Utility of esthetic eyebrow incision in the management of anterior table fracture of frontal bone: our experience

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ORIGINAL ARTICLE

Utility of esthetic eyebrow incision in the management of anterior table fracture of frontal bone: our experience Chandrashekhar R. Bande 1 & Manu Goel 1 & Supriya S. Dombre 1 & Krishna Kurawar 1 & Ashish Maheshkar 1 Received: 6 November 2019 / Accepted: 29 May 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020

Abstract Purpose The purpose of this study was to provide detailed information about the eyebrow approach for the reduction of the frontal bone and its esthetic results with the help of clinical data available. Thus, suggesting this technique is minimally invasive and highly esthetic for frontal bone management. Method In this series, 96 cases were studied, and results were based on variable clinical criteria and satisfaction of patients. All the surgeries were performed through eyebrow incision for the management of fractures. Intraoperatively, minimal tissue dissection, less invasion with reduced operating time was observed. Results Postoperatively, the eyebrow approach leads to its normal contour and esthetics. No complications related to the procedure were seen with partially recoverable neuropraxia and speedy recovery. This makes it an important technique to consider in carefully selected patients. Conclusion In craniofacial trauma, frequently involved site is the frontal bone, and its treatment should be completed more esthetically. Eyebrow approach is a good alternative to other surgical approaches, and it is a minimally invasive technique and thus should be practiced for esthetic management of frontal bone fractures. Keywords Frontal bone fracture . Eyebrow incision . Esthetics of eyebrow . Minimally invasive procedure

Introduction In the years of increasing auto mobilization, technology, and industrialization, there is a great increase in the incidences of maxillofacial trauma. Hence, the management of maxillofacial injuries has achieved a perceptible position. The head, as

* Chandrashekhar R. Bande [email protected]; [email protected] Manu Goel [email protected] Supriya S. Dombre [email protected] Krishna Kurawar [email protected] Ashish Maheshkar [email protected] 1

Department of Oral and Maxillofacial Surgery, Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital, Wanadongri, Nagpur, India

it is the most exposed body part, is involved in the highest proportion of trauma of the entire body [1]. The frontal bone fractures account for 5 to 15% of all maxillofacial fractures, with automobile collisions as a more common mechanism of injury [2], followed by interpersonal violence, aggressions, sports-related injuries, and falls [3]. Incidence of frontal bone fractures increases with age because of the greater exposure of adults to trauma, and it is because of its developmental and morphological variation as frontal sinus and frontal bones are under the process of development in children and get fully developed in their impeccable morphology and dimension in between the second and fourth decades of life [4]. Frontal fractures