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Sinusoidal coronal incision
Jan-Falco Wilbrand1, Heidrun Schaaf, Hans-Peter Howaldt
1Departments of Cranio-Maxillofacial Surgery-Plastic Surgery, University Hospital Giessen, Giessen, Germany. jan-falco.wilbrand@chiru.med.uni-giessen.de
Insights
A new sinusoidal coronal incision technique improves aesthetic outcomes for pediatric craniofacial surgery. This method prevents scar widening in infants, ensuring better cosmetic results and simplifying the surgical procedure.
Area of Science:
- Craniofacial Surgery
- Pediatric Surgery
- Plastic Surgery
Background:
- The coronal incision is a standard surgical approach in craniofacial surgery.
- Pediatric patients undergoing coronal incisions face risks of scar broadening and unfavorable aesthetic outcomes due to rapid skull growth.
- Addressing aesthetic concerns in pediatric craniofacial surgery is crucial for patient well-being.
Purpose of the Study:
- To present a standardized, calculative approach for a sinusoidal coronal incision.
- To evaluate the aesthetic and surgical benefits of the sinusoidal coronal incision in pediatric craniofacial surgery.
- To offer an improved alternative to the traditional coronal incision for pediatric patients.
Main Methods:
- Readoption of the coronal approach over the past decade.
- Development of a sinusoidal incision technique, inspired by the "stealth incision" by Munro and Fearon.
- Calculative standardization of the sinusoidal coronal approach for consistent application.
Main Results:
- The sinusoidal coronal approach yields superior aesthetic results compared to standard incisions.
- Equivalent skeletal exposure is maintained with the sinusoidal coronal approach.
- The surgical procedure is simplified and standardized, reducing operative complexity.
- Broadening of the scar and vertical divergence are effectively avoided, even in fast-growing infant skulls.
Conclusions:
- The sinusoidal coronal approach offers significant aesthetic advantages for pediatric craniofacial surgery.
- This technique simplifies and standardizes the surgical procedure, enhancing efficiency.
- The sinusoidal coronal incision is a reliable method for preventing undesirable scar outcomes in pediatric patients.
Background:
The coronal incision is a standard surgical approach in craniofacial surgery. For pediatric patients, it holds a certain risk for unbeneficial aesthetic outcome due to a broadening of the scar in the fast-growing infant skull.
Methods:
We readopted the coronal approach over the last decade and developed a sinusoidal type of incision based on the “stealth incision” by Munro and Fearon. We present a calculative standardization of our approach.
Results:
The sinusoidal coronal approach assures superior aesthetical results with equivalent skeletal exposure. The surgical procedure is simplified and standardized. Even in the fast-growing infant skull, broadening of the scar or vertical divergence is avoided.
