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The Supratarsal Approach for Correction of Anterior Frontal Bone Fractures
Department of Otorhinolaryngology, Karolinska University Hospital; Department of Clinical Sciences, Intervention and Technology, Division of Otorhinolaryngology, Karolinska Institute, Stockholm, Sweden..
Department of Otorhinolaryngology, Karolinska University Hospital; Department of Clinical Sciences, Intervention and Technology, Division of Otorhinolaryngology, Karolinska Institute, Stockholm, Sweden..
Department of Otorhinolaryngology, Karolinska University Hospital.ORCID iD: 0000-0002-1192-0182
Department of Otorhinolaryngology, Karolinska University Hospital; Department of Clinical Sciences, Intervention and Technology, Division of Otorhinolaryngology, Karolinska Institute, Stockholm, Sweden..
2018 (English)In: The Journal of Craniofacial Surgery, ISSN 1049-2275, E-ISSN 1536-3732, Vol. 29, no 7, p. 1906-1909Article in journal (Refereed) Published
Abstract [en]

Background: 

To approach isolated anterior frontal bone fracture, coronal incision is the common surgical access of choice. This approach has complications such as aesthetically undesirable scarring and alopecia along the incision line. An alternative approach to these fractures is through a supratarsal incision. The aim of the present study was to correct the frontal bone fracture, through supratarsal approach.

Methods: 

Six consecutive patients with frontal bone fracture were operated through supratarsal incision and evaluated regarding: patient cosmetic satisfaction, forehead contour, scarring, sensibility and motility in forehead and upper eyelids.

Results: 

Seven months (6–12) postoperatively, all the patients had normal mobility in the forehead and the upper eyelids and 17% (n = 1) had hypoesthesia of superior orbital nerve. The forehead contour was excellent in all patients. About 83% (n = 5) of the patients were very satisfied and 17% (n = 1) were satisfied with the surgical result.

Conclusion: 

Correction of anterior frontal bone fracture through a supratarsal approach appears to be safe and offers a sufficient exposure to the frontal bone fracture correction with excellent contouring results and no noticeable scarring.

Place, publisher, year, edition, pages
Philadelphia, PA: Lippincott Williams & Wilkins, 2018. Vol. 29, no 7, p. 1906-1909
Keywords [en]
General Medicine, Otorhinolaryngology, Surgery, Anterior table, blepharoplasty, frontal bone fracture, management, noticeable, scarring, supra tarsal
National Category
Otorhinolaryngology
Identifiers
URN: urn:nbn:se:liu:diva-180143DOI: 10.1097/scs.0000000000004984ISI: 000452441400095PubMedID: 30157148Scopus ID: 2-s2.0-85054773201OAI: oai:DiVA.org:liu-180143DiVA, id: diva2:1601484
Available from: 2021-10-08 Created: 2021-10-08 Last updated: 2021-10-28Bibliographically approved

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Sunnergren, Ola

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