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The retroauricular coronal incision.

J W Polley¹, M Cohen

¹Center for Craniofacial Anomalies, University of Illinois, Chicago.

Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery

|January 1, 1992

Summary

This summary is machine-generated.

A modified coronal incision, with extensions placed behind the ear, offers superior cosmetic results and avoids noticeable scarring, especially in younger patients. This surgical approach has shown no complications in over 50 patients.

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Area of Science:

Plastic Surgery
Surgical Techniques
Otolaryngology

Background:

The coronal incision is a common surgical approach for accessing the cranial vault.
Traditional preauricular coronal incisions can result in noticeable scarring, particularly in younger individuals.
Improving cosmetic outcomes is a significant consideration in reconstructive and aesthetic surgery.

Purpose of the Study:

To present a modified coronal incision technique designed for improved cosmetic results.
To evaluate the safety and efficacy of this modified incision in adult and pediatric patients.

Main Methods:

A modified coronal incision technique was developed, featuring extensions placed behind the ear.
The modified incision was utilized in a cohort of 25 adults and 30 children.
Outcomes were assessed based on the need for extension, cosmetic appearance, and complications.

Main Results:

The modified coronal incision allowed for extensions behind the ear when improved exposure was necessary.
No complications were reported in any of the 55 patients who underwent the procedure.
The cosmetic appearance of the modified incision was deemed superior to the traditional preauricular coronal incision.

Conclusions:

The modified coronal incision provides a cosmetically advantageous alternative to the preauricular approach.
This technique is particularly beneficial for pediatric patients where scar widening is a concern.
The surgical modification is safe and effective, offering excellent aesthetic outcomes without compromising surgical exposure.