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Related Experiment Videos

The coronal incision: sinusoidal, sawtooth, and postauricular techniques.

Albert J Fox1, Sherard A Tatum

  • 1Division of Facial Plastic Surgery, Department of Otolaryngology, Upstate Medical University, 750 E Adams Street, Syracuse, NY 13210, USA.

Archives of Facial Plastic Surgery
|May 21, 2003
PubMed
Summary
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This study presents a simple tape measure technique for creating modified coronal incisions. This method allows for quick and easy sinusoidal or sawtooth patterns for improved surgical access and cosmetic outcomes.

Area of Science:

  • Neurosurgery
  • Plastic Surgery
  • Surgical Techniques

Background:

  • The coronal incision is a widely used surgical approach for accessing the cranial vault and upper facial skeleton.
  • Existing modifications aim to camouflage the incision within the hair.
  • A need exists for a simple, reproducible method to create modified coronal incision patterns.

Purpose of the Study:

  • To describe a straightforward technique for generating sinusoidal or sawtooth coronal incision lines.
  • To facilitate the creation of modified coronal incisions with or without postauricular extensions.
  • To enhance surgical exposure for various neurosurgical, craniofacial, and cosmetic procedures.

Main Methods:

  • A tape measure is positioned at the anterior auricular helix.

Related Experiment Videos

  • Marks are made every 2 cm on alternating sides along the tape measure as it advances coronally to the skull's vertex.
  • The resulting marks are connected to form sinusoidal or sawtooth patterns, with optional postauricular extension.

    • Main Results:

    • The described method allows for rapid and easy creation of regularly spaced sinusoidal or sawtooth coronal incision lines.
    • The technique can be readily adapted to include a postauricular extension.
    • This modification provides a template for improved surgical access and aesthetic camouflage.

    Conclusions:

    • The tape measure technique offers a simple and effective way to modify the standard coronal incision.
    • This method facilitates the creation of cosmetically favorable and surgically practical incision lines.
    • The modified coronal incision enhances exposure for a range of cranial and facial surgical procedures.