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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Pectoralis major flap in composite lateral skull base defect reconstruction
Vicente A Resto1, Michael J McKenna, Daniel G Deschler
1Department of Otolaryngology-Head and Neck Surgery, University of Texas Medical Branch, Galveston, USA.
Archives of Otolaryngology--Head & Neck Surgery
|May 25, 2007
Summary
The pectoralis major myocutaneous flap (PMF) offers reliable reconstruction for complex lateral temporal bone defects. This modified flap ensures complete healing, serving as a viable alternative to free flap surgery.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Head and Neck Surgery
Background:
- Composite lateral skull base defects pose significant reconstruction challenges.
- Traditional methods may have limitations in addressing extensive defects beyond the temporal line.
Purpose of the Study:
- To evaluate the efficacy of the pectoralis major myocutaneous flap (PMF) for reconstructing composite lateral temporal bone defects.
- To highlight specific technical modifications enhancing PMF reliability.
Main Methods:
- Retrospective review of eight patients undergoing PMF reconstruction for lateral skull base defects.
- Detailed illustration of technical modifications to the pedicled PMF.
Main Results:
- All eight patients achieved complete healing of the surgical defect with no flap loss.
- The median follow-up was 9 months, with all patients having undergone prior radiation therapy.
Conclusions:
- Modified PMF provides a reliable method for reconstructing extensive lateral skull base defects.
- This technique is a valuable alternative to free flap reconstruction in select patients.