An Aesthetically Possible Alternative Approach for Craniomaxillofacial Trauma: The “Pretrichial Incision”

Craniomaxillofacial Trauma and Reconstruction

Antonio Tullio¹  Damiano Soma¹  Roberta Gobbi¹  Olindo Massarelli¹  Maria Teresa Raho¹ 

[1] Maxillofacial Department, University of Sassari, Sassari, Sardegna, Italy

关键词: Pretrichial hairline incision;    coronal incision;    frontal sinus fracture;    surgical facial approach;    facial trauma;   

DOI  :  10.1055/s-0031-1286118

学科分类：口腔科学

来源: Thieme Medical Publishers, Inc.

【 摘 要 】

Frontal sinus and supraorbital rim fractures are common in facial trauma patients. Coronal incision is the standard approach for surgical management of these injuries. Nevertheless, with this incision, complications can occur as wide scars and alopecia. Because surgical repair of fronto-orbital fractures is often indicated for aesthetic reasons, surgical incision might be an “aesthetic incision.” So we have adopted the pretrichial incision, already used in brow-lift and foreheadplasty but never described in craniomaxillofacial trauma surgery. Nineteen upper-third facial trauma patients were treated: five cases were approached via an existing laceration, four cases via a coronal incision, and 10 cases via a unilateral zigzag pretrichial incision. To assess the postsurgical scar, the Patient and Observer Scar Assessment Scale was used and the scar's width was measured. In all cases, a wide surgical field was obtained to perform correct fracture reduction. Unlike straight or stealth coronal incisions, with pretrichial incision no wide scar or alopecia was registered. We think that pretrichial incision is an aesthetically reasonable alternative to the standard coronal approach for craniomaxillofacial trauma patients.

【 授权许可】

Unknown