Management of Upper and Middle Third of the Face Fractures through Bicoronal Access

Abdul Azam, Khan (2011) Management of Upper and Middle Third of the Face Fractures through Bicoronal Access. Masters thesis, Tamilnadu Government Dental College and Hospital, Chennai.

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Abstract

SUMMARY & CONCLUSION: The bicoronal approach has been found very useful and versatile surgical approach in the management of comminuted and/or displaced fractures of upper and middle third of the face. The coronal incision offers advantages like an excellent and extensive approach to the frontal, nasal, superior and lateral orbit and zygomatic complex and zygomatic arch fractures which no other single approach can provide. Coronal incision aids in ensuring exact anatomical reduction of the fracture and also a well hidden scar within the hairline and achieves overall superior functional and aesthetic results. Bicoronal approach can be used for gaining access to severe craniofacial dysjunction injuries including multiple or comminuted zygomatic complex fractures, Lefort II and III, frontal sinus and nasoethmoidal fractures. With an adequate knowledge of surgical anatomy and some modifications with the incision, facilitates the procedure with minimal or no significant complications. Although the number of cases were not too many in our study, the approach has shown successful results. Patient selection and application for the indications for this incision are of paramount importance. This incision should not be overused and should be judiciously used.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Management ; Upper and Middle Third ; Face Fractures ; Bicoronal Access.
Subjects: DENTAL > Oral and Maxillofacial Surgery
Depositing User: Kambaraman B
Date Deposited: 13 May 2018 11:33
Last Modified: 13 May 2018 14:15
URI: http://repository-tnmgrmu.ac.in/id/eprint/7775

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