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Versatility of Bicoronal flap approach in head and neck surgeries

LEENA LEENA

Abstract


Abstract : Bicoronal approach popularised by Tessier is one
of the versatile approaches for skull and frontal region (1-6).In
this article we present our experience regarding Bicoronal flap
approach in 3 different cases. Each patient had different
pathologies In frontal region for which the same approach had
been used. we also describe in detail about the incision , its
indications and contra indications, advantages and
disadvantages. Incision was made in hair bearing area.
Hence post operatively , cosmetic results were appealing in
all the patients 9 . It preserves the supraorbital neurovascular
bundle, so complaints related to that are avoided. In this
article, we discuss about the individual patient , merits and
demerits of this particular approach in each patient.
Keyword :bicoronal flap , frontal sinus , fracture frontal sinus


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References


Jones WD, Whitaker LA, Mutagh F. Applications of

reconstructive craniofacial techniques to acute craniofacial

trauma. J Trauma 1977;17:339

Gruss JS, Makinnin SE. Complex maxillary fractures: role

of buttress reconstruction and immediate bone grafts. Plast

Reconstr Surg 1952;9:276

Manson PN, Crawley WA, Yaremchuk MJ, Rochman GM,

Hoopes JE, French JH Jr., Midface Fractures: Advantages

of Immediate Extended Open Reduction and Bone

Grafting. Plast Reconstr Surg 1985;72:1-10.

Stanley RB. The zygomatic arch as a guide to reconstruction of

comminuted malar fractures. Arch Otolaryngotol Head Neck Surg

;115:1459.

Gruss JS. Complex nasoethmioid orbitaland midfacial fractures:

role of craniofacial surgical techniques and immediate bone

grafting. Ann Plast Surg 1986;17:377

Shumrick KA. Recent advances and trends in management of

maxillofacial and frontal trauma. Fac Plast Surg 1993;9;16

Fonseca RJ, Walker RV, Betts NJ, Barber HD, Powers MP. Oral

and maxillofacial trauma, 3rd ed, 2005, Elsevier saunders. 338-

Ellis E III, Zide MF. Surgical approach to the facial skeleton.

nd ed2005. Lippincot Williams and Wilkins 91-92

Leach P, Rutherford S, Likhith A, Leggate J. Zig-zag bicoronal

scalp incision for cranio-facial cases in paediatric neurosurgery.

Childs Nerv Syst 2004;20(7):483-4.

Dunaway DJ, Trott JA. Open reduction and internal fixation of

condylar fractures via an extended bicoronal approach with a

masseteric myotomy. J Plast Reconstruct Aesthet Surg 1996; 49

(2);78

Alvi A, Carrau RL. The bi-coronal flap approach in

craniomaxillofacial trauma. J Craniomaxillofac Trauma 1996;2(2);

-55.

Wojtanowski MH. Bicoronal Forehead Lift. Aesth Plast Surg

; 18:33-39.

Hayter JP, Robertson JM. Surgical access to bilateral coronoid

hyperplasia using the bicoronal flap. Br J Oral Maxillofac Surg

;27(6);487-493

Agrawal A, Malla G, Joshi S, Kumar A, Koirala S. Unusual

mode of firearm injury from the recoiled rear end of a gun barrel.

Singapore Med J 2008;49(9): e238

Atlan G, Jammet P, Schmitt-Bernard CF, Dupoirieux L, Souyris

F. Bicoronal incision for nasal bone grafting. Int J Oral Maxillofac

Surg. 1994;23(1):2-5.

Kerawala CJ, Grime RJ, Stassen LFA, Perry M. The bicoronal

flap (craniofacial access): an audit of morbidity and a proposed

surgical modification in male pattern baldness Br J Oral Maxillofac

Surg 2000;38(5);441-444.

Earnst A, Herzog M, Seidl RO. Head and neck trauma, an

interdisciplinary approach. 1st ed, Thieme 2006;140.

Park JH, Kyeong HS, Ha DH, Kim DI. The Use of Tumescent

Solution in Bicoronal Incision. J Korean Cleft Palate-Craniofac

Assoc 2003;4(2):178-182.

Mavili ME, Canter HI. Closed Treatment of Frontal Sinus

Fracture With Percutaneous Screw Reduction. J Craniofac Surg

;18(2):415-419

. Versatility of the Coronal Approach in Maxillofacial Surgery

JOHCD - January 2010;4(1)


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