This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

James R. Patrinely, MD; David A. Cech, MD
Houston, Tex

Arch Ophthalmol. 1989;107(10):1421-1422.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—In the December 1988 issue of the ARCHIVES, Stewart et al¹ described and illustrated the technique of a bicoronal scalp flap to perform a lateral orbitotomy. In addition to the advantage of expanded extraorbital exposure, the technique also avoids facial scars that may be troublesome to selected patients. We offer a modification of this approach, which is helpful in selected patients. Since most surgical orbital disorders are unilateral, we have found that a unilateral, Dandy-type scalp flap will offer the same benefits as a bicoronal flap while minimizing surgical time, wound area, and other complications relative to flap size.²

The hemicoronal flap is developed via an incision extending from 1 cm below the zygoma and just anterior to the ear, coursing superiorly several centimeters posterior to the hair line, and stopping at the midline (Fig 1). The hemicoronal flap is then developed anteriorly using the . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?