Use of the coronal surgical incision for reconstruction of severe craniomaxillofacial injuries

Abubaker, A. Omar; Sotereanos, George C.; Patterson, Gary T.

doi:10.1016/s0278-2391(10)80470-7

Cited by 44 publications

(43 citation statements)

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“…Marshall MA et al (1988) [11], Shepherd DE et al (1985) [4], Abubaker AO et al (1990) [5] have all reported excellent access to the upper midfacial skeleton, supraorbital margin, frontonasal suture, nasoethmoidal suture, lateral orbital region by the coronal surgical incision, our results correlates with the above reported findings.…”

Section: Discussionsupporting

confidence: 86%

“…In the series by Zhang et al (2006) [1] 6 cases suffered from scar wider than 0.5cm. in the series by Abubaker et al (1990) [5] one case out of 28 suffered from a scar on 3cm.…”

Section: Discussionmentioning

confidence: 97%

“…In our study, we used the classical hemicoronal incision as advocated by Abubaker AO and colleagues in their study on the coronal incision for craniomaxillofacial injuries (1990) [5] and Zhang QB and colleagues (2006) [1]. Five (41.7%) cases were treated with the hemicoronal incision, whereas seven (58.3%) cases required additional local incisions.…”

Section: Discussionmentioning

confidence: 99%

“…Shepherd et al (1985) reported just one case of haematoma formation in a series of 24 cases [4]. Abubaker et al (1990) reported 2 cases out of 28 patients with haematoma [5].…”

Section: Discussionmentioning

confidence: 99%

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A study on coronal incision for treating zygomatic complex fractures

Shetty

Degala

Kumaran

2009

J. Maxillofac. Oral Surg.

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Objective To study the value of coronal incisions for treating zygomatic complex fractures and evaluate the advantages, indications and complications associated with it. Method In this prospective study, 12 patients were randomly selected regardless of age, sex requiring open reduction and internal fixation of communited zygomatic complex fractures with or without other associated fractures of the midface. Patients were all treated by coronal approach for open reduction and internal fixation of fracture of the zygomatic complex. Other local incisions were used if required. Results In all cases postoperative complications were relatively minor except in one case were the temporal branch of facial nerve weakness persisted at 3 months. Whereas 5 cases reported with slight weakness of the temporal branch of the facial nerve which resolved at the end of 3 months. The time taken for exposure of the fracture site via the coronal incision had a mean of 28.7 minutes. There were no cases of flap infection and just 1 case of stitch abscess reported. The same case later reported with a hypertrophic scar formation of greater than 0.5cm at 3months. In all other cases scar formation was negligible and well hidden within the hairline.There were no reported cases of paraesthesia at the operated site or hollowing of the temporal fossa. ConclusionThe coronal incision provides excellent access to the zygomatic arch and zygomatic complex, aiding in good anatomical reduction and also has the added advantage of the scar hidden in the hairline. It also has disadvantages like long operating time, risk of facial nerve injury, scarring in patients with male pattern baldness, paraesthesia of operated site etc. Therefore the incision should be judiciously used and not overused and indications strictly applied.

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Section: Discussionsupporting

confidence: 86%

“…In the series by Zhang et al (2006) [1] 6 cases suffered from scar wider than 0.5cm. in the series by Abubaker et al (1990) [5] one case out of 28 suffered from a scar on 3cm.…”

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

“…Shepherd et al (1985) reported just one case of haematoma formation in a series of 24 cases [4]. Abubaker et al (1990) reported 2 cases out of 28 patients with haematoma [5].…”

Section: Discussionmentioning

confidence: 99%

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A study on coronal incision for treating zygomatic complex fractures

Shetty

Degala

Kumaran

2009

J. Maxillofac. Oral Surg.

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“…La mayor parte de los tumores y lesiones retroecuatoriales precisan de algún tipo de osteotomía y de abordajes suficientemente amplios para poder garantizar un acceso adecuado y seguro para realizar la remoción tumoral con la menor tasa de complicaciones. Entre las diferentes vías de abordaje descritas en cirugía cráneo-facial, la más importante es el abordaje coronal 1,10,23 . La orbitotomía lateral es la técnica estándar para la extirpación o la biopsia de lesiones intraorbitarias laterales al nervio óptico 11,14 .…”

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Orbitotomías óseas mediante abordaje coronal: estudio retrospectivo de 87 lesiones intraorbitarias

et al. 2008

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Recibido:322 Neurocirugía 2008; 19: Resumen Objetivo. Presentar nuestra experiencia en 80 pacientes con tumores y lesiones intraorbitarias en los que se realizaron 87 orbitotomías óseas mediante abordaje coronal, durante un período de 12 años.Material, métodos y resultados. El diagnóstico histológico más frecuente fue el hemangioma, y la localización anatómica más frecuente la retrobulbar intracónica. La presentación bilateral de lesiones ocurrió en 7 pacientes. Las orbitotomías más utilizadas fueron la lateral y supero-lateral (87,35%). En un 90,80% de los casos se realizó algún tipo de osteosíntesis, un 51,75% con placas bio-reabsorbibles. La exposición o rotura de la duramadre intraoperatoria ocurrió en 10 pacientes. Se recogieron 45 complicaciones postoperatorias transitorias y 21 permanentes, las más frecuentes fueron las nerviosas (diplopia y ptosis) que se resolvieron espontáneamente en su mayoría en un corto intervalo de tiempo. En 15 pacientes se requirió colaboración multidisciplinar con neurocirugía.Conclusiones. La incisión coronal permite realizar cualquier orbitotomía ósea con seguridad, garantía y buen resultado estético y funcional. Las orbitotomías lateral y supero-lateral proporcionan un abordaje ideal extradural al espacio retrobulbar. El acceso al ápex, canal orbitario y zona medial nervio óptico requiere comúnmente un abordaje combinado neuroquirúrgico a través de fosa craneal anterior. La fijación de las orbitotomías mediante osteosíntesis biorreabsorbible constituye una alternativa a las placas de titanio, incluso puede ser de primera elección en la edad pediátrica. La morbilidad de esta cirugía es baja.PALABRAS CLAVE: Órbita. Tumor. Cirugía de órbita. Incisión bicoronal. Orbitotomía. Placa reabsorbible. Osseous orbitotomies using a coronal flap: A retrospective study of 87 intraorbital lesions SummaryObjective. To present our experience in 80 patients with intraorbital tumours and lesions who underwent 87 osseous orbitotomies with coronal incision during a 12 year period.Material, methods and results. Hemangioma was the most frequent histologic diagnosis, being the intraconical retrobulbar compartment the most common location. Bilateral presentation of lesions occurred in 7 patients. Lateral and supero-lateral orbitotomies were preferably applied (87.35%). In 90.80% of cases some kind of osteosynthesis was employed, 51.75% with bio-resorbable plates. Intraoperative exposure or dura mater breakage occurred in 10 patients. 45 transitory and 21 permanent postoperative complications were seen, being the nervous ones (diplopia and ptosis) the most frequent. Most of these were spontaneously solved in a short time period. 15 patients required multi-disciplinary collaboration with neurosurgery.Conclusions. Coronal incision allows any bone orbitotomy, with security, guarantee and good aesthetic and functional results. Lateral and supero-lateral orbitotomies provide an ideal extradural approach to the retrobulbar compartment. An approach to the apex, orbital channel and medial compartment to th...

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The Coronal Incision

Fox

Tatum

2003

Archives of Facial Plastic Surgery

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Use of the coronal surgical incision for reconstruction of severe craniomaxillofacial injuries

Cited by 44 publications

References 3 publications

A study on coronal incision for treating zygomatic complex fractures

A study on coronal incision for treating zygomatic complex fractures

Orbitotomías óseas mediante abordaje coronal: estudio retrospectivo de 87 lesiones intraorbitarias

The Coronal Incision

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