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Updated: Jul 18, 2026
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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Medial canthal reconstruction by a modified glabellar flap
Eckart Bertelmann1, Peter Rieck, Rudolf Guthoff
1Clinic for Ophthalmology, Charité University Medicine Berlin, Campus-Virchow-Klinikum, Berlin, Germany. Eckart.Bertelmann@charite.de
Summary
This study introduces a modified glabellar flap technique for medial canthal defect reconstruction. The improved method, utilizing a skin tunnel, enhances cosmetic outcomes and reduces scarring compared to the original procedure.
Area of Science:
- Plastic Surgery
- Ophthalmology
- Dermatologic Surgery
Background:
- Medial canthal defects often result from skin tumor resections.
- Reconstruction of these defects presents surgical challenges.
- Glabellar flaps are a known method for medial canthal reconstruction.
Purpose of the Study:
- To present a modified glabellar flap technique.
- To improve reconstruction of medial canthal defects.
- To reduce complications associated with traditional glabellar flaps.
Main Methods:
- A modified glabellar flap technique was used in 10 patients.
- Defects were located in the medial canthal area with a mean diameter of 2.5 cm.
- A skin tunnel was created for the flap pedicle, which was resected after 4 weeks.
Main Results:
- The modified technique successfully reconstructed all 10 defects.
- No flap necrosis occurred.
- Favorable cosmetic results were achieved in all cases, with easy pedicle resection.
Conclusions:
- The modified glabellar flap technique is effective for medial canthal reconstruction.
- Using a skin tunnel for the flap pedicle minimizes skin distortion and scarring.
- This modified approach offers superior cosmetic results compared to the original technique.
