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  • 1. Introduction
  • 2. Surgical Approach
  • 3. Incision
  • 4. Blunt Dissection to Raise Flap
  • 5. Pericranial Incision
  • 6. Subpericranial Blunt Dissection
  • 7. Superficial Layer of the Temporalis Fascia Incision
  • 8. Blunt Dissection Deep to Superficial Temporalis Fascia
  • 9. Incision and Dissection on Right Side
  • 10. Zygomatic Arch Dissection
  • 11. Dissect to Junction of Cartilaginous and Bony Nasal Support
  • 12. Right Orbital Dissection
  • 13. Discussion on Closure
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Coronal Approach (Cadaver)


Main Text


For treatment of facial trauma such as a frontal sinus fracture, orbital fractures, or zygoma fractures, the coronal or bi-temporal approach is used. The approach can also be used for superficial temporal artery biopsy. This approach exposes the anterior cranial vault, forehead, and upper and middle regions of the facial skeleton including the zygomatic arch. It provides access to these areas with minimal complications and cosmetically acceptable hidden scars. The subperiosteal or subgaleal planes are commonly used for coronal flap dissection. Here, we present a demonstration of the coronal approach to exposing the upper or middle facial skeleton in a cadaver.

Keywords: maxillofacial injury; reconstructive surgery; surgical procedure; fracture open reductions

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