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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
[Eyelid reconstruction with a reversal flow axial preauricular island flap based on the supraorbital artery]
1Department of Plastic Surgery, Tong-Ren Hospital, Capital Medical University, Beijing 100730, China.
Objective:
In order to find an ideal flap to reconstruct the eyelid defect, we have explored the possibilities to reconstruct eyelid with a reversal flow axial preauricular island flap based on the supraorbital artery.
Methods:
According to Chen's theory on "reversal flow axial flap", we designed and applied the reversal flow axial preauricular island flap based on the supraorbital artery, which could nourish the flap by anastomotic branches between the supraorbital artery and the frontal branch of the superficial temporal artery.
Results:
We have successfully reconstructed 7 cases of eyelid defect with this method since 1997. The size of the flaps ranged from 4.0 cm x 2.4 cm to 2.0 cm x 1.8 cm and good result were revealed with 1-2 years follow up.
Conclusions:
The flap has a stable and reliable blood supplying. It is an ideal flap to reconstruct the eyelid defect for texture and color similarity of the eyelid and preauricular skin.