Indications and Complications Associated with Coronal Approach to Upper Midface Fracture

Singh, Ashutosh Kumar; Dhungel, Safal

doi:10.3126/jcmsn.v15i4.24933

Cited by 2 publications

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“…Complete motor recovery occurred by one year in all 15 patients (22%) who developed postoperative frontalis weakness. [ 10 ]…”

Section: Discussionmentioning

confidence: 99%

“…Singh and Dhungel also reported a similar conclusion in their study, with neurosensory disturbances in 28.6% and no permanent neurosensory disturbances after 6 months. [ 10 ]…”

Section: Discussionmentioning

confidence: 99%

“…However, it may cause potential damage to the temporal branch of the facial nerve resulting in weakness of frontalis muscle, sensory disturbance, anaesthesia, or paraesthesia affecting supratrochlear nerve, supraorbital nerve, and preauricular region. [ 9 10 11 ]…”

Section: Introductionmentioning

confidence: 99%

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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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“…Complete motor recovery occurred by one year in all 15 patients (22%) who developed postoperative frontalis weakness. [ 10 ]…”

Section: Discussionmentioning

confidence: 99%

“…Singh and Dhungel also reported a similar conclusion in their study, with neurosensory disturbances in 28.6% and no permanent neurosensory disturbances after 6 months. [ 10 ]…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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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show abstract

“…Coronal scalp incisions have been routinely utilised by neurosurgeons for different intracranial and extracranial accessibility. 2 The visual benefit of a hairline scarring explains why it has remained prominent. The frontal bone, nasal bone, and severe fractures affecting the zygomatic arch and complex may all be treated with it in maxillofacial surgery.…”

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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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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Indications and Complications Associated with Coronal Approach to Upper Midface Fracture

Cited by 2 publications

References 0 publications

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

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

Assessment of Postoperative Neurosensory Deficit Following Craniomaxillofacial Reconstruction Utilizing Bicoronal Flap

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