Coronal incision as the surgical approach to the orbits
Rochels, R.; Beigel, A.; Mehdorn, H.M.
Der Ophthalmologe Zeitschrift der Deutschen Ophthalmologischen Gesellschaft 92(2): 212-214
1995
ISSN/ISBN: 0941-293X PMID: 7780283 Document Number: 446279
The coronal incision of the skin extends from the ipsilateral preauricular region to the other side parallel to the coronal suture. The skin flap can then be mobilized down to nearly the floor of the orbits. We routinely use this incision in the following diseases and surgical procedures of the orbit: (1) osteo- and orbitotomies in premature synostosis of skull bones and craniofacial dysplasias; (2) frontobasal midface traumatology involving the orbit; (3) removal of fronto-ethmoidal mucoceles and tumors with orbital involvement; (4) bilateral medial three-wall and lateral one-wall decompression in Graves' disease; (5) removal of tumors from the upper and medial level of the orbit via a transperiostal incision or an extended supraorbital resection. The major advantages of the coronal incision are the excellent exposure of normal and pathological structures of the (peri-)orbital region and the highly satisfying late cosmetic results.