Assessment of Postoperative Neurosensory Deficit Following Craniomaxillofacial Reconstruction Utilizing Bicoronal Flap

Abstract

Objective: To assess post operative neurosensory deficit following craniomaxillofacial reconstruction using bicoronal flap.

Subject and Methods: In altogether, 44 individuals between the ages of 18 and 60 were included in the research. All patients reported with primary complain of craniomaxillofacial trauma. Bicoronal flap was utilized in all patients. All patients were clinically examined for neurosensory deficits (supraorbital , supratrochlear region , zygomaticotempral and auriculotempral nerve). At least three intervals of one month, three months, and six months have been used to follow up on every case.

Results: In 1^st month evaluation, 14 patients were seen with neurosensory deficit with supraorbital nerve and 2 patients with supratrochlear nerve, while none of the patients were seen with disturbances in auriculotemporal and zygomaticotemporal nerve. At 6 month interval only 3 patients were remained with paresthesia of supraorbital nerve

Conclusion: Using a bicoronal flap during craniomaxillofacial surgery is recommended, it provides excellent access and has reduced complications

Keywords: Bicoronal Flap, Craniomaxillofacial Reconstruction, Neurosensory Deficit