Dual-plane approach for calvarial exposure.

Area of Science:

• Neurosurgery
• Plastic Surgery
• Anatomy

Background:

• Bicoronal flap elevation is a common surgical approach.
• Potential complications include injury to the temporal branch of the facial nerve and temporal hollowing.
• Minimizing these risks is crucial for patient recovery and aesthetic outcomes.

Purpose of the Study:

• To describe a novel dual-plane technique for bicoronal flap elevation.
• To demonstrate how this technique avoids damage to the temporal branch of the facial nerve.
• To present a method for preventing temporal hollowing associated with bicoronal flaps.

Main Methods:

• Description of a dual-plane dissection technique during bicoronal flap elevation.
• Detailed anatomical considerations for preserving the temporal branch of the facial nerve.
• Surgical steps emphasizing the dual-plane approach to maintain vascularity and volume in the temporal region.

Main Results:

• The dual-plane technique successfully avoids injury to the temporal branch of the facial nerve.
• Temporal hollowing is prevented by the described flap elevation method.
• The technique is technically feasible and reproducible.

Conclusions:

• The dual-plane bicoronal flap technique offers a safe and effective alternative to traditional methods.
• This approach minimizes key complications, improving patient safety and aesthetic results.
• Further studies can validate long-term outcomes and broader applicability.