Application of modified coronal approach in treatment of craniomaxillofacial fractures

doi:10.7518/hxkq.2017.02.011

West China Journal of Stomatology ›› 2017, Vol. 35 ›› Issue (2): 167-170.doi: 10.7518/hxkq.2017.02.011

• Orginal Article • Previous Articles Next Articles

Application of modified coronal approach in treatment of craniomaxillofacial fractures

Lei Wang¹(), Wenjie Zhao¹, Libo Sun¹, Hangyu Zhou¹, Shuangjiang Wu¹, Jingang Xiao^1,²()

1. Dept. of Oral and Maxillofacial Surgery, The Affiliated Stoma-tology Hospital of Southwest Medical University, Luzhou 646000, China
2. Orofacial Reconstruction and Regeneration Labo-ratory, The Affiliated Stomatology Hospital of Southwest Medical University, Luzhou 646000, China

Received:2016-08-16 Revised:2017-01-12 Online:2017-04-01 Published:2017-04-01
Supported by:
The National Natural Science Foundation of China (81371125);The Program of Sichuan Science and Technology Bureau (2014JY0044);The Project of Sichuan Provincial Department of Education (10ZB030)

Abstract

Abstract:

Objective This study aimed to investigate clinical efficacy of a modified coronal approach in treatment of craniomaxillofacial fractures. Methods Thirty-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. Results During 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. Conclusion Applying 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.

Key words: modified coronal approach, craniomaxillofacial fracture, operation route, facial nerve, temporal region

CLC Number:

R782.4

Lei Wang, Wenjie Zhao, Libo Sun, Hangyu Zhou, Shuangjiang Wu, Jingang Xiao. Application of modified coronal approach in treatment of craniomaxillofacial fractures[J]. West China Journal of Stomatology, 2017, 35(2): 167-170.

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[1]	Gabrielli MA, Monnazzi MS, Gabrielli MF, et al.Clinical evaluation of the bicoronal flap in the treatment of facial fractures. Retrospective study of 132 patients[J]. J Cranio-maxillofac Surg, 2012, 40(1):51-54.
[2]	Kummoona R.Management of maxillofacial injuries in Iraq[J]. J Craniofac Surg, 2011, 22(5):1561-1566.
[3]	Kleinberger AJ, Jumaily J, Spiegel JH.Safety of modified coronal approach with dissection deep to temporalis fascia for facial nerve preservation[J]. Otolaryngol Head Neck Surg, 2015, 152(4):655-660.
[4]	Zhuang QW, Zhang XP, Wang X, et al.Coronal approach to zygomaticomaxillary complex fractures[J]. Eur Rev Med Pharmacol Sci, 2015, 19(5):703-711.
[5]	Kenkere D, Srinath KS, Reddy M.Deep subfascial approach to the temporal area[J]. J Oral Maxillofac Surg, 2013, 71(2):382-388.
[6]	杨立娟, 柳春明, 滑文美, 等. 顺序复位固定技术治疗颧骨复合体骨折[J]. 中国修复重建外科杂志, 2013, 27(10):1181-1184.
	Yang LJ, Liu CM, Hua WM, et al.Sequential reduction and fixation for zygomatic complex fractures[J]. Chin J Repar Reconstr Surg, 2013, 27(10):1181-1184.
[7]	Gentile MA, Tellington AJ, Burke WJ, et al.Management of midface maxillofacial trauma[J]. Atlas Oral Maxillofac Surg Clin North Am, 2013, 21(1):69-95.
[8]	Olate S, Lima SM, Sawazaki R, et al.Variables related to surgical and nonsurgical treatment of zygomatic complex fracture[J]. J Craniofac Surg, 2011, 22(4):1200-1202.
[9]	Rajmohan S, Tauro D, Bagulkar B, et al. Coronal/hemico-ronal approach—A gateway to craniomaxillofacial region[J]. J Clin Diagn Res, 2015, 9(8):PC01-PC05.
[10]	Luo W, Wang L, Jing W, et al.A new coronal scalp technique to treat craniofacial fracture: the supratemporalis approach[J]. Oral Surg Oral Med Oral Pathol Oral Radiol, 2012, 113(2):177-182.
[11]	Baek RM, Heo CY, Lee SW.Temporal dissection technique that prevents temporal hollowing in coronal approach[J]. J Craniofac Surg, 2009, 20(3):748-751.
[12]	Lee EI, Mohan K, Koshy JC, et al.Optimizing the surgical management of zygomaticomaxillary complex fractures[J]. Semin Plast Surg, 2010, 24(4):389-397.

Application of modified coronal approach in treatment of craniomaxillofacial fractures

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