Application of modified coronal approach in treatment of craniomaxillofacial fractures.

Lei WANG; Wenjie ZHAO

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Application of modified coronal approach in treatment of craniomaxillofacial fractures.

VernacularTitle:改良头皮冠状切口在颅颌面骨折手术中的应用
Author: Lei WANG ¹ ; Wenjie ZHAO ²
Author Information

1. Dept. of Oral and Maxillofacial Surgery, The Affiliated Stomatology Hospital of Southwest Medical University, Luzhou 646000, China.
2. Dept. of Oral and Maxillofacial Surgery, The Affiliated Stomatology Hospital of Southwest Medical Un
Publication Type:Journal Article
Keywords: craniomaxillofacial fracture; facial nerve; modified coronal approach; operation route; temporal region
MeSH: Facial Nerve; Fracture Fixation, Internal; Humans; Mandibular Fractures; surgery; Treatment Outcome
From: West China Journal of Stomatology 2017;35(2):167-170
CountryChina
Language:Chinese
Abstract:
OBJECTIVEThis study aimed to investigate clinical efficacy of a modified coronal approach in treatment of craniomaxillofacial fractures.
METHODSThirty-seven cases of craniomaxillofacial fractures underwent open reduction and rigid internal fixation through modified coronal approach. Clinical follow-up visits were conducted to evaluate facial nerve functional status, temporal shape, appearance restoration, and reduction of fracture and surgical area scars.
RESULTSDuring follow-up period of 6-36 months, appearance and function of all 37 patients recovered well without facial nerve injury and temporal depression deformity. All cases presented hidden scars, except for one case with hypertrophic scar.
CONCLUSIONSApplying modified coronal approach to craniomaxillofacial surgery effectively reduces incidence of temporal depression and facial nerve injury compared with traditional approach. The modified coronal approach produced more subtle scars compared with traditional approach and should be applied to treatment of craniomaxillofacial fractures.