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February 1993

The Coronal Approach: Anatomic and Technical Considerations and Morbidity

Author Affiliations

From the Division of Head and Neck Plastic and Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City (Dr Frodel); and University Center for Craniofacial/Skull Base Surgery, Department of Otolaryngology, University of Minnesota, Minneapolis (Dr Marentette). Dr Frodel is presently with The Johns Hopkins University School of Medicine, Baltimore, Md.

Arch Otolaryngol Head Neck Surg. 1993;119(2):201-207. doi:10.1001/archotol.1993.01880140091014

• The coronal flap has recently become a preferred approach for the otolaryngologist–head and neck surgeon requiring access to the craniofacial skeleton and orbit. The variety of cases in which it has proven indispensable include craniofacial reconstruction, facial trauma, and tumor resection. This method of exposure has become particularly useful with increased indications for rigid internal fixation and primary bone grafting in the management of complex facial fractures. Our experience is reviewed in terms of indications for and benefits of the coronal approach, with a detailed description of the technique emphasizing anatomic planes and neurovascular structures. Careful attention to the latter should allow prevention of potential complications.

(Arch Otolaryngol Head Neck Surg. 1993;119:201-207)

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