A Simple Method to Control Bleeding by Stationary Paper Clips as an Alternate to Raney Clips During Coronal Incisions

The value of coronal incisions in maxillofacial surgery has been well documented. The incision provides excellent access to the upper facial skeleton aiding in adequate access, good anatomic reduction of fractures and hidden scar. The associated bleeding with raising a bicoronal flap is a matter of concern to beginner surgeons. This often prevents the regular use of this approach. Textbooks have recommended the use of Raney clips but these are not available routinely in India and are expensive. We have utilized simple stationary paper clips, autoclaved and used for surgery. This not only provide haemostasis but also aids in holding the flap during dissection. This technique would be of great help to young surgeons and in developing countries where economics plays a major role in surgery.