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Updated: Aug 15, 2026
Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
[Complications of scalp coronal incision: analysis, prevention, and treatment]
De-Lin Xia1, Lai Gui, Zhi-Yong Zhang
1Department of Craniomaxillofacial Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Beijing 100041, China.
Objective:
The aim of this study was to analyze the complications of coronal incision and investigate the methods of prevention.
Methods:
The retrospective analysis was based on 149 cases, who have had operations since 1997 for congenital craniofacial malformation, second deformation of craniomaxillofacial trauma, maxillofacial tumor or cosmetic purposes.
Results:
Of them, there were injury of unilateral frontal branch of the facial nerve in 3 cases, subcutaneous hematoma in 9 cases, alopecia in 12 cases, incision scar in 14 cases, obvious strip scar in 2 cases, pains, numbness and paraesthesia in 23 cases, ptosis of facial soft tissue in 8 cases and infection in 4 cases.
Conclusions:
The coronal incision has the merits of distinct exposure, hidden incision scar, but its complications can not be neglected. During the operation, care should be taken to anatomical layers, protecting the blood vessel and nerve bundle in order to reduce complications.
