title: Clinical evaluation of the bicoronal flap in the treatment of facial fractures. Retrospective study of 132 patients.
abstract: The aim of the present study was to evaluate the postoperative complications of bicoronal flaps used to treat facial fractures. One hundred and thirty two patients that received bicoronal flaps for the treatment of upper and middle third facial fractures were called for clinical and radiographic examination. Minimum follow-up was 1 year and all patients had charts with adequate information about their perioperative care pertinent to the study. Results showed as complications hypoesthesia (17%), partial unilateral frontal motor deficit (11%), infection (3%), hypertrophic scars (3%), varying degrees of alopecia (18%), seroma or hematoma in the immediate postoperative period (5%). The flap provided wide surgical access to the upper and middle facial thirds with very few serious complications, most frequently allowing good aesthetic results.
authors.affiliation: Araraquara Dental School, UNESP-Univ Estadual Paulista, 2 andar, Departamento de Diagnóstico e Cirurgia, Rua Humaitá, no. 1680, Araraquara, CEP 14801-903, São Paulo, Brazil.
authors.forename: Marisa Aparecida Cabrini
authors.initials: MA
authors.lastname: Gabrielli
authors.forename: Marcelo Silva
authors.initials: MS
authors.lastname: Monnazzi
authors.forename: Mario Francisco Real
authors.initials: MF
authors.lastname: Gabrielli
authors.forename: Eduardo
authors.initials: E
authors.lastname: Hochuli-Vieira
authors.forename: Valfrido Antonio
authors.initials: VA
authors.lastname: Pereira-Filho
authors.forename: Marcos Vinicius
authors.initials: MV
authors.lastname: Mendes Dantas
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000505:Alopecia / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D002921:Cicatrix / Q000209:etiology; D003399:Craniotomy / Q000009:adverse effects / Q000379:methods*; D005147:Facial Bones / Q000293:injuries* / Q000601:surgery*; D020220:Facial Nerve Injuries / Q000209:etiology; D005260:Female; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D006987:Hypesthesia / Q000209:etiology; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012887:Skull Fractures / Q000601:surgery*; D013524:Surgical Flaps / Q000009:adverse effects; D055815:Young Adult