关键词: 径路, 面神经, 头皮冠状切口, 切口瘢痕, 耳鼻咽喉头颈外科

Abstract:

Objective   To explore the application of near hairline coronal incision in otolaryngology and head and neck surgery.  Methods   Totally, 28 patients were operated with near hairline coronal incision, including 20 internal fixation of zygomatic complex fracture, 4 frontal sinus cyst excision, 2 frontal sinus osteoma excision and 2 frontal benign tumor excision.  Results   All the 28 cases achieved satisfying curative results with primary wound healing. No facial scar, facial nerve paralysis or cerebrospinal fluid leakage occured after the operations.  Conclusion   The near hairline coronal incision is frequently applied in craniocerebral and maxillofacial surgery. The operative view is also sufficient for otolaryngology head and neck surgery. Compared with traditional approaches, it is more convenient for some upper or middle facial operations and can improve the quality of operation. Moreover, direct vision can avoid the complications, such as facial nerve injury and cerebrospinal fluid rhinorrhea. Meanwhile, it can effectively avoid the incision-related scar in conventional facial operations. In conclusion, this approach warrants the wide application in otolaryngology head and neck surgery.

Key words: Approach;  , Incision scar; , Otolaryngology head and neck surgery; , Facial nerve, Coronal incision;