CORONAL APPROACH IN THE SURGICAL TREATMENT OF FRONTAL BONE FRACTURES: INDICATIONS, TECHNIQUES, AND RESULTS

Abstract

This article sought to analyze the indications, surgical techniques, and clinical outcomes associated with the use of the coronal approach in the treatment of frontal bone fractures. An integrative literature review was conducted in the MEDLINE/PubMed database, encompassing studies published between 2022 and 2026, which resulted in the selection and analysis of 26 articles. The results demonstrated that the coronal approach provides extensive exposure of the craniofacial skeleton, facilitating open reduction, rigid internal fixation, and restoration of the aesthetic and anatomical contour of the frontal region. It was also found that severe complications, such as obstruction of the nasofrontal duct or persistent cerebrospinal fluid fistula, require specific surgical interventions, such as obliteration or cranialization. Furthermore, adverse events associated with this approach include alopecia, paresthesia, and infections, highlighting the need for meticulous tissue dissection. It is concluded that the coronal approach remains an indispensable surgical technique for the management of complex fractures, ensuring high aesthetic and functional predictability when combined with individualized planning.