Sinusoidal coronal incision.

Background: The coronal incision is a standard surgical approach in craniofacial surgery. For pediatric patients, it holds a certain risk for unbeneficial aesthetic outcome due to a broadening of the scar in the fast-growing infant skull.

Methods: We readopted the coronal approach over the last decade and developed a sinusoidal type of incision based on the “stealth incision” by Munro and Fearon. We present a calculative standardization of our approach.

Results: The sinusoidal coronal approach assures superior aesthetical results with equivalent skeletal exposure. The surgical procedure is simplified and standardized. Even in the fast-growing infant skull, broadening of the scar or vertical divergence is avoided.