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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

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The posterior coronal incision.

Sabrina Nicole Pavri¹, Eric Arnaud, Dominique Renier

¹From the *Section of Plastic Surgery, Yale University School of Medicine, New Haven, Connecticut; and †Craniofacial Unit, Department of Pediatric Neurosurgery, Hôpital Necker-Enfants Malades, Paris, France.

The Journal of Craniofacial Surgery

|December 6, 2014

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A new posterior coronal incision offers an esthetically superior alternative for craniofacial surgery. This approach camouflages scars effectively, especially for patients with thinning hair, improving surgical outcomes.

Area of Science:

Craniofacial Surgery
Neurosurgery
Plastic Surgery

Background:

The coronal incision is a standard surgical approach in craniofacial surgery.
Modifications like the sawtooth "stealth incision" and sinusoidal incision aim to improve scar esthetics.
Optimizing scar appearance remains a key consideration in craniofacial surgical techniques.

Purpose of the Study:

To introduce and evaluate an alternative posterior coronal incision approach.
To assess the esthetic and practical advantages of this novel surgical technique.
To provide an alternative for craniofacial and neurosurgical procedures requiring cranial access.

Main Methods:

Described an alternative coronal approach extending posteriorly from the postauricular region over the occiput.

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This technique results in an axial scar, differing from traditional coronal incisions.

The method allows for access to the posterior and anterior cranial vaults and upper craniofacial skeleton.

Main Results:

The posterior coronal incision provides equivalent exposure of the craniofacial skeleton.
The scar is placed in an esthetically optimal location, more easily camouflaged by hair.
This approach avoids a vertical temporal scar prone to widening.

Conclusions:

The posterior coronal incision is an esthetically advantageous alternative for craniofacial surgery.
It offers improved scar camouflage, particularly beneficial for patients with thinning hair or male-pattern baldness.
The technique is versatile, suitable for craniofacial and neurosurgical procedures, and avoids complications associated with temporal scars.