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Advantages of the postauricular coronal incision
J C Posnick1, J A Goldstein, C Clokie
1Department of Surgery, Hospital for Sick Children, Toronto, Ontario, Canada.
Annals of Plastic Surgery
|August 1, 1992
Summary
A modified postauricular incision offers an improved surgical approach for craniofacial skeleton exposure above the Le Fort I level. This technique enhances advantages and minimizes disadvantages compared to traditional coronal incisions.
Area of Science:
- Neurosurgery
- Craniofacial Surgery
- Surgical Approaches
Background:
- The coronal incision with a preauricular extension is the standard surgical approach for exposing the craniofacial skeleton.
- This approach, while effective, has inherent disadvantages that can impact patient outcomes.
Purpose of the Study:
- To present a modified postauricular incision as an alternative surgical approach.
- To evaluate the advantages and disadvantages of this modified technique for craniofacial exposure.
Main Methods:
- A retrospective review of surgical cases utilizing the modified postauricular incision.
- Comparison of outcomes, including exposure, complications, and aesthetic results, with the traditional coronal incision.
Main Results:
- The postauricular incision provided adequate exposure of the craniofacial skeleton above the Le Fort I level.
- This modified approach demonstrated reduced operative time and improved aesthetic outcomes compared to the standard coronal incision.
Conclusions:
- The modified postauricular incision is a viable and advantageous alternative for craniofacial surgery.
- This technique offers enhanced benefits and mitigated drawbacks for supra-Le Fort I skeletal exposure.