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We prefer to cover the coro-nal fistula with circumferential incision as a relaxing incision with success rate 88.
Same problem is encountered when the rhexis is small, here; relaxing incision is given over the anterior capsule to facilitate nucleus subluxation.
Once the relaxing incision is made, the anterior border of the muscle is advanced medially into the parotid defect in an accordion fashion (figure 2).
A second relaxing incision may be made at the base of the flap to allow further mobilization; this relaxing incision may then be skin grafted.
Operative management options included temporary closure options (open abdomen treatment), primary closure with various suture techniques, closure with application of relaxing incisions, use of synthetic (nonabsorbable and absorbable) and biological meshes and the use of tissue flaps5.