Abstract
The value of coronal incisions in maxillofacial surgery has been well documented. The incision provides excellent access to the upper facial skeleton aiding in adequate access, good anatomic reduction of fractures and hidden scar. The associated bleeding with raising a bicoronal flap is a matter of concern to beginner surgeons. This often prevents the regular use of this approach. Textbooks have recommended the use of Raney clips but these are not available routinely in India and are expensive. We have utilized simple stationary paper clips, autoclaved and used for surgery. This not only provide haemostasis but also aids in holding the flap during dissection. This technique would be of great help to young surgeons and in developing countries where economics plays a major role in surgery.
References
Abubaker AO, Sotereanos G, Patteson GT (1990) Use of the coronal incision for reconstruction of severe craniofacial injuries. J Oral Maxillofac Surg 48(6):579–586
Pogrel MA, Perott DH, Kaban LB (1991) Bicoronal flap approach to the temporomandibular joints. Int J Oral Maxillofac Surg 20(4):219–222
Kerawala CJ, Grime RJ, Stassen LF, Perry M (2000) The bicoronal flap (craniofacial access): an audit of morbidity and a proposed surgical modification in male pattern baldness. Br J Oral Maxillofac Surg 38(5):441–444
Zhang QB, Dong YJ, Li ZB, Zhao JH (2006) Coronal incision for treating zygomatic complex fractures. J Craniomaxillofac Surg 34(3):182–185
Fonseca RJ, Walker RV, Betts NJ, Barber HD, Powers MP (eds) (2005) Oral & Maxillofacial Trauma, vol 1, 3rd edn. Elsevier Saunders, St. Louis, pp 726–727
Conflict of interest
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Waknis, P.P., Prasad, G.S.V. & Wadje, S. A Simple Method to Control Bleeding by Stationary Paper Clips as an Alternate to Raney Clips During Coronal Incisions. J. Maxillofac. Oral Surg. 12, 117–119 (2013). https://doi.org/10.1007/s12663-011-0225-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12663-011-0225-x