ABSTRACT
Objective To investigate the effect of supratemporalis approach scalp coronal incision for treating craniomaxillofacial fracture.Methods Fifty-two cases of traditional coronal scalp approach were retrospectively analyzed for understanding the facial nerve damage situation.Then 30 cases a.dopted the supratemporalis approach scalp coronal incision and the facial nerve damage situation was recorded.The follow-up observation lasted for 6-24 months.Results The facial contour,mouth opening and occlusion function recovered well after the operation in all 82 cases.Eight cases of temporary facial nerve injury were observed in the traditional approach group.No case of facial nerve injury occurred in the supratemporalis approach group(P＜0.05).Conclusion The supratemporalis approach scalp coronal incision can effectively avoid the facial nerve injuries.
ABSTRACT
<p><b>OBJECTIVE</b>This study aimed to examine the complications of supratemporalis approach with scalp coronal incision for the treatment of orbital-zygomatic fractures.</p><p><b>METHODS</b>A total of 206 patients with orbital-zygomatic fractures were treated with scalp coronal incision through the supratemporalis approach. The effects and complications of the treatment were analyzed.</p><p><b>RESULTS</b>The degree of fracture of the 206 patients was successfully reduced. The facial morphologies and functions were improved. No facial nerve injury was observed in all of the cases. However, the following complications were noted: fossa introcession in 1 case, forehead scalp pain or paresthesia in 11 cases, incision infection in 1 case, subcutaneous hematoma in 1 case, incision scar in 5 cases, and alopecia in 3 cases.</p><p><b>CONCLUSIONS</b>The supratemporalis approach prevents facial nerve injury and does not increase the frequency of other complications. Therefore, this approach can be applied as a routine and safe procedure in clinical settings. .</p>