- Technique:
- centered in groove at upper margin of eyebrows, between supraciliary ridge and the frontal prominences;
- saggitally, fromt pins should be placed just superiorly to outer half of eyebrows, to avoid the supraorbital nerve and vessels;
- placed too inferiorly, the pins might encroch on the orbit;
- they should be placed as close to midline of eyebrow as possible, as thickest mass of bone is central;
- placed too medially, however, the pins might encroach on the frontal sinus;
- some surgeons place the pins lateral to the eyebrows under hairline, to avoid scarring;
- this position may cause 3 problems
- since pins penetrates temporalis muscle, chewing may be uncomfortable;
- temporal bone is thin in this area & pentration or loosening may occur;
- since posterior pins are placed opposite anterior pins, this lateral position causes posterior pins to be very close to the anterior pins,
and mult-plane stability is decrease