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Coronal approach

Coronal approach - incision

Incision

Additional to marking the actual incision line, crosshatches or tattoo dye markings may be useful to realign the wound edges accurately during closure of the scalp in cases where a bow-like incision is used.

The initial scalp incision extends from one superior temporal line to the other and stays between the upper origins of the temporal muscles.

The scalp is the soft-tissue layer of the skull. In simple terms the scalp consists of five layers at the vertex as seen in the schematic representation: skin, dense inelastic subcutaneous connective tissue and fat, galea aponeurotica, loose areolar subgaleal tissue and pericranium.