and zygomaticotemporal nerve. At 6 month interval only 3 patients were remained with paresthesia of supraorbital nerve Conclusion: Using a bicoronal flap during craniomaxillofacial surgery is recommended, it provides excellent access and has reduced complications Keywords: Bicoronal Flap, Craniomaxillofacial Reconstruction, Neurosensory Deficit

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Assessment of Postoperative Neurosensory Deficit Following Craniomaxillofacial Reconstruction Utilizing Bicoronal Flap

Khan¹,

Haq²,

Ayub³

et al. 2022

PJMHS

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show abstract

“…The ideal surgical approach to treat the craniomaxillofacial skeleton should provide maximum exposure of the facial skeleton, ensure less potential of injury to facial structure and allow for good cosmetic result. [ 2 3 ] Several designs have been described such as hemicoronal, preauricular, infraorbital, lateral eyebrow, and bicoronal approach.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of postoperative sensory and motor deficit following craniomaxillofacial reconstruction using bicoronal flap: An evaluative study

Sikkerimath¹,

Anshu²,

Jose³

et al. 2021

Ann Maxillofac Surg

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Introduction: The ideal surgical approach to treat craniomaxillofacial skeleton should provide maximum exposure of the facial skeleton, ensure less potential for injury to facial structures and allow for good cosmetic result. Several designs have been described such as hemicoronal, preauricular, lateral eyebrow, and bicoronal approach. Although the bicoronal flap gives superior long-term cosmetic results, it has a few disadvantages. We conducted this study to assess neurosensory disturbances and motor deficit following craniomaxillofacial reconstruction using bicoronal flap. Materials and Methods: A prospective study was carried out in the Department of Oral and Maxillofacial Surgery, North Karnataka, India. Forty patients with craniomaxillofacial trauma requiring fixation of fracture or reconstruction were included in the study. Postoperative neurosensory evaluation is carried out at intervals of 1 week, 1 month, 3 months, and 6 months clinically using mechanoreceptive and nociceptive testing. Results: Among 40 cases, 11 (27.5%) had postoperative paraesthesia affecting the supraorbital region; 9 (22.5%) of them had return of normal sensation within 6 months and 2 (5%) patients became normal after one year. Four patients had unilateral frontalis weakness on the right side for a period of 6 months. Discussion: The bicoronal flap is a preferred approach for access to the craniofacial skeleton and orbit with minimal sensory and motor complications. However, before choosing the same, the advantage of raising such a wide flap should be weighted comparing the benefits and complications.

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Bicoronal approach in craniofacial traumatology surgery

Ibric-Cioranu¹,

Seceleanu²

2021

ORL.ro

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Bicoronal Approach in Correction of Post-traumatic Frontal Bone Deformity: Report of Two Cases

Cited by 3 publications

References 8 publications

Assessment of Postoperative Neurosensory Deficit Following Craniomaxillofacial Reconstruction Utilizing Bicoronal Flap

Assessment of Postoperative Neurosensory Deficit Following Craniomaxillofacial Reconstruction Utilizing Bicoronal Flap

Evaluation of postoperative sensory and motor deficit following craniomaxillofacial reconstruction using bicoronal flap: An evaluative study

Bicoronal approach in craniofacial traumatology surgery

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