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The bicoronal flap approach in craniofacial trauma
1Division of Otolaryngology, Mount Sinai Hospital Medical Center/Chicago Medical School, California and 15th Streets, Chicago, IL 60608, USA.
The Journal of Cranio-Maxillofacial Trauma
|July 1, 1996
Summary
The bicoronal scalp flap is essential for severe craniofacial trauma, offering broad surgical access. However, surgeons must be aware of potential complications like facial nerve injury.
Area of Science:
- Neurosurgery
- Plastic Surgery
- Trauma Surgery
Background:
- The bicoronal scalp flap is a critical surgical approach for managing severe craniofacial trauma.
- It offers superior exposure of the cranium, frontal sinus, orbit, and upper midface compared to older methods.
Observation:
- While effective, the bicoronal flap carries risks including facial nerve injury, diplopia, telecanthus, and scalp necrosis.
Findings:
- This review details the surgical anatomy, technique, and indications for safe bicoronal flap use.
- Understanding these elements is key to maximizing benefits and minimizing risks in trauma management.
Implications:
- Safe application of the bicoronal flap can lead to improved outcomes in complex craniofacial injury cases.
- Awareness of potential complications guides surgical decision-making and patient care strategies.