Raney Clip Free Coronal Scalp Flap: Case Series

The coronal scalp flap is a useful surgical approach that provides access to the upper and middle third of the skull and can be utilized to repair fractures of the upper and middle face. Intraoperative hemostasis is usually achieved with Raney clips. This case series report discusses the literature on the conventional use of Raney clips during coronal flaps elevation and compares it to the technique used by the Oral and Maxillo-facial department at Memorial Hermann Hospital where use of clips are replaced by an electrosurgical cutting and coagulation device, LigaSure. This technique was used by the department on 21 patients treated at MHH. Use of LigaSure was found to decrease intraoperative bleeding as well as reduce alopecia commonly associated with coronal scalp flaps.