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Versatility of Bicoronal flap approach in Head and neck surgeries

Balasubramanian Thiagarajan, Leena Balachandar

Bicoronal approach popularised by Tessier is one of the versatile approaches for skull and frontal region (1-6).In this article we present our experience regarding Bicoronal flap approach in 3 different cases. Each patient had different pathologies in frontal region for which the same approach had been used. We also describe in detail about the incision, its indications and contra indications, advantages and disadvantages. Incision was made in hair bearing area. Hence post operatively, cosmetic results were appealing in all the patients 9. It preserves the supraorbital neurovascular bundle, so complaints related to that are avoided. In this article, we discuss about the individual patient, merits and demerits of this particular approach in each patient.