The Coronal Incision

Effectiveness of zigzag Incision and 1.5-Layer method for frontotemporal craniotomy

“…According to the same principle, sinusoidal coronal incision is also an efficient way and commonly used among plastic surgeons, however, we prefer zigzag method to sinusoidal one because zigzag method is simpler and easy to design. [516]…”

Clinical evaluation of the bicoronal flap in the treatment of facial fractures. Retrospective study of 132 patients

“…In the 4 patients with hypertrophic scars, alopecia occurred along the whole extension of the incision. In general the scar was concealed, but was disfiguring when the hair was wet (Fox and Tatum, 2003). Alopecia in those patients may be related to the prolonged use of Raney or Cologne clips in extensive facial reconstruction or even to the use of cauterization in order to prevent or to manage haemorrhage.…”

“…The bicoronal flap is a popular and versatile surgical approach that provides excellent exposure to the upper and middle third of the face and also provides an aesthetic and low morbidity repair (Fox and Tatum, 2003;Nakamura et al, 2010). It allows ample exposure of the frontonasal area; upper, medial and lateral orbital walls; zygomatic arch; temporal fossa; temporomandibular joint and even the upper portion of the mandibular ramus (Ellis et al, 1985;Ellis and Zide, 1995).…”

“…The traditional coronal incision starts at the root of the helix and is carried coronally to the skull vertex and then to the contralateral helix, the incision can be inferiorly extend to the preauricular area if further exposure is necessary (Fox and Tatum, 2003). The straight-line incision may result in a noticeable scar; to help diminished this problem, Munro and Fearon (1994) introduced a modification called the stealth incision; that modification is done by a zigzag incision line that helps camouflage the bicoronal flap scar.…”

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

“…Its popularity is accounted because of the excellent exposure and aesthetic scar provided by this approach. [1][2][3] Hartley and Kenyon first described this approach in 1907, and Sachs advocated bilateral frontal lobe exposure two decades later. In the late 1970s, Tessier and later Henderson and Jackson modified this approach for Le Fort II and III osteotomies, following which it gained widespread acceptance.…”